Doctor insights on:
Grade 3 Acl Tear
Told by trainer upon tests that I have a grade 2-3 ACL tear. No pain present. Slight instability on stairs or mat surface. It it a possible ACL tear?
Knee injury wrestling, week later no pain bit of instability, can walk fine, coach thinks 2-3 grade ACL tear could that be possible without much pain?
Yes for sure!: Believe it or not, after a person tears their ACL most all the pain can resolve between 1 to 4 weeks. The initial pain is from the ACL tearing and bleeding into the knee in addition to bone bruises that occur. These all cause initial pain, but as the swelling resides and the bone bruises resolve, a knee with a torn ACL can essentially be painless. This is why some people put it off. .....Mistake! ...Read more
Repair is normal: Acl repair is standard for most cases as it is so vital to knee stability especially at such a young age. The methods are so refined now that the outcome is usually very good as long as you do your part with rehab. Pcl repair is evaluated at the time of acl reconstruction. Each case is different so see at least one surgeon and then decide. ...Read more
You need surgery.: Young people with an acl tear and meniscus injury are at risk for further knee injury and damage with loss of function without surgery. Surgery consists of arthroscopic acl reconstruction and menisectomy versus meniscus repair. Typically it should be done by a fellowship trained sports medicine otthopaedist. ...Read more
ACL reconstruction: When they do reconstruction they will either take out the torn posterior horn or repair it if that needed. ...Read more
Ligament tear: A ligament connects bone to bone. So if you have a torn ACL, there result is instability between the two bones that comprise the knee joint. ...Read more
Depends: Following an ACL reconstruction post tear, the rehab usually involves three months of regular physical therapy, then some follow up as needed. Our physical therapist then will do a three month sports/functional test to see whether you can be discharged from pt or if you need to continue. Overall, it take a whole year for the graft to mature, so some pt may be needed off and on during that year. ...Read more
U can't, but: U can't " prevent " an acl tear but there are things that u can do that may help from sustaining a second one. (this applies to your reconstructed and acl intact knee): keep your quads strong; work on your balance / coordination ability (proprioception) and possibly avoid contact sports (if that's possible). Best of luck! (acl bracing? Not effective).... ...Read more
ACL Reconstruction: Yes, you can still have an acl reconstruction. Acl tears do not heal on their own & having it replaced can help you maintain a healthy/ active lifestyle in the years to come. The acl is a major knee stabalizer, and can provide security to your knee that may prevent further damage to nearby tendons, ligaments, muscles, articular cartilage, meniscus, & bones when compared to a "loose knee" ...Read more
Effusion (swelling): An acl tear can often include an mcl tear that occurs at the same time. An acl tear generally causes bleeding in the knee joint caused by tearing the blood vessels around the acl. This causes a very fast swelling of the knee joint (usually without the hour). An isolated mcl tear usually does not swell inside the knee and causes pain on the inner portion of the knee, where the mcl tore. ...Read more
Sometime not much: It sometimes can be difficult to distiguish the two from symptoms patients experience alone. That is why a good physical exam is key to making the diagnosis. ...Read more
Instability.: Tears of either can make your knee feel unstable, but in different planes. The MCL tear will give you more pain over the inner side of your knee. ...Read more
I have complete ACL tear mid portion...I want to noe hw much time it will take it to recontruct...And will it recontruct naturally?
ACL: A complete acl tear will not heal itself. Acl reconstructions are done at all ages in active individuals. Full recovery from acl reconstruction can be 6 to 9 months if not a full year. It is not mandatory to fix the acl, but the knee will remain somewhat unstable which can lead to future injuries. Talk to your doc. ...Read more
Variable: Pain after an acl reconstruction is quite variable, and can depend on the technique, time in surgery, and graft choices. The actual acl reconstruction done with an all-inside technique in 30 minutes or less has very low pain levels, and many patients are able to walk within days of surgery. Techniques vary as do pain levels. Donating your own graft is much more painful than the acl reconstruction. ...Read more
If you have a full thickness ACL tear and I am a 3 sport athlete is the best option to get surgery or no?
Yes: It is highly unlikely you would be able to continue any substantial athletic activity with an "ACL deficient" knee. The ACL is one of the primary stabilizers of the knee joint. ...Read more
I've partial thickness ACL tear along its femoral attachment. I'm 19 years old and a sportsman too I can't run from almost last 3 month. Please help
See a specialist: Partial ACL tears do happen but are very uncommon. Often a radiologist will make that diagnosis but does not mean it is correct. See a Sports Orthopedic surgeon who can give you a correct diagnosis based on the MRI and a good exam. Even if it is torn, pain is uncommon with running after 3 months. There may be more going on. ...Read more
It still have time:
The natural history of an acl injury without surgical intervention varies from patient to patient and depends on the patient's activity level degree of injury and instability symptoms.
Complete acl ruptures have a much less favorable outcome. After a complete acl tear some patients are unable to participate in certain sport. Sometime other injury associated with acl tear.
Advise to have arthoscopy. ...Read more
Sportsmed specialist: Conservative estimates are that between 100, 000 and 125, 000 acl surgeries are done in the us each year and most of these complex surgeries are done by surgeons who do less than 10 or 12 per year. The success rate of he surgery even in the best hands is about 90%. Surgeons who are fellowship trained in arthroscopy and sports medicine have additional experience in dealing with these injuries. ...Read more
In line exercises: With an acl tear, you can continue to exercise. However, you should stay away from any twisting, turning, rotational or lateral movements. Stay with in-line exercises such as elliptical, leg press, cycling, spinning, knee extension, hamstring curls, lunges, squats and walking. ...Read more