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Torn ACL
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Torn ACL - August 18, 2005 7:26:00 AM
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Alex Brenner PT MPT OCS
Posts: 1057
Joined: February 29, 2004
From: Kentucky
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I tore my left ACL ligament four days ago playing in our post championship softball game. I am really upset about it. Sucks.
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Alex Brenner, PT, MPT, OCS
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Re: Torn ACL - August 18, 2005 7:32:00 AM
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Jon Newman
Posts: 1706
Joined: April 24, 2004
From: Amherst, WI
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Sorry to hear about that Alex. Was it particularly painful? Did you blow other ligaments? How did you do it?
What's next?
Did you win?
jon
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[URL=http://www.sonymusic.com/clips/selection/30/064887/064887_03_03_30.wav]Evidence[/URL]
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Re: Torn ACL - August 18, 2005 7:44:00 AM
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UTDC
Posts: 222
Joined: December 21, 2003
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Alex,
Sorry, that does suck. I wish you a speedy prehab/reconstruction/rehab.
Jeff
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Re: Torn ACL - August 18, 2005 8:01:00 AM
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Sean Weatherston
Posts: 102
Joined: August 3, 2005
From: Idaho
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Forget about other ligaments or a torn meniscus....
Did your team win??
Sean, PT, OCS
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Sean Weatherston, PT, OCS, CSCS
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Re: Torn ACL - August 18, 2005 8:30:00 AM
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Alex Brenner PT MPT OCS
Posts: 1057
Joined: February 29, 2004
From: Kentucky
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I lead off with a single in the top of the second inning, moved to second on a tag up on a deep fly to right. The next batter hit a fly to left center. I was on second and was going to fake tagging up to force a throw from the outfield to third. When the outfielder caught the ball I came off the bag hard and took three steps towards third and then planted my left leg to stop, pivot and come back to the bag. My knee gave out, I heard and felt a loud snap. I fell to the ground about three steps off second base. I tried to get up to get back to the bag and the knee gave out again. I was tagged out, we lost in the end. Sucks.
I thought I was ok because there was not immediate swelling. I play on my health clinic team along with some fellow docs so I had one of them perform a Lachmans. He initially thought he felt an end feel but as I was watching I noticed too much translation as compared to my right. I later had our ortho PA check it and I was able to tolerate a pivot shift.
It surprisingly was not too painful. I had about a 6/10 immediate pain which resolved to a 3/10 in about 20 minutes. I was able to ambulate independently on the sidelines 20 minutes after the tear. I had slow onset of about about grade II effusion and I walked on it that night without too much difficulty. I iced and elevated all night, quad sets and SLRs with minimal pain or difficulty. I went to bed and the next morning I had grade III effusion, wicked quad inhibition, and I could hardly walk. My motion was about 10-40.
I currently have no pain except pushing into flexion deficit (about 3/10), AROM 5-0-100, good quad tone, SLR no lag, Grade II effusion. I have positive Lachmans no end feel, positive pivot shift. No joint line pain, Negative Thessaly, no deficits with V/V.
Did I mention that this sucks?
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Alex Brenner, PT, MPT, OCS
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Re: Torn ACL - August 18, 2005 8:33:00 AM
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Jon Newman
Posts: 1706
Joined: April 24, 2004
From: Amherst, WI
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You see?
Not moving authentically is bound to get you in trouble (laugh).
jon
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Re: Torn ACL - August 18, 2005 8:38:00 AM
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Shill
Posts: 1092
Joined: February 13, 2003
From: Madison WI USA
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Alex,
Are you sure you didnt do it that time you saved that busload of kids from plummeting off the cliff? Its so much more glamorous.... do you know any good PTs? and when is your MRI, then surgery? I hear that injury sucks.
Jon,
Thats a good one. :D
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Steve Hill PT
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Re: Torn ACL - August 18, 2005 9:05:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
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Alex,
You really must come up with a better story than that. I vote you take Steve's advice and do the bus story.
Sorry to hear about that, man.
At least you know what to do about it...
J
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Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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Re: Torn ACL - August 18, 2005 9:05:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
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Next question:
Are you going to request hamstring or patellar tendon graft?
:)
J
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Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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Re: Torn ACL - August 18, 2005 9:09:00 AM
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ehanso
Posts: 355
Joined: September 14, 2004
From: Minnesota
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Alex, That really does suck. I hope things go well for you.
I had a pt one time who I was seeing post ACL repair. He told me he did it in a football game. I took him at his word. 3 weeks later his wife is with him and asks if he told me how he hurt it. He looked really sheepish as she said he was coaching a powder puff tag football game and one of the women fell into him on the sidelines. LOL
At least your's is legit. Good luck, Ed
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Re: Torn ACL - August 18, 2005 9:24:00 AM
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Alex Brenner PT MPT OCS
Posts: 1057
Joined: February 29, 2004
From: Kentucky
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Jason,
Great question. I have been asking all of my PT friends in Europe and most seem to prefer the HS graft.
I personally think the BTB is the way to go since I play a lot of sports. I am a fairly large guy, 6 feet tall, 198 pounds so I will need something strong.
What do others think? BTB or HS graft?
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Alex Brenner, PT, MPT, OCS
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Re: Torn ACL - August 18, 2005 9:26:00 AM
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Alex Brenner PT MPT OCS
Posts: 1057
Joined: February 29, 2004
From: Kentucky
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By the way, the "pop" that most people describe was actually a snap in mine. If you you slap your hand against the beefy part of your forearm that is what it sounded like.
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Alex Brenner, PT, MPT, OCS
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Re: Torn ACL - August 18, 2005 10:02:00 AM
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steve
Posts: 470
Joined: May 14, 2003
From: Canada
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Alex,
I did my right ACL in about 4 years ago - audible pop while walking in the clinic, absolutely no end feel with lachmans (The fellow very experienced therapist who did the test had his own apprehension reaction) and confirmed by MRI. After weighing the options and rehabing myself I opted not to have it repaired. 4 years later - no problems, able to jog 10 km but no return to rugby or soccer.
Good luck,
Steve
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Re: Torn ACL - August 18, 2005 11:02:00 AM
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Sean Weatherston
Posts: 102
Joined: August 3, 2005
From: Idaho
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myth # 895
ACL tears are actually able to be spontaneously healed by a few minutes of mobilisation to the ipsilateral facet joint at L3-4.
I'll be interested to hear how it goes for you Army, I'm a big guy too (6'5", 220) and know somehow I'll blow an ACL somewhere down the road.
Sean, PT, OCS
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Sean Weatherston, PT, OCS, CSCS
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Re: Torn ACL - August 18, 2005 11:05:00 AM
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certMDT
Posts: 154
Joined: April 5, 2004
From: Durham, NC
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Is a cadaver graft an option? (Might be opening up a can of worms here.)
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Charles Sheets PT OCS Dip MDT
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Re: Torn ACL - August 18, 2005 12:40:00 PM
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Bill Egan
Posts: 52
Joined: April 22, 2001
From: Newton, MA
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Alex,
Are you going to get some con leave out of this? Seriously I am sorry to hear about your knee. I would come back to the states to have this done, any connections at West Point? With your size and desire to continue sports I'd vote for the BTB.
Bill
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Re: Torn ACL - August 18, 2005 12:50:00 PM
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kjhsjly
Posts: 15
Joined: September 17, 2001
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Hamstring graft seems to rehab better and have less PFPS symptoms.
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Re: Torn ACL - August 18, 2005 2:26:00 PM
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Synergy
Posts: 592
Joined: March 11, 2004
From: Texas
Status: offline
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Sorry to hear that Alex and yes...it does suck! I say go for the allograft. Of the ACLs I've rehabbed, I feel the allografts have done better in terms of a more expedient recovery and faster return to activities, but I doubt I've seen as many as most of you here. :)
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Chris Adams, PT, MPT
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Re: Torn ACL - August 18, 2005 3:21:00 PM
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karmzack
Posts: 181
Joined: March 20, 2005
From: Hawaii
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Alex , Do you remember Dr. Bottoni from West Point? He is now at Tripler in Hawaii, I'm sure he'll do the surgery. Hawaii is nice this time of year :) .
Sean, LOL, maybe the 'pop' was a referred sound from the facet joint. And he is now experiencing psychosomatic swelling and instability mirroring the true injury at the facet joint.
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Zack Solomon MPT, OCS, CSCS
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Re: Torn ACL - August 18, 2005 6:38:00 PM
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FLAOrthoPT
Posts: 1011
Joined: May 8, 2004
From: West Palm Beach
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so what happens now to your position? do they fill it, or do they send troops else where? do they have you rehab it there or somewhere else?
I have seriously altered the things I do, because I cannot afford to be on crutches, etc. Not rubbing it in, just I could not even imagine a serious long term recoop type injury right now, I have stopped skiing and stopped jumping into volcanoes to keep a bit safer-
Happy rehab-
Brn
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