Academy of Orthopaedic Physical Therapy

American Physical Therapy Association (APTA)

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19.1, Update on Anterior Cruciate Ligament Injuries

COURSE DESCRIPTION


This monograph series offers the latest up-to-date information on evaluation and treatment of patients with anterior cruciate ligament (ACL) injury. An impressive group of researchers, therapists, and surgeons detail their specific expertise in prevention and surgical or non-surgical treatment of ACL injury. Unique to the series is the inclusion of a DVD that demonstrates exercises that can be included in an ACL injury prevention program. An evidence-based approach underlies the writing of each monograph to afford the participant with best practice guidelines for optimizing care in this population.

COURSE OBJECTIVES

 

  1. Describe the anatomy and function of the anterior cruciate ligament (ACL).
  2. Identify specific anatomical, hormonal, and neuromuscular risk factors associated with ACL injury based on an evidence-based review of the literature.
  3. Discuss current theories on mechanisms for ACL injury and identify components of successful ACL injury prevention programs.
  4. Identify principles underlying appropriate progression of exercises for patients at risk of ACL injury as well pre- and post-operative rehabilitation guidelines.
  5. Develop appropriate training objectives by integrating research evidence, findings from clinical assessment, and inclusion of the patient’s goals.
  6. Outline the conservative management strategies and associated long-term outcomes of pediatric patients with ACL injury.
  7. Identify surgical considerations, and surgical technique options and outcomes following ACL reconstruction, in the skeletally immature patient.
  8. Describe exclusive rehabilitation concepts for the pediatric patient following ACL reconstruction.
  9. Discuss clinical decision-making of non-operative versus surgical management for acute ACL rupture.
  10. Identify factors that contribute to dynamic knee stability after ACL rupture and influence non-operative management for ACL rupture.
  11. Compare non-operative management for ACL rupture when patients are self-selected versus selected using an algorithmguided decision making scheme. 
  12. Identify considerations for returning to pre-injury activities after ACL rupture.
  13. Understand the graft choices and fixation options for ACL reconstruction.
  14. Describe the rationale and surgical technique for singlebundle and all-inside ACL reconstruction.
  15. Understand the anatomy of the ACL and the scientific basis of anatomic double-bundle ACL reconstruction.
  16. Understand the surgical technique, technical aspects, and clinical results of anatomic double-bundle ACL reconstruction.
AUTHORS

  • Risk Factors for Anterior Cruciate Ligament Injury
    Christine D. Pollard, PT, PhD; Susan M. Sigward, PT, PhD, ATC; and Sandra J. Shultz, PhD, ATC, CSCS
  • Designing an Anterior Cruciate Ligament Injury Prevention Training Program
    Susan M. Sigward, PT, PhD, ATC
  • Pediatric Anterior Cruciate Ligament Injuries
    Laura C. Schmitt, PT, PhD; Mark V. Paterno, PT, MS, SCS, ATC; and Timothy E. Hewett, PhD
  • Rehabilitation for the Anterior Cruciate Ligament-Deficient Knee
    Terese L. Chmielewski, PT, PhD, SCS, and Wendy J. Hurd, PT, PhD, SCS
  • Surgical Techniques for Anterior Cruciate Ligament Reconstruction
    James P. Bradley, MD, and Samir G. Tejawi, MD
  • Anatomic Anterior Cruciate Ligament Double-Bundle Reconstruction
    Brian Forsythe, MD; Wei Shen, MD, PhD; and Freddie H. Fu, MD
  • Rehabilitation Following Anterior Cruciate Ligament Reconstruction: Update on Anterior Cruciate Ligament Injuries
    Airelle O. Hunter-Giordano, PT, DPT, OCS, SCS, CSCS; Erin Burlovich, PT, DPT; and Tara Jo Manal, PT, DPT, OCS, SCS

 

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