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The Egyptian Journal of Hospital Medicine
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Badr, A., Almotairi, B., Alamir, A., Aldawsari, A., Alaaddin, A., Alrushaydan, A., Alanazi, A., Halawani, A., Alhussain, Z., Al-ghufaynah, M. (2018). Evaluation of Anterior Cruciate Ligament Partial Tear Injury Management. The Egyptian Journal of Hospital Medicine, 73(6), 6847-6853. doi: 10.21608/ejhm.2018.16740
Asma Soud Badr; Bodoor Salmi Almotairi; Abdulrahman Ahmed Alamir; Abdulrahman Mohammed Fahad Aldawsari; Ammar Osama Alaaddin; Ayman Khalil Alrushaydan; Ahmed Muteb Alanazi; Abdalrashid Faisal Halawani; Zead Ibrahim Alhussain; Mansour Mana Al-ghufaynah. "Evaluation of Anterior Cruciate Ligament Partial Tear Injury Management". The Egyptian Journal of Hospital Medicine, 73, 6, 2018, 6847-6853. doi: 10.21608/ejhm.2018.16740
Badr, A., Almotairi, B., Alamir, A., Aldawsari, A., Alaaddin, A., Alrushaydan, A., Alanazi, A., Halawani, A., Alhussain, Z., Al-ghufaynah, M. (2018). 'Evaluation of Anterior Cruciate Ligament Partial Tear Injury Management', The Egyptian Journal of Hospital Medicine, 73(6), pp. 6847-6853. doi: 10.21608/ejhm.2018.16740
Badr, A., Almotairi, B., Alamir, A., Aldawsari, A., Alaaddin, A., Alrushaydan, A., Alanazi, A., Halawani, A., Alhussain, Z., Al-ghufaynah, M. Evaluation of Anterior Cruciate Ligament Partial Tear Injury Management. The Egyptian Journal of Hospital Medicine, 2018; 73(6): 6847-6853. doi: 10.21608/ejhm.2018.16740

Evaluation of Anterior Cruciate Ligament Partial Tear Injury Management

Article 8, Volume 73, Issue 6, October 2018, Page 6847-6853  XML PDF (258.65 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2018.16740
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Authors
Asma Soud Badr1; Bodoor Salmi Almotairi2; Abdulrahman Ahmed Alamir3; Abdulrahman Mohammed Fahad Aldawsari4; Ammar Osama Alaaddin5; Ayman Khalil Alrushaydan6; Ahmed Muteb Alanazi6; Abdalrashid Faisal Halawani7; Zead Ibrahim Alhussain8; Mansour Mana Al-ghufaynah9
1King Faisal Hospital_ Makkah
2Taibah University
3Majmaah University
4Prince Sattam Bin Abdulaziz University
5Umm Al-Quraa University
6Aljouf University
7King Abdulaziz University
8Arabian Gulf University
9Alexandria University
Abstract
Background: Cruciate ligament is divided into two ligaments (Anterior Cruciate Ligament & Posterior Cruciate Ligament) and is attached to the femur and tibia. The rate Anterior Cruciate Ligament partial tear is high among athletes and it is relatively high in comparison to other knee injuries. Anterior Cruciate Ligament partial tear commonly associated with hem-arthrosis of the knee and can evolve into complete tear. Various approaches have been suggested to treat Anterior Cruciate Ligament partial tear.  However, deciding which approach to follow is still controversial. Objective: In this study we aimed at reviewing the current available literatures reporting on the management of partial tears of the ACL. Methods: PubMed database was used for articles selection, and the following keys used in the mesh ("Anterior Cruciate Ligament /partial tear"[Mesh] OR "Anterior Cruciate Ligament /management"[Mesh] OR "Anterior Cruciate Ligament /outcomes"[Mesh]). 10 studies were enrolled according to our inclusion, and exclusion criteria. Conclusion: The initial treatment after an ACL injury is rest, ice and usually crutches. Immobilization is important while the patient remains symptomatic. A course of conservative treatment by physiotherapy can be successful in patients not participating in strenuous physical activity. In patients with a high functional demand, even after a conservative program, surgical treatment is often required. Keeping ACL remnants when reconstructing the ACL is recommended. It might be beneficial on knee function because it preserves numerous mechanoreceptors that favor knee proprioception. In prepubescent children with several years of growth ahead, physical-sparing technique like Micheli technique is recommended. Less invasive techniques such as Thermal modification of knee’s connective tissues can be suggested in order to reduce the dilemma and difficulty of the operation for the surgeon.
 
Keywords
Anterior cruciate ligament; tear; athletes; knee injuries; Physiotherapy; Reconstruction
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