ACL RUPTURE

Kamila Furqani Djibran

111 2018 1002

Supervisor: dr.Aryanto Arief,M.Kes,Sp.OT (K)

 DEFINITION

An ACL (anterior cruciate ligament) injury or ACL rupture is a tear in

one of the knee ligaments that connects the upper leg bone to the
lower leg bone. ACL serves to maintain knee stability.
ANATOMY
 EPIDEMIOLOGY

Prevalence of injury events Larger ACLs are found in women

compared to men. About 50% of patients with ACL injuries also
have ruptured meniscus.
ACL injuries occur
through non-contact
mechanisms while 30
percent are the result
of direct contact with
other players or
objects.
 4 • Abduction, flexi, & internal
mechanism rotation on the femur tibia
• Adduction, flexi, &
s of knee eksternal rotation on the
injury: (GR femur tibia
• Hyperextension
Scuderi, • Anteriorposterior
2008) displacement
 CLINICAL MANIFESTATION

There is a classic history such as injury when spinning with

little knee flexion, landing and turning when jumping like
soccer, tennis ball, etc.

The knee feels unsteady which can occur after a jump or

change of direction or after a direct blow to the side of the
knee.

Swollen knee in the first few hours of injury. This may be a

sign of bleeding in the joint.
 DIAGNOSIS

• When a patient arrives with an ACL injury that must be asked is the process of the incident. Two thirds of
injuries are the result of non-contact injuries (deceleration or spin) and are often associated with a "pop"
History sound
taking

• Inspection (look)
• Palpation (feel)
Physichal • move
examination • NVD

• MRI
Supporting
examination
SPECIAL TEST
SPECIAL TEST
 Arthroscopy can also be done.
During arthroscopy, the surgical
instrument will be inserted
through one or more small
pieces (incisions) in the knee to
see the inside of the knee
MRI

Magnetic resonance imaging (MRI) scans can

also be performed to evaluate ACL and to
check for signs of injury to other knee
ligaments, as well as cartilage meniscus, or
articular cartilage.
MANAGEMENT
 GRAFT

Ligament formation. Most torn ACLs should not be stitched and

connected as before. ACL repair that is allowed for restoration of knee
stability is ligament reconstruction. The ligament will be replaced by a
tissue graft ligament. The graft will become the basis for the new
ligament that will grow.
 SOURCES OF GRAFT
 Patella tendon
 Hamstring tendon
 Quadriceps tendon
 Perineus longus tendon
 COMPLICATION
 risk of graft failure due to
 recurrence of wounds,
 hematoma,
 and risk of wound infection.
 Surgery can cause arthritis, muscle weakness and decreased
function of the movement (ROM).
THANK YOU