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| Name | Dr. Dan Lieberman's analysis of Joe Burrow's ACL tear: next steps and ACL reconstruction. |
| Video Uploader | Video From Best Practice Health |
| Upload Date | This Video Uploaded At 23-11-2020 22:40:35 |
| Video Discription | For more information, visit us at https://phoenixspineandjoint.com/! - Ouch. Did you see the video of Cincinnati Bengal’s quarterback Joe Burrow--- the 2019 Heisman Trophy Winner and first pick in the National Football League draft--- where his knee shifts forward on his thigh, then snaps back? It is brutal. A torn ACL is formally diagnosed with MRI (Magnetic Resonance Imaging) of the knee; however, the Lachman test is a good predictor. If you watched the footage of the Bengal’s game, you saw this test performed on Joe Burrow on the field. The knee is bent slightly, the doctor or trainer applies gentle traction to the leg bone while stabilizing the knee cap. If the leg moves excessively forward on the thigh, then the ACL has an 86% chance of being torn. ACL injuries typically swell up like crazy in the hours after the accident; doing this simple test before the swelling sets in is helpful and is on par with the MRI (87%) for demonstrating a torn ACL. Sometimes it is not as clear what happened. A lot of weekend warriors have knee pain during a sport and are not sure what to do next. The most common cause of knee pain is arthritis, which comes on gradually as you age and can be made worse during exertion. Other than arthritis, the most common issues are a torn ACL or meniscus injury. The meniscus is a horseshoe-shaped cartilage. There are two menisci in the knee which support the thigh bone. If you have knee pain it can be hard to tell at first whether it is a torn ACL or meniscus. The decision to get an MRI of the knee is automatic in the case of a high-profile athlete like Burrow; however, knowing when to get an MRI for knee pain in real life is more complicated. Your doctor will examine you, get blood work, and order an x-ray. What will happen next to Joe Burrow’s ACL? A torn ACL will not heal itself. However, not everyone needs an intact ACL to walk. Biomechanical studies suggest the ACL is responsible for around 85% of the strength of your knee. However, your knee is held together by the muscles and other ligaments as well as the ACL. In some people, the knee is stable, despite having a torn ACL. A functioning ACL is absolutely required for strenuous work or sports. So, the next step for the Heisman Trophy winner is arthroscopic ACL reconstruction. During surgery, the torn ACL is not actually repaired, it is replaced. While you would think the torn ligament could be sewn back together experience has shown that the ligament does not heal well enough the be functional afterward. The better approach turns out to be reconstructing the torn ligament in its entirety. This surgery should be done by an orthopedic surgeon specializing in Sports Medicine through tiny incisions using an arthroscope. The ACL is replaced by a graft that comes from the kneecap tendon, hamstring tendon, quadriceps tendon, or even a cadaver, depending on the exact situation. Arthroscopic ACL reconstruction surgery takes 1-2 hours and is done as an outpatient in an ambulatory surgery center (ASC). The surgery is performed under general or spinal anesthesia. Orthopedic surgeons who perform this procedure typically have a year of specialized training in arthroscopic surgery and are certified in Sport’s Medicine. A brace is placed on the knee in the recovery room, and you can walk out of the ASC 1-2 hours after surgery on crutches. Since the surgery is not done in a hospital you do not have to worry about COVID-19, hospital errors, or staph infection. Full recovery from arthroscopic ACL repair surgery takes 2-6 months. For your knee to fully recover the graft must heal into position. The excessive activity could dislodge the graft and ruin the repair. Right after surgery, you will wear a brace to protect your graft. Your surgeon will supervise your recovery and involve a physical therapist. The good news is that once you are fully recovered from arthroscopic ACL reconstruction surgery the new graft will be strong enough that you can return to full activity, including sports, without restriction. Joe Burrow was correct in his tweet after the game that his rookie season is over. But we can expect this promising young quarterback to be back next year ready and eager to play ball. [QjvSXp8dLiU] |
| Category | Science & Technology |
| Tags | NFL | NFL injury | Joe Burrow Bengals | knee injury | joe burrow injury | phoenix spine and joint | Dr. Dan Lieberman |
