The Definitive Answer: Do Partial ACL Tears Require Surgery?
HTML-код
- Опубликовано: 1 окт 2023
- Do partial ACL tears require surgery?
A partial ACL tear refers to a grade 2 sprain, where the knee ligament becomes loose and damaged. While surgical treatment is not always necessary, it depends on factors like pain, knee instability, and the desire to return to sports.
We specialize in partial ACL tear surgery, providing comprehensive ACL tear treatment and rehabilitation options. In many cases, non-surgical ACL tear management and rehabilitation can effectively address a partial ACL tear. Through targeted exercises and physical therapy, our team helps patients achieve optimal ACL tear recovery.
We offer personalized ACL tear exercises for rehabilitation, focusing on strengthening the knee and restoring range of motion. Additionally, our experts guide patients in ACL tear prevention exercises and explore bracing options for added support during recovery.
Our approach to partial ACL tear treatment considers individual circumstances, including the ACL tear recovery timeline and the need for surgery. We conduct thorough physical exams, utilizing tests like Lachman and pivot-shift, to assess the extent of the injury.
Factors such as knee instability, age, pain level, athleticism, and other knee injuries are carefully evaluated to determine the best course of action. We prioritize patient comfort and aim to restore knee stability, enabling a return to an active lifestyle.
In this video, I invite you to explore the options for managing a partial ACL tear. Whether you're seeking surgical intervention or non-surgical rehabilitation, our experienced team is here to guide you through the process.
Together, we'll develop a personalized plan that supports your recovery and helps you regain confidence in your knee's strength and stability.
Check my other videos here:
Understanding ACL Tears: cutt.ly/iwGa1pj3
How does MLS Therapy, PRP, and Bone Marrow Aspirate work?: cutt.ly/8wGa1h1v
Disclaimer:
The content provided in this video is solely for informational purposes and is not intended to be construed as specific medical advice for any particular individual viewing this content. It is essential to consult a healthcare professional for personalized guidance regarding any specific medical condition. We explicitly disclaim any responsibility and shall not be held liable for any damages, losses, injuries, or liabilities arising from your reliance on the information provided on this channel.
*****
👨⚕️ About Dr. Marc P. Pietropaoli 'Dr. P':
Dr. Marc P. Pietropaoli also known as 'Dr. P,' is licensed in the states of New York, Alabama, Florida, Vermont, Maine, Connecticut, Pennsylvania, and Kansas. If you have any medical concerns or questions, don't hesitate to reach out.
Connect with us now!
Facebook - / victorysportsmedicineo...
Instagram - / victorysportsmedicine
Linkedin - / marc-pietropaoli-b246473
RUclips - / @victorysportsmed
TikTok - / victorysportsregen
Website: victorysportsmedicine.com/ and www.victorysurgeon.com/
Call us at 315-685-7544 or email us: info@victorysportsmedicine.com
#acltear #ACLInjury #PartialACLTear #ACLRecovery #KneeHealth #ACLRehabilitation
Great video. Thanks!
You are welcome! Thank YOU!
Thank you for the video
You are welcome!
Great Video, I tore my ACL 2/1/24 while skiing this year. MRI suggest at least a partial tear. Physical assessment - Lachman +1, 1st MD - Complete tear - No surgery, 2nd MD - complete tear - Surgery required to ski again. I don't know who to believe ! Tempted to make an appointment with you
Call us at 315-685-7544 or e-mail at info@victorysportsmedicine.com
Many times partial tears can be treated with non-operative treatments like performance rehab, biologics or other non operative treatments. Bridge Enhanced ACL Restoration (BEAR 🐻 surgery) can be used in severe partial and/or full thickness ACL tears to grow back/heal the ACL and “keep your own parts” vs other more invasive surgeries.
Thank you!
Best ACL video I’ve ever seen.
What grade is this?
“There is partial avulsion of the ACL fibres from its tibial attachment. Rest of the ligament appears sprained.
There are contusions to the lateral femoral condyle and posterior aspect of the tibial condyle. Small contusion to the posterior aspect of the medial tibial condyle are also seen.
There is a small contusion of the posterior horn of medial meniscus. No meniscus tear.
Lateral meniscus is intact.
Collateral ligaments and structures of the posterolateral corner appear normal.
Extensor mechanism and patellofemoral ligaments appear intact. No significant patellar al tracking or chondromalacia.
There is small effusion.
No popliteal cyst.
No significant bursitis.”
Thank you very much! With the caveat that not all MRIs are 100% accurate, but are usually fairly accurate, if what is stated in the report is true arthroscopically, then that sounds like a grade 2 sprain of the ACL.
My result is HIGH GRADE ACL TEAR due to basketball
But after 2 days i can squat lunges any leg work out with full range of motion. No knee instability. NO KNEE PAIN.
Conservative rehab treatment on going.
Thank you for you comment. Good luck! Keep us up to date as you progress.
@@VictorySportsMed Thank you for your great explanation doc . I understand that Not all acl tear need surgery.
Good
Thank you!
Hi Sir, Below is the report stated in my MRI report. Should I go for surgery or physiotherapy can heal it.
FINDINGS:
JOINTS: Tibiofemoral joint shows normal alignment. Patello-femoral joints shows normal
alignment. Mild joint effusion noted.
BONES & CARTILAGES:
Grade II osteochondral injury seen in the lateral femoral condyle measuring 10 mm
showing subchondral fracture with underlying marrow edema.
Contusional marrow edema is seen in the posterior aspect of lateral tibial condyle.
Normal marrow and cartilage signal intensity noted in rest of the visualized bones.
LIGAMENTS:
ACL: High grade mid segmental disruption.
PCL: Normal in course and caliber without obvious discontinuity of fibers.
MCL & LCL: Normal in signal intensity.
LIGAMENTUM PATELLAE: Signal changes without disruption of fibers - Grade I sprain.
MENISCI:
MEDIAL MENISCUS: Normal in contour and signal intensity. No evidence of tear.
LATERAL MENISCUS: Normal in contour and signal intensity. No evidence of tear.
MEDIAL & LATERAL PATELLAR RETINACULUM: Intact.
QUADRICEPS TENDON: No significant abnormality.
MUSCLE PLANE: No significant abnormality.
NEUROVASCULAR BUNDLE: No significant abnormality.
IMPRESSION:
Grade II osteochondral injury in the lateral femoral condyle.
Contusional marrow edema in the posterior aspect of lateral tibial condyle.
High grade mid segmental disruption of anterior cruciate ligament.
Grade I sprain of ligamentum patellae.
Mild knee joint effusion.
Thank you for your comment. Sorry to hear about your injury. We are not allowed to give specific medical advice over RUclips. Please e-mail info@victorysportsmedicine.com for more information on how we may be able to assist you. Thank you!
Great video doctor I have a question.
I did partial ACL and meniscus surgery before now I had a collision while playing football and had a wrisberg rip and partial ACL but my leg is 70% stable with full flexion but only feel pain at rotation while lying down, I don't know if surgery is the best or I should just go for rehabilitation
Thank you for your comment. As you may know, we cannot give out specific medical advice on RUclips. Everyone is different and obtaining a very detailed history and comprehensive physical exam would give an orthopedic provider the best chance of giving you the best answer to that question. If you did want to get in for an in person (best) visit if geographically feasible or try a telecommunication educational consult first, feel free to e-mail us at info@victorysportsmedicine.com
In general, as you can see from the video, not all partial (or even some complete) ACL tears need surgery. If a meniscus tear is unstable and/or symptomatic, those oftentimes lead to surgery. Meniscus tears are like snowflakes ❄️, each one is a little different. Thank you!
Hello Doctor
Grade 2 strain T2A intensity increase and thickening were observed in the ACL. An increase in the amount of articular fluid extending into the suprapatellar bursa was observed.
Instability in my knee I don't feel it. I never had the feeling of falling down while walking. The doctor said there was no need for surgery. He gave me an exercise program. I follow it. I play football as an amateur and the season will start in 4 months. What do you think I should do?
Great questions, as you know, we cannot answer medical questions specifically and individually on RUclips, but if you want to make a telecommunication conference to talk generically about ACL injuries, etc. that can be done. However, if you want to become a patient, so we can specifically talk about your individual case, we can certainly work on that as well. If you email us at info@victorysportsmedicine.com and/or call 315-685-7544 or 315-707-8891
Thank you!
Subchondral fracture with surrounding Marrow Edema/Bone Contusion noted in the Anterolateral aspect of Lateral femoral condyle.
Anterior Cruciate Ligament: Partial tear noted at the tibial attachment of its Posterolateral bundle.
Medial Meniscus: Grade I signal in its Posterior horn.
Medial Retinaculum: Grade I signal in its Posterior aspect - MPFL.
Mild knee joint effusion with evident synovial thickening.
Minimal fluid in the suprapatellar bursa.
Mild myofascial edema is noted in the Posterior aspect of the lower thigh and Posteromedial aspect of the knee
this text are highlited in my mri report, what i do in this case surgery is needed or not
Thank you for your comment/question. We cannot practice medicine and treat individual patients over RUclips, but we can set up an appointment to go over all of this. If you email us at info@victorysportsmedicine.com and/or call 315-685-7544 or 315-707-8891
Thank you!
What if you already had Acl replacement surgery and menisus repair and you have another ACL partial graph tear
While we cannot give specific medical advice on this platform, we do treat a fair amount of partial ACL tears as well as “stretches”/partial ACL graft tears. For true partial ACL / ACL graft tears, we have utilized biologic treatments like BMAC (Bone Marrow Aspirate Cells), PRP (Platelet Rich Plasma), MLS laser and V-Fit (total body fitness) to help many get back in the game and to full activities. Having said that , some people still need revision surgery. For more specific information, please call 315-685-7544 or e-mail info@victorysportsmedicine.com to set up an appointment if need be. Thank you!
Thanks for the video！Is it helpful for recovery to have MLS therapy or PRP after an ACL reconstruction surgery？
We have found that to be absolutely true, BMAC, PRP and MLS laser are very effective in general, but also particularly after BEAR surgery. Thank you for your question.
P.S.: We actually have a patient we are going to be utilizing BMAC, PRP and possibly MLS laser on for a partial ACL tear this week.
Thx!
@@VictorySportsMed Thanks for your professional advice. Are these three valid for artificial ligaments？
@@Park-bh8fi thank you for your comments. We cannot give specific medical advice, I.e. practice medicine over You Tube, but we do try our best to educate in general. For specific medical advice about your own case or care, definitely always consult your own medical professional providers. When you say “artificial” ligaments, what exactly are you referring to? Made from artificial materials or donated cadaver ligaments/Allografts?
@@VictorySportsMed Yes, made from artificial materials:)
finaly i got something which is making sense . do you kindly tell what grade it is
Mild joint effusion seen.
Anterior cruciate ligament is swollen showing T2w hyperintense signals suggesting its intrasubstance tear at tibial attachment, however, attachments are intact.
Posterior cruciate ligament appears normal.
Medial and lateral menisci are intact.
Both collateral ligaments are intact.
Patellar slant and bilateral patellar retinacula appear unremarkable.
No bone bruise noted.
Thank you. By report, this sounds more like a Grade 1 than 2, but how stable the knee feels on physical exam is the most important thing.
Thank you!
@@VictorySportsMed ok thanks a lot . intial i have loose body issue in my knee which is moveable and it is been easily seen in x ray but now last week i just try to straighten my leg then i feel like something stuck in my joint which is obviously loose body then i have a svere pain at that time ,and from that time my knee is been lock and i have a slight 10 to 30 degree movement only . or then i did my MRI and now there is no loose body is been shown and i am now unable to straighten or bend my leg . i only have 90 degree bending . so, what is happening right now
@@hasantariq5513 that is a great idea for a post and I will do that right now.
@@VictorySportsMed i don't get it
@@hasantariq5513 we just did a post on what is a loose body, check it out. Thx!
MRI result revealed that i got cronic ACL sprain.. i dont know how to grade by the statement of cronic ACL, but its been 2 years since, and still not getting better. Im really hopeless 😢
This is one where it may be best to set up an appointment at info@victorysportsmedicine.com
Thank you for your comment. We can help you figure out a course of action.
Amazing video doctor!
I have a question if you can help me!
I did an mri and 90% of my acl it's broken (almost teared) as the doctor said and suggested me surgery as the only option..!
It's been a month from the accident (i thought i had nothing that's why i did a late MRI)
And my knee can do everything (swimming, running, weight training) the same as it used but I can't pivot in sports..! It got better from the day of the accident though
What you suggest me to do?
Greatly appreciate that! Since every situation is different, and since we cannot give medical advice over RUclips, we would be more than happy to get you in for an appointment to address your specific situation if you are local. If you are not local, we have many telemedicine and/or telecommunication educational options. Please feel free to email info@victorysportsmedicine.com and/or call 315-685-7544 or 315-707-8891. Thank you again!
hi i want to ask if we using prp for partial acl tear, can it be repair100 percent like the same as before we got hurt ?
It depends on how partially torn. Grade 3, no. Grade 2, probably not, but every case is different and it depends on. Grade 1 = best possibility of getting back to 100% or close, but again, in medicine every case is unique, so almost nothing is absolute. Thx!
@@VictorySportsMed thankyou so much
@@VictorySportsMed thankyou so much for the reply
Thanks for a great video.
In my MRI report it is stated that,
"Anterior cruciate ligament shows increased intrasubstance signals, suggesting low grade tear. Femoral and tibial attachments of ACL are intact.
Grade 2 tear is seen in the posterior horn of the medial meniscus not reaching up to articular surface.
Anterior horn of the medial meniscus is normal.
Minimal effusion is noted in the knee joint."
Everything else is stated as normal.
What grade this would be?
You are welcome and thank you for your question. It depends on your physical exam and the amount of laxity (if any) on Lachman and pivot shift testing. From what it sounds like, grade 1 or 2, possibly “just” grade 1 which is rare, but the best prognosis. What did your ortho say? If you live near Skaneateles/Syracuse, New York, we can always check you out to see. Thx!
Thanks for the reply, doc.
After seeing MRI and testing clinically, my ortho did say that surgery is not required for recovery. Just rest(no squatting and not taking stairs etc) for some weeks followed by exercise for range of motion and strength will do the job.
@@prathameshyadav2001 excellent, good for you 👍
5 REASONS TO GET PANAMÁ 🇵🇦 RESID ENCY!!😊🙋👍🇵🇦❤️👈"
🇵🇦❤️
PANAMÁ 🇵🇦 RELOCATION TOURS!! ( VIDEOS) WITH JACKIE!!😊🙋👍🇵🇦❤️👈 MAKEING LIVES GREAT AGAIN!!😊😊"