Partial tearing of the anterior cruciate ligament: diagnosis and treatment
Partial tears of the anterior cruciate ligament (ACL) are common and represent 10-27% of the total. The main reasons for attending to cases of non-torn bundles are biomechanical, vascular and proprioceptive. Continued presence of the bundle also serves as protection during the healing process. There...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2015-02-01
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| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100009&lng=en&tlng=en |
| _version_ | 1797225602430795776 |
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| author | Eduardo Frois Temponi Lúcio Honório de Carvalho Júnior Bertrand Sonnery-Cottet Pierre Chambat |
| author_facet | Eduardo Frois Temponi Lúcio Honório de Carvalho Júnior Bertrand Sonnery-Cottet Pierre Chambat |
| author_sort | Eduardo Frois Temponi |
| collection | DOAJ |
| description | Partial tears of the anterior cruciate ligament (ACL) are common and represent 10-27% of the total. The main reasons for attending to cases of non-torn bundles are biomechanical, vascular and proprioceptive. Continued presence of the bundle also serves as protection during the healing process. There is controversy regarding the definition of these injuries, which is based on anatomy, clinical examination, translation measurements, imaging examinations and arthroscopy. The way in which it is treated will depend on the existing laxity and instability. Conservative treatment is optional for cases without instability, with a focus on motor rehabilitation. Surgical treatment is a challenge, since it requires correct positioning of the bone tunnels and conservation of the remnants of the torn bundle. The pivot shift test under anesthesia, the magnetic resonance findings, the previous level and type of sports activity and the arthroscopic appearance and mechanical properties of the remnants will aid the orthopedist in the decision-making process between conservative treatment, surgical treatment with strengthening of the native ACL (selective reconstruction) and classical (anatomical) reconstruction. |
| first_indexed | 2024-03-08T07:23:59Z |
| format | Article |
| id | doaj.art-2027a62539d444a7800a668e6e2e7155 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-04-24T14:11:37Z |
| publishDate | 2015-02-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-2027a62539d444a7800a668e6e2e71552024-04-03T09:02:06ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782015-02-0150191510.1016/j.rboe.2015.02.003S0102-36162015000100009Partial tearing of the anterior cruciate ligament: diagnosis and treatmentEduardo Frois TemponiLúcio Honório de Carvalho JúniorBertrand Sonnery-CottetPierre ChambatPartial tears of the anterior cruciate ligament (ACL) are common and represent 10-27% of the total. The main reasons for attending to cases of non-torn bundles are biomechanical, vascular and proprioceptive. Continued presence of the bundle also serves as protection during the healing process. There is controversy regarding the definition of these injuries, which is based on anatomy, clinical examination, translation measurements, imaging examinations and arthroscopy. The way in which it is treated will depend on the existing laxity and instability. Conservative treatment is optional for cases without instability, with a focus on motor rehabilitation. Surgical treatment is a challenge, since it requires correct positioning of the bone tunnels and conservation of the remnants of the torn bundle. The pivot shift test under anesthesia, the magnetic resonance findings, the previous level and type of sports activity and the arthroscopic appearance and mechanical properties of the remnants will aid the orthopedist in the decision-making process between conservative treatment, surgical treatment with strengthening of the native ACL (selective reconstruction) and classical (anatomical) reconstruction.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100009&lng=en&tlng=enLigamento cruzado anterior/lesõesLigamento cruzado anterior/cirurgiaJoelho |
| spellingShingle | Eduardo Frois Temponi Lúcio Honório de Carvalho Júnior Bertrand Sonnery-Cottet Pierre Chambat Partial tearing of the anterior cruciate ligament: diagnosis and treatment Revista Brasileira de Ortopedia Ligamento cruzado anterior/lesões Ligamento cruzado anterior/cirurgia Joelho |
| title | Partial tearing of the anterior cruciate ligament: diagnosis and treatment |
| title_full | Partial tearing of the anterior cruciate ligament: diagnosis and treatment |
| title_fullStr | Partial tearing of the anterior cruciate ligament: diagnosis and treatment |
| title_full_unstemmed | Partial tearing of the anterior cruciate ligament: diagnosis and treatment |
| title_short | Partial tearing of the anterior cruciate ligament: diagnosis and treatment |
| title_sort | partial tearing of the anterior cruciate ligament diagnosis and treatment |
| topic | Ligamento cruzado anterior/lesões Ligamento cruzado anterior/cirurgia Joelho |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100009&lng=en&tlng=en |
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