Trauma Week Day 5 Dr Slauterbeck
As the fifth and final day of Trauma Week 2022 came to an end Dr. Slauterbeck, speaker from day 2, was able to come back to the school and speak once more. He started his final lecture off with basic information about an ACL injury. The ACL is a very common injury to the lower extremity in sports, it has long term problems, and is known for disabling young athletes. A torn ACL often requires surgery and often develops post traumatic arthitis, but the athletes usually return to their sport once they are fully healed. Mechanisms for the injury itself are the deceleration from a jump, deceleration from forward running with the knee near extension, and combined knee notions, knee valgus and IR or ER. Quad dominance, unopposed leg extension, excessive quadriceps action, and a person on the back seat with weight on the heal are also playing factor in the mechanisms of injury for the ACL. We need to understand the mechanisms of injury before optimal preventive measures can be suggested!! UVM combined risk factors for male athletes are increases in front and backward movement of the knee, backward knee stiffness, and flat feet. However, for female athletes the combined risk factors are having a parent who has sustained an ACL injury (higher chances of child getting one), increased front and backward laxity, and an increase body mass index. So, who is the greatest risk? People with the highest risk are males with loose knees and flat feet, and females who are "big", have loose knees, and have a parent with an ACL tear.
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