POPULARITY
Hamstring autograft has been a widely used graft option for ACL reconstruction surgery for years. Data over the last decade, however, has called into question its performance versus other autograft options particularly when it comes to the rate of re-tear. One potential reason for a higher rate of re-tear may be that hamstring grafts tend to be smaller in diameter compared to patellar tendon autografts, for example. Historically, a hamstring graft diameter of 8 mm has been considered a critical value that could determine long-term success versus failure, however an exact graft diameter has not been identified. Dr. Raffy Mirzayan, MD from Kaiser Permanente Baldwin Park joins us to discuss his study aiming to find that threshold diameter for hamstring autograft. We discuss how the fear of a smaller diameter graft may influence surgeons to look at other options such as quadriceps tendon autograft.
In this episode, we review the high-yield topic of Anterior Cruciate Ligament (ACL) Injury from the MSK section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
Medial meniscal repair performed at the time of primary anterior cruciate ligament reconstruction (ACLR) has been shown to be significantly associated with subsequent surgery, and subsequent surgery has been associated with increased Knee injury and Osteoarthritis Outcome Score (KOOS) pain score and decreased patient satisfaction. In conclusion, successful medial meniscal repair performed at the time of primary ACLR decreased clinically significant knee pain 10 years postoperatively. However, the mediating effect of subsequent surgery was significant and diminished the overall contribution of medial meniscal repair in decreasing the likelihood of KOOS pain. Continued efforts should be made to decrease the likelihood of subsequent surgery after medial meniscal repair performed at the time of primary ACLR. Click here to read the article.
Tobacco use is a known modifiable risk factor for postoperative complications and revision surgery after anterior cruciate ligament reconstruction (ACLR). Previous studies focus on tobacco as a broad categorization of traditional smoking, smokeless tobacco, and other forms of nicotine use. It is unclear if differences in the type of nicotine used lead to similar adverse outcomes after ACLR. In conclusion, smokeless tobacco use was associated with an increased risk of medical complications, ED utilization, and subsequent procedures compared with nonuser controls and traditional smokers. These findings highlight the importance of considering specific forms of tobacco use in preoperative screening for patients undergoing ACLR. Click here to read the article.
Anterior cruciate ligament (ACL) injury is one of the most severe injuries for athletes. It is important to identify risk factors because a better understanding of injury causation can help inform athletes about risk and increase their understanding of and motivation for injury prevention. In conclusion, the anatomic factors that we investigated had a weak or no association with risk for an index noncontact ACL injury. Increased static knee valgus was associated with an increased risk for noncontact ACL injury, in particular for secondary injury. Furthermore, hyperextension of the knee was a risk factor for secondary ACL injury. Click here to read the article.
The fear of an Anterior Cruciate Ligament injury, or ACL, hangs over all athletes. It is a season-ending injury, agonising, and with a long painful recovery. But why is it happening to so many female footballers? Research shows that ACL injuries are up to six times more likely to happen to female athletes than male. Former England International Footballer Lianne Sanderson, who suffered an ACL injury in 2016, explores the science behind this statistic and finds out about the solutions that are being put in place. From the UK charity initiative Power Up To Play, established by medical professionals to offer preventative support at grassroots level, to experts at Oslo Sports Trauma Research Center in Norway and the team at IDA Boots who are making female-specific soccer cleats, Lianne introduces a number of solutions and learns about the science of ACL injuries in female athletes.
In this episode of RAPM Focus, Editor-in-Chief Brian Sites, MD, is thrilled to welcome Kesavan Sadacharam, MD, and Allison Fernandez, MD, following the April 2024 publication of their original research paper, “Multisite prospective study of perioperative pain management practices for anterior cruciate ligament reconstruction in adolescents: Society for Pediatric Anesthesia Improvement Network (SPAIN) Project Report.” Unwarranted variation in health care refers to differences in health care delivery that cannot be attributed to patient illness, medical evidence, or patient preferences. Instead, these variations arise from differing local medical practices, resource availability, and physician decision-making processes. Unwarranted variations can lead to sub-optimal patient outcomes, with some patients receiving unnecessary or harmful treatments while others may not receive beneficial interventions. Two individuals are behind a multi-center collaborative initiative that looks at the utilization of regional anesthesia and pain medicine techniques for ACL reconstruction. Dr. Allison Fernandez is an associate professor at Johns Hopkins All Children's Hospital, practicing pediatric anesthesia, and pediatric acute and chronic pain management. Dr. Fernandez started a video series, Women of Impact in Anesthesia, empowering women in medicine. Dr. Kesavan Sadacharam is a pediatric anesthesiologist and associate professor at Nemours Children's Health, located in Wilmington, DE. He is currently the director of regional anesthesia and practices both acute and chronic pain management. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on X @RAPMOnline, Facebook @Regional Anesthesia & Pain Medicine, and Instagram @RAPM_Online.
Historically, ACL repair resulted in poor outcomes and this procedure fell out of favor while ACL reconstruction became the gold-standard surgical approach for a torn ACL. Recently, thanks in part to the advent of more modern techniques, ACL repair has regained interest in the Sports Medicine community as a potentially viable option in certain situations that may provide advantages in comparison to ACL reconstruction. To this point, the literature comparing these two surgeries with modern techniques has been heterogenous in terms of quality and design, and results have been mixed. Drs. Kyle Kunze, MD and Benedict Nwachukwu, MD, MBA and their team from Hospital of Special Surgery (HSS) bring us this systematic review and meta-analysis to cull the best literature available. Their findings indicate that, while ACL repair may have an evolving role in our toolbox, its failure rate remains higher than that of ACL reconstruction and thus should be approached with caution.
ACL injuries are common! In this Deep Dive episode Brian and Nora discuss what ACL injuries are, A bit about prevention and strategies for managing partial tears and complete ruptures with and without a surgical repair. Whether you are a Pilates teacher, personal trainer or client, this episode will give you a better idea about what to expect and how to work with an ACL injury.Moving Conversation Socials Email: movingconvos@gmail.comIG: @movingconvosFB: Moving ConversationsBrianIG: @fit4lifedcFB: https://www.facebook.com/brianrichey/ NoraIG: nora.s.john.7FB: https://www.facebook.com/nora.s.john.7
Five articles from the April 2024 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, “Clinical Outcomes of Different Management Techniques for Medial Meniscal Type 3 Ramp Lesions in Anterior Cruciate Ligament Reconstruction: A Comparative Analysis Between All-Inside Repair, Suture Hook Repair, and Lesions Left in Situ,” “The Global Track Concept for Assessment of Engaging Hill-Sachs Defects in Anterior Shoulder Instability,” “Hamstring Tendon Autograft Is Associated With Increased Knee Valgus Moment After Anterior Cruciate Ligament Reconstruction: A Biomechanical Analysis,” “Proprioception After Primary Repair of the Anterior Cruciate Ligament,” and “Individuals With Chronic Ankle Instability Show Abnormalities in Maximal and Submaximal Isometric Strength of the Knee Extensor and Flexor Muscles.” To read the articles, click here.
Despite our technological advances in ACL surgery, the rehabilitation period remains challenging, particularly when it comes to lingering quadriceps weakness. Blood Flow Restriction (BFR) Therapy has been introduced as a potential means to speed up the return of quad function. We welcome Dr. Kelechi Okoroha from the Mayo Clinic to discuss his high-level study, “Effects of Perioperative Blood Flow Restriction Therapy Program on Early Quadriceps Strength and Patient-Reported Outcomes After Anterior Cruciate Ligament Reconstruction.” By utilizing BFR in both the pre- and post-operative periods following ACL reconstruction, Dr. Okoroha and his team did demonstrate a benefit in strength and patient reported outcomes.
Discuss the NATA position statement on the prevention of ACL injuries, discuss the various components of an injury prevention program, and discuss implementation strategies for injury prevention programming Timestamps 2:34- Impact of ACL injuries 8:16- Benefits of ACL Prevention programs 12:11- How do ACL prevention programs work 15:18- Components of an ACL prevention program 23:59- Implementation strategies -- ARTICLE CITATIONS used for this episode: https://atcornerds.wixsite.com/home/blog AT CORNER FACEBOOK GROUP: https://www.facebook.com/groups/atcornerpodcast Instagram, Website, YouTube, and other links: atcornerds.wixsite.com/home/links EMAIL US: atcornerds@gmail.com SAVE on Medbridge: Use code ATCORNER to get $150 off your subscription Music: Jahzzar (betterwithmusic.com) CC BY-SA 2024 CEU Update: This episode is eligible for CEUs. Email atcornerds@gmail.com with any questions! -- -Sandy & Randy
Join Tim Clement on a mission to discover if there is a better way to recover from an Anterior Cruciate Ligament rupture. Tim's special guest is Pep, one of the first people to trial the Cross Bracing Protocol. Pep, who ruptured her ACL less than a year ago, is up and running again after achieving a successful heal through this ground-breaking technique. Pep compares the experience to surgery on her other leg and considers whether this method has genuine potential to revelutionise the way we treat ACL injuries.
Dr. Christopher Powers founded and owned the Movement Performance Institute in Los Angeles. In addition, he is a Professor in the Department of Biokinesiology & Physical Therapy and Co-Director of the Musculoskeletal Biomechanics Laboratory at the University of Southern California. He holds joint appointments in the Radiology and Orthopaedic Surgery departments within the Keck School of Medicine. Dr. Powers is considered one of the world's leading authorities on knee injuries, particularly patellofemoral joint dysfunction and tears of the anterior cruciate ligament (ACL). Today's episode focuses on the Quadricep's role in preventing and rehabbing Anterior Cruciate Ligament injuries. Show Notes Movement Performance Institute Upcoming Courses DNS World Congress Human Locomotion.com | Code 'GESTALTEDUCATION10' Core360 Belt | Code 'GESTALT' Dynamic Disc Designs | Code 'GESTALT' --- Support this podcast: https://podcasters.spotify.com/pod/show/gestalt-education/support
Join Tim Clement on a mission to discover if there is a better way to recover from an Anterior Cruciate Ligament rupture. Tim's special guest is Dr Stephanie Filbay, who is on a mission to provide patients with a more balanced, evidence-based advice when considering their ACL recovery options. As the author of a ground-breaking research paper on ACL healing, and a prolific debunker non-operative misconceptions, her knowledge in the field is world leading. Speaking from her own experience of a graft re-rupture, Filbay tells us what needs to change to prevent potentially unnecessary surgery and improve surprisingly low return to sport rates. She also reveals some of the insights coming out of her soon-to-be-published studies, including revelations that the majority of medical professionals are not providing accurate information to patients.
The bone–patellar tendon–bone (BTB) autograft is associated with difficulty with kneeling after anterior cruciate ligament (ACL) reconstruction; however, it is unclear whether it results in a more painful or symptomatic knee compared with the hamstring tendon autograft. In conclusion, at 2-year follow-up after primary ACL reconstruction, 9.3% of patients reported CKP, and 12.0% reported SKD. The BTB autograft was associated with difficulty with kneeling, but it did not result in a more painful or symptomatic knee compared with the hamstring tendon autograft. Click here to read the article.
The correct surgical approach for a skeletally immature athlete with an ACL tear remains controversial. Transphyseal ACL reconstruction with a soft tissue autograft is a popular choice that most resembles the technique performed in adults. However, crossing an open growth plate comes with risk of growth arrest, though the frequency and magnitude of that risk is not well known. We thank Drs. Alexander Seeto, MD and Ivan Astori, MBBS for their discussing their findings with us.
Arthrofibrosis (AF) after anterior cruciate ligament reconstruction (ACLR) remains a challenge. There is a paucity of data on arthroscopic interventions for AF after ACLR. In conclusion, an arthroscopic intervention for AF after ACLR successfully improved knee ROM and pain. Patients who underwent either early or late surgery obtained satisfactory motion and function, although improved PROs were observed when the intervention occurred within 3 months of the primary procedure. Click here to read the article.
Listen to Andrew Duckworth, Elvire Servien, Sébastien Lustig and Fares Haddad discuss the paper 'Delaying anterior cruciate ligament reconstruction increases the rate and severity of medial chondral injuries' published in the September 2023 issue of The Bone & Joint Journal.Click here to read the paper.Find out as soon as the next episode is live by following us on Twitter, Instagram, LinkedIn, Tik Tok or Facebook!
Are your hamstrings the unsung heroes of knee stability? Discover how this overlooked muscle group plays a crucial role in maintaining the health of your ACL with our guest, Dr. Jeffrey Pope, a renowned orthopaedic surgeon from Kayal Orthopaedic Center. His expert insights on the anatomy of the ACL and its interplay with the hamstrings are revelations that you won't want to miss. Injuries can throw life off balance, especially those as common and challenging as an ACL tear. This episode is your guide to understanding the epidemiology, signs, and symptoms of ACL tears, as well as the assessment methods used to diagnose them. But the knowledge-sharing doesn't stop there. Dr. Pope also weighs the pros and cons of nonoperative care and reveals the circumstances when an ACL reconstruction or repair becomes necessary. If you've ever wondered about the importance of physical therapy or the criteria to be met before surgery, this episode is for you.Buckle up for a deep dive into the exciting world of ACL surgery advancements. From autograft and allograft therapies to arthroscopic techniques, we explore it all. Listen in as Dr. Pope deciphers these complex medical terms and procedures, discussing the indications, benefits, and potential risks involved. With a focus on the post-operative biological process, he emphasizes the necessity of a minimum nine-month wait before returning to sports activities. Wrapping up, Dr. Pope shares invaluable advice on managing ACL tears and offers a message of hope for recovery, reminding us that patience, perseverance, and the right care can conquer even the toughest challenges. Support the show
We welcome Drs. Adam Daniel, MD and Patrick Smith, MD from Columbia Orthopaedic Group to discuss their study “Reduced Incidence of Revision Anterior Cruciate Ligament Reconstruction with Internal Brace Augmentation." Though a proprietary orthopaedic implant, the term “Internal Brace” has become a household name in Sports Medicine and Orthopaedic Surgery in general. It's application in the realm of ACL reconstruction has been theorized, however due to poor performance of prior augmentation efforts with ACLR, Internal Bracing for ACLR has been met with some degree of skepticism. Dr. Smith has decades of experience searching for ways to improve upon ACLR, a surgery that is still far from perfect. He reports on his experience with ACLR with autograft plus Internal Bracing. His results speak for themselves.
Dr. Shelby Baez interviews Dr. Jeffrey Driban, Dr. Hayley Root, and Dr. Matthew Harkey about the new Osteoarthritis Action Alliance Consensus Statement on Preventing Osteoarthritis After an Anterior Cruciate Ligament Injury and the Evidence Review for Preventing Osteoarthritis After an Anterior Cruciate Ligament Injury. Consensus Statement: https://bit.ly/41YOc4X Evidence Review: https://bit.ly/420JXpy Jeffrey Driban, PhD, ATC, CSCS (@jbdriban) is a member of the Special and Scientific Staff at Tufts Medical Center and an Associate Professor in the Department of Medicine at Tufts University School of Medicine. Dr. Driban received his Bachelor of Science in Athletic Training from the University of Delaware. He received a Master of Education and Doctor of Philosophy in Kinesiology with an Emphasis in Athletic Training from Temple University. He completed a post-doctoral research fellowship in the Division of Rheumatology at Tufts Medical Center. Hayley Root, PhD, MPH, ATC (@_hjroot) is an Assistant Professor in the Department of Physical Therapy and Athletic Training at Northern Arizona University at the Phoenix BIoscience Core. Her research examines factors related to implementation of best practice evidence, with a focus on preventing lower extremity injury and developing physical literacy in youth athletes. Matt Harkey, PhD, ATC (@Harkey_MS) is an assistant professor in the Department of Kinesiology at Michigan State University. Harkey is a musculoskeletal researcher whose goal is to identify people at increased risk for knee osteoarthritis to better target interventions that prevent the onset or progression of disability.
Historically, results of direct ACL repair are poor. As such, it has been viewed as a substandard surgical option in comparison to ACL reconstruction, the modern gold-standard approach. However, ACL reconstruction is not without its flaws, and as technology and techniques have advanced, the idea of ACL repair has reemerged. Coming to us from Tripler Army Medical Center, Drs. Christian Cruz and Craig Bottoni share their results with ACL repair in their military population. Like studies from the past, the failure rate was high at 26%. However, those that succeeded had good to excellent results in an average return to full duty time that beats what is expected with ACL reconstruction. Drs. Cruz and Bottoni share their experience with this active population and why ACL repair may make sense in certain situations as well as when to avoid it.
About 50% of people who have an anterior cruciate ligament (ACL) injury will go on to develop osteoarthritis later down the track. What determines who will go on to develop OA? And is it possible to reduce your risk of developing OA? On this week's episode, Dr Adam Culvenor joins us to discuss.Dr Adam Culvenor is a Senior Research Fellow and Head of the Anterior Cruciate Ligament (ACL) Knee Injury Group within the La Trobe Sport and Exercise Medicine Research Centre. His research focuses on the outcomes of ACL injuries, in particular the prevention and management of early knee osteoarthritis in young adults following ACL injury and reconstruction.RESOURCESWebsitesLaTrobe University Sport and Exercise Medicine Research Centre BlogThe OPTIKNEE group is working to prevent osteoarthritis after knee injuryJournal articlesOPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritisKnee Extensor Strength and Risk of Structural, Symptomatic, and Functional Decline in Knee Osteoarthritis: A Systematic Review and Meta-AnalysisEarly Knee Osteoarthritis Is Evident One Year Following Anterior Cruciate Ligament Reconstruction: A Magnetic Resonance Imaging EvaluationCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.
Part 2 of our conversation with Dr. Tim Hewitt. Dr. Tim Hewett has dedicated his life to the epidemic problem of Anterior Cruciate Ligament ruptures across all athletics. During his research, he has held appointments at Ohio State, The Mayo Clinic, and several other prestigious universities. Dr. Tim Hewett has received several prestigious awards, including the NCAA, Excellence in Research and O'Donoghue Awards from the American Orthopedic Society for Sports Medicine, Rose Excellence in Research Award from APTA, and a Young Investigator's Award from the American Heart Association, and received the Clint Thompson Award for best paper from the National Athletic Trainers Association. His work has been cited in over 1000 lay press journals, including The New York Times, Wall Street Journal, USA Today, Fox News, and CBS. If you treat athletes pre or post-ACL rupture, these next two episodes are for you! Show Notes Dr. Tim Hewett Part 1 --- Support this podcast: https://anchor.fm/gestalt-education/support
Dr. Luke Donovan summarizes the paper titled Preliminary Report on the Train the Brain Project: Sensorimotor Neural Correlates of Anterior Cruciate Ligament Injury Risk Biomechanics - Part I by Dr. Dustin Grooms and colleagues. This paper is featured in the special issue on pediatric ACL injury. Article: https://bit.ly/3jhgQMZ Issue: https://bit.ly/3j0vB6I
On this episode of the PTA Elevation Podcast, host Briana Drapp, SPT, PTA, CSCS goes over the important things to know about Anterior Cruciate Ligament Tears when studying for the NPTE. At the end of this episode, Briana provides and reviews a sample question that helps students get a feel for how this subject will be asked on the NPTE - PTA. Tune in to learn more! Website: https://www.ptaelevation.com/ Join our FB group for FREE resources to help you study for the exam! https://www.facebook.com/groups/382310196801103/ If you're interested in our prep course, check it out here: https://ptaelevation.com/the-600-plus-system Follow us on our other platforms! https://www.ptaelevation.com/linktree We look forward to serving you!
Dr. Tim Hewett has dedicated his life to the epidemic problem of Anterior Cruciate Ligament ruptures across all athletics. During his research, he has held appointments at Ohio State, The Mayo Clinic, and several other prestigious universities. Dr. Tim Hewett has received several prestigious awards, including the NCAA, Excellence in Research and O'Donoghue Awards from the American Orthopedic Society for Sports Medicine, Rose Excellence in Research Award from APTA, and a Young Investigator's Award from the American Heart Association, and received the Clint Thompson Award for best paper from the National Athletic Trainers Association. His work has been cited in over 1000 lay press journals, including The New York Times, Wall Street Journal, USA Today, Fox News, and CBS. If you treat athletes pre or post-ACL rupture, these next two episodes are for you! --- Support this podcast: https://anchor.fm/gestalt-education/support
In this episode, we review the high-yield topic of Anterior Cruciate Ligament (ACL) Injury from the Orthopedics section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
Drs Dekker and Chahla discuss Patients Follow 3 Different Rate-of-Recovery Patterns After Anterior Cruciate Ligament Reconstruction Based on International Knee Documentation Committee Score
We've returning guest the always fantastic Enda King with us this month to discuss ACL Biomechanics & movement strategies post op - an area where Enda had done his PhD in! We look at how you can objectively help your patients even if you don't have a fancy biomechanics lab, where the idea of a 10% difference for RTP comes from and how that translates into reality as well as how you can coach your patients without coaching through movement constraints! Tune in to find out more!
In this episode, we sat down with Dr. Stephanie Filbay, a physiotherapist by background and now full-time researcher with expertise related to evaluating and optimizing outcomes after Anterior Cruciate Ligament (ACL) injury. We discussed her quantitative and qualitative research as it relates to ACL injuries, and she addressed common myths, such as the ACL being unable to heal, surgery being required to prevent additional knee injury, surgery being necessary to return to pivoting sports, and so much more! --- Twitter: https://twitter.com/stephfilbay Related Research: - Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture - Activity preferences, lifestyle modifications and re-injury fears influence longer-term quality of life in people with knee symptoms following anterior cruciate ligament reconstruction: a qualitative study - Early ACL reconstruction is required to prevent additional knee injury: a misconception not supported by high-quality evidence - Delaying ACL reconstruction and treating with exercise therapy alone may alter prognostic factors for 5-year outcome: an exploratory analysis of the KANON trial - Prognostic Factors for Patient-Reported Outcomes at 32 to 37 Years After Surgical or Nonsurgical Managment of Anterior Cruciate Ligament Injury - Surgery or rehabilitation for anterior cruciate ligament injury: where are we now? - Evidence too weak to guide surgical treamtment decisions for anterior cruciate ligament injury: a systematic review of the risk of new meniscal tears after anterior cruciate ligament injury - Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial - 32 Sponataneous healing of the ruptured anterior cruciate ligament: observations from the KANON trial - SPONTANEOUS HEALING OF THE RUPTURED ANTERIOR CRUCIATE LIGAMENT: OBSERVATIONS FROM THE KANON TRIAL --- More about us: YouTube: https://www.youtube.com/watch?v=xm8zaSgDIpM Website: https://e3rehab.com/blog/do-you-need-acl-surgery/ Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.
Back from a recent hiatus, the gang finishes their discussion on ACL Reconstruction/Rehabilitation. This discussion includes post operative timelines, healing, strength after surgery, graft types and other post op considerations. The guys then review hitters, streams and smokes of the week.
The guys start by chatting about Nick's PR clean at 350 lbs., Rob's massive deadlift set and Dan's trip to Nashville. The boys then talk about ACL injuries including anatomy, risk factors, non-op care and considerations for requiring ACL reconstruction surgery. Next, the gang ranks the greatest kids 90's sports movies of all-time ever followed by smokes and hitters.
Drs Tucker and Hewett discuss Rehabilitation and Return to Sport Testing After Anterior Cruciate Ligament Reconstruction: Where Are We in 2022?
Dr. Shelby Baez interviews Dr. Stephan Bodkin about his recent paper titled Predicting Anterior Cruciate Ligament Reinjury From Return-to-Activity Assessments at 6 Months Postsurgery: A Prospective Cohort Study featured in the April issue of the Journal of Athletic Training. Article: https://bit.ly/3EvKgxC
Drs Arner and Lansdown discuss Multiple Tibiofemoral Bone Shapes Predict Outcomes After Anterior Cruciate Ligament Reconstruction: A Systematic Review
This episode covers anterior cruciate ligament injury.Written notes can be found at https://zerotofinals.com/surgery/orthopaedics/aclinjury/ or in the orthopaedic section of the Zero to Finals surgery book.The audio in the episode was expertly edited by Harry Watchman.
In this episode, we review the high-yield topic of Anterior Cruciate Ligament (ACL) Injury from the MSK section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://anchor.fm/medbulletsstep1/message
The Anterior Cruciate Ligament, or ACL, provides the knee the ability to do activities that require high degrees of cutting, pivoting, and accelerating. Once the ligament is torn, the knee is largely rendered unable to perform these types of activities. Learn more about ACL injuries, how they are diagnosed and treated, what to expect if you need surgery, and about the typical timeline for recovery from ACL surgery. Host: Eric Chehab, MD | Guest: David Guelich, MD | Executive Producer: Nick Sarantakis | Executive Producer: Maggie Sketch | Music by: The Young XP
In this preview of next week's episode, Dr. David Guelich explains what needs to be done before ACL surgery, as well as the challenges that patients may face afterward.
Dr. William Montgomery M.D. - Why Do Skiers Tear Their ACL's So Frequently? | Brought to you by Alta Ski Area "Remember the old X-Screams? Remember those? Salomon X-Screams? Oh, baby! Remember those? I blew those puppies right out! They were destroyed..." - Dr. William Montgomery M.D. Dr. Montgomery is an orthopedic surgeon at Dignity Health Medical Foundation in San Francisco, California. Dr. Montgomery has performed over 1,000 ACL surgeries in his career and was the team physician for the San Francisco Giants Baseball Team for 3 years in the late 90s early 2000s. Dr. Montgomery is the current team physician for the University of San Francisco. Ok, his resume is just insane... I'll paraphrase and just say that he has over 35 years of surgical experience, he's been the team physician for lots of important teams, he's been on many important boards, he's already in the University of San Francisco Hall of Fame, he's won lots of awards, he's in lots of impressive societies, he has over 20 publications, has given no less than 144 presentations lectures and labs on orthopedic surgery. Dr. Montgomery also performed ACL reconstruction surgery on my left knee and microfracture surgery on my left femur in 2015 after I experience a vicious ski crash in Japan that winter. In this episode, we will be discussing ACL injury and reconstruction. The ACL is the Anterior Cruciate Ligament of the human knee. The ACL is crucial in many important processes of knee movement and tearing it is a very common injury in cutting & pivoting sports such as skiing, basketball, soccer, tennis, football, baseball, and more. According to the University of Wisconsin, Madison: "There are four main ligaments that stabilize the knee. The anterior cruciate ligament is responsible for stabilizing rotational movements at the knee that occur during cutting and pivoting activities." Dr. Montgomery talks us through everything you could want to know about ACL injury, reconstruction, and recovery for athletes as well as everyday people. Dr. Montgomery answers these critical ACL questions: How do you know if your ACL has been torn? What was it like being the team physician for the San Francisco Giants baseball team? What are the odds of someone fully tearing the same ACL twice? Who blows their ACLs more: skiers or snowboarders? Why? Why do skiers blow their ACL's so frequently? Why are women more susceptible to ACL tears than men? After ACL surgery when can one return to skiing and snowboarding? When will one be back to 100% after ACL surgery? How important is it to have a physical therapist during your ACL recovery and for how long? How important is it to use a brace after ACL surgery? What is your #1 piece of advice for people recovering from ACL surgery? What should one be eating to maximize recovery? Who doesn't need their ACL replaced? How many times can you repair the same ACL? What is the future of ACL surgery and recovery? What's more important after ACL surgery, full extension or full flexion of the leg? more... Please enjoy! *** This episode is brought to you by Alta Ski Area, home of the highest annual snowfall in the Rocky Mountains. *** If you enjoyed this podcast, please share with friends & family and please subscribe. Follow SnowBrains: SnowBrains.com Facebook: facebook.com/snowbrains Instagram: instagram.com/snowbrains Twitter: twitter.com/snowbrains The SnowBrains Podcast Episode #3 - Dr. William Montgomery M.D. Orthopedic Surgeon at Dignity Health Medical Foundation in San Francisco, California. Recorded on September 30th, 2020 in Santa Cruz, CA (Miles) and San Francisco Bay Area, CA (Dr. Montgomery). This episode was edited by Robert Wilkinson. Music by Chad Crouch. Host, producer, and creator = Miles Clark.
On today's episode today we have special guest Ellie Kiernan who is a sophomore lacrosse player at Georgetown university. Ellie is one of my former patients and is an athlete that trains with us at Healthy Baller. She is the second athlete to be featured on the show. I've been fortunate enough to develop a special bond with her and I tell her all the time she is stuck with me.On today's episode, Ellie and I discussEllie's ACL storyWhat was her initial reaction to the newsMental side of rehabHow she stayed positive throughout rehabAdvice for athletes in the late stages of ACL rehabHow she felt when she got clearedHow to best support athletes recovering from an ACL tearAdvice for other athletesMy IG: @WesleyWang.DPTMy website: www.WesleyWangDPT.comACL Mastermind FAQ: https://wesleywangdpt.mykajabi.com/faqACL Mastermind sign-up: https://wesleywangdpt.mykajabi.com/offers/4yryvWYZ/checkoutACL Post-Op Program (my favorite exercises): https://wesleywangdpt.mykajabi.com/offers/SAnh7QMYOnline personal training: https://www.wesleywangdpt.com/online-personal-trainingIf you enjoyed today's episode, don't forget to subscribe and I'd greatly appreciate you taking the time to write me a review. Please feel free to share this episode on social media and tag me!
On today's episode, I have special guest Mick Hughes is physio in Melbourne, Australia who specializes in ACL rehab. I've had the privilege of connecting with Mick through IG and have definitely enjoyed and learned a lot from the content he posts. He's even developed his own criterion based protocol which we discuss on the show.On today's episode, Mick and I discuss:Mick's backgroundWhat made Mick decide to specialize in ACL rehab?Why he decided to make his own criterion based protocolMick's thoughts on non-operative ACL treatmentWhat is a coper versus a non-coper?Why re-tear rates are are so high and what needs to improveMy IG: @WesleyWang.DPTMy website: www.WesleyWangDPT.comACL Mastermind FAQ: https://wesleywangdpt.mykajabi.com/faqACL Mastermind sign-up: https://wesleywangdpt.mykajabi.com/offers/4yryvWYZ/checkoutACL Post-Op Program (my favorite exercises): https://wesleywangdpt.mykajabi.com/offers/SAnh7QMYOnline personal training: https://www.wesleywangdpt.com/online-personal-trainingMick's IG: https://www.instagram.com/mickhughes.physioMick's Website: https://www.mickhughes.physio/Mick's protocol: https://www.melbourneaclguide.com/briefIf you enjoyed today's episode, don't forget to subscribe and I'd greatly appreciate you taking the time to write me a review. Please feel free to share this episode on social media and tag me!
On today's episode I have special guest Adam Gotsis who is a current NFL defensive end, currently a free agent, and played his college ball at Georgia Tech. Adam was selected in the 2nd round of the NFL draft in 2016 by the Denver Broncos. Adam sustained an ACL tear in week 13 of the past NFL season. Adam brings a unique perspective as a professional athlete who is currently going through his rehab.On today's episode, Adam and I discussAdams's ACL storyHow his rehab is currently goingRehabbing as a professional athleteChallenges of going through rehab without being currently signed to a teamWhat he would've changed in his rehab after his first ACLHow his knee felt his rookie season being his first season back after the first tearFears about returning to playMy IG: @WesleyWang.DPTMy website: www.WesleyWangDPT.comACL Mastermind FAQ: https://wesleywangdpt.mykajabi.com/faqACL Mastermind sign-up: https://wesleywangdpt.mykajabi.com/offers/4yryvWYZ/checkoutACL Post-Op Program (my favorite exercises): https://wesleywangdpt.mykajabi.com/offers/SAnh7QMYOnline personal training: https://www.wesleywangdpt.com/online-personal-trainingAdam's IG: www.instagram.com/adamgotsisIf you enjoyed today's episode, don't forget to subscribe and I'd greatly appreciate you taking the time to write me a review. Please feel free to share this episode on social media and tag me!
On today's episode, I have special guest Andrew Millet, who owns a cash based PT clinic, Move Strong Physical Therapy which is based out of Cressey Sports Performance, Hudson, Mass. He graduated with his Masters in Physical Therapy from Springfield College. Andrew specializes in ACL rehab and overhead athletes.On today's episode, Andrew and I discuss:Andrew's PT backgroundWhy Andrew decided to open up a cash based clinicHardest parts of owning a cash based clinicWhat does it mean to be a sports PT?Hardest ACL case Andrew has even treatedWhy are ACL re-tears so high?What he believes has to change to improve on these high re-tear rates?My IG: @WesleyWang.DPTMy website: www.WesleyWangDPT.comACL Mastermind FAQ: https://wesleywangdpt.mykajabi.com/faqACL Mastermind sign-up: https://wesleywangdpt.mykajabi.com/offers/4yryvWYZ/checkoutACL Post-Op Program (my favorite exercises): https://wesleywangdpt.mykajabi.com/offers/SAnh7QMYOnline personal training: https://www.wesleywangdpt.com/online-personal-trainingAndrew's IG: @movestrongphysicaltherapyIf you enjoyed today's episode, don't forget to subscribe and I'd greatly appreciate you taking the time to write me a review. Please feel free to share this episode on social media and tag me!
On today's episode I have special guest Kate Taylor who is a former lacrosse player at Boston College. Kate is one of my former patients and is an athlete that trains with us at Healthy Baller. She is the first of my athletes to be featured on the show. I've been fortunate enough to develop a special bond with her and we still talk frequently even though she finished PT over a year and a half ago.On today's episode, Kate and I discussKate's ACL storyWhat was her initial reaction to the newsObstacles and complicationsMental side of rehabDifference in rehabbing at school versus homeHow she felt when she got clearedWhat she's learned through the ACL journeyAdvice for other athletesMy IG: @WesleyWang.DPTMy website: www.WesleyWangDPT.comACL Mastermind FAQ: https://wesleywangdpt.mykajabi.com/faqACL Mastermind sign-up: https://wesleywangdpt.mykajabi.com/offers/4yryvWYZ/checkoutACL Post-Op Program (my favorite exercises): https://wesleywangdpt.mykajabi.com/offers/SAnh7QMYOnline personal training: https://www.wesleywangdpt.com/online-personal-trainingIf you enjoyed today's episode, don't forget to subscribe and I'd greatly appreciate you taking the time to write me a review. Please feel free to share this episode on social media and tag me!
On today's episode, I have special guest Zach Baker who is a physical therapist at Rehab 2 Perform in Frederick, MD. He graduated with his Doctor of Physical Therapy from the University of Maryland-Baltimore. Zach has suffered multiple ACL tears which has ultimately lead him to pursuing the field and specializing in ACL rehab. On today's episode, Bobby and I discuss:Zach's PT backgroundHardest ACL case Zach has ever treatedWhat are some tests he uses to determine whether an athlete is ready to return to sport?What Zach recommends to people who want to work with athletesDid PT school prepare him to treat ACLs?Why does Zach think re-tear rates are so high?What he believes has to change to improve on these high re-tear rates?My IG: @WesleyWang.DPTMy website: www.WesleyWangDPT.comACL Mastermind FAQ: https://wesleywangdpt.mykajabi.com/faqACL Mastermind sign-up: https://wesleywangdpt.mykajabi.com/offers/4yryvWYZ/checkoutACL Post-Op Program (my favorite exercises): https://wesleywangdpt.mykajabi.com/offers/SAnh7QMYOnline personal training: https://www.wesleywangdpt.com/online-personal-trainingBobby's IG: @zdbaker30If you enjoyed today's episode, don't forget to subscribe and I'd greatly appreciate you taking the time to write me a review. Please feel free to share this episode on social media and tag me!
On today's episode, I have special guest Alex Powell who is a former Dayton University women's soccer player. I first heard Alex' story on the podcast and immediately reached out to her to get her on the show. Alex is actually the first athlete on the show that is not an ACL patient. She has a condition that affects 3 in 1 million people called a desmoid tumor also known as aggressive fibromatosis. On today's episode, Alex and I discuss:Alex's Medical HistoryHer initial reaction to finding out the news about her rare diseaseThe hardest part about her recovery processWhy she stayed on her college soccer teamWhat Alex has learned through her journeyAdvice Alex has for athletes recovering from long-term injuriesHer non-profitMy IG: @WesleyWang.DPTMy website: www.WesleyWangDPT.comACL Mastermind FAQ: https://wesleywangdpt.mykajabi.com/faqACL Mastermind sign-up: https://wesleywangdpt.mykajabi.com/offers/4yryvWYZ/checkoutACL Post-Op Program (my favorite exercises): https://wesleywangdpt.mykajabi.com/offers/SAnh7QMYOnline personal training: https://www.wesleywangdpt.com/online-personal-trainingIf you would like to donate to Alex's organization, please visitWebsite: https://rarediseaseff.org/ Ig: rarediseaseffIf you enjoyed today's episode, don't forget to subscribe and I'd greatly appreciate you taking the time to write me a review. Please feel free to share this episode on social media and tag me!
On today's episode, I have special guest Victoria who is a former Division I volleyball player at University of Southern California and played semi-pro as well. She is a TED Talk speaker, mental health and body-image advocate, and podcast host. She has a passion for inspiring, supporting, and motivating people from all walks of life. I personally found out about Victoria through a mom of one of my athletes. Her daughter attended one of Victoria's talks and said her daughter absolutely loved the talk and she really connect with the message. On today's episode, Victoria and I discuss:Victoria's BackgroundWhat led her to becoming a mental health and body image advocateVictoria's public speaking endeavorsPerformance anxiety and body image in sportsStigmas with mental healthAdvice to listeners who may be struggling with mental health or body-imageMy IG: @WesleyWang.DPTMy website: www.WesleyWangDPT.comACL Mastermind FAQ: https://wesleywangdpt.mykajabi.com/faqACL Mastermind sign-up: https://wesleywangdpt.mykajabi.com/offers/4yryvWYZ/checkoutACL Post-Op Program (my favorite exercises): https://wesleywangdpt.mykajabi.com/offers/SAnh7QMYOnline personal training: https://www.wesleywangdpt.com/online-personal-trainingVictoria's IG: https://www.instagram.com/victoriagarrickVictoria's website: https://www.victoriagarrick.com/Victoria's youtube: https://www.youtube.com/channel/UCLTU1O0KOYY_QKw23uj5ddQIf you enjoyed today's episode, don't forget to subscribe and I'd greatly appreciate you taking the time to write me a review. Please feel free to share this episode on social media and tag me!