Spectator Magazine April 2021

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Knee Injuries: The ACLBy Dr. Howard GelbAnterior cruciate ligament (ACL) injuries are increasingly common in younger athletes, especiallyin female athletes. The ACL is one of four major ligaments that stabilize the knee. Itsmain function is to prevent injury to the knee cartilage (meniscus-cushions and articular surface).Without an ACL, the knee becomes unstable with twisting turning sports. Injury to theACL is usually associated with a non-contact twisting injury. ACL tears are usually diagnosedby a combination of history and physical exam. In a majority of the cases, the patientreports planting the foot while twisting the knee and falling to the ground. Most people recallhearing a pop in the knee at the time of injury. Usually the patient cannot return to the sportthe same day as the initial injury and the knee swells within the first 24 hours. The Lachmantest is the most important physical exam finding that aids in the diagnosis of a tear. Therecan be associated injuries to other ligaments as well, such as the MCL. An orthopedic surgeontrained specifically in sports medicine is usually more experienced and accurate in thisdiagnosis. MRI can be useful to confirm the diagnosis and assess the meniscal cartilage.The meniscus is damaged almost 50% of the time in association with an acute ACL tear.Treatment of an ACL tear is patient specific but includes reconstruction of the injured ligamentusing one of several arthroscopic surgical techniques. It is essential that the meniscusbe repaired if possible in the young athletic patient in order to prevent future damage to theknee. Certified in Sports Medicine, Dr. Gelb specializes in the treatment of ACL injuries inboth adult and pediatric patients.Howard J. Gelb, MDA board certified orthopedicsurgeon specializing in adultand pediatric sports medicineand arthroscopic surgery. Hehas been in private practicesince 1995.Sports Medicine & OrthopaedicCenter(561) 558-8898See our ad below25
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Page 27: By Andrea GoffSpring, a time of new

Spectator Magazine April 2021

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