World Cup Football Fever - Anterior Cruciate Ligament Injuries

Football is popular in the UAE, Oman, Saudi Arabiamenisci(semilunar cartilages) and this can lead to
and Bahrain. Every town in the Middle east has asecondary osteoarthritisSymptomsThe person
large stadium and the game is played in thefalls to the ground and is unable to continue the
streets and village playgrounds. with the world cupsport or activity which he was pursuing. He can
around the corner, many amateur footballers willfeel or hear a popping sound in the knee joint. A
try their skills at the game.The game of footballswelling develops rapidly. There is a feeling of
extracts a heavy toll of ligament and cartilageinstability in the knee joint. Pain in the knee
injuries of the knee joint. These are theimmediately, which worsens with the onset of
commonest ligament injuries and the anteriorswelling. Repeated giving away of the knee can
cruciate ligament has been considered as theoccur as the patient runs around curves or while
most valuable piece of connective tissue in thecoming downstairsWhat is the future for a patient
human body as professional football clubs handwith an ACL injury?Complete ACL injuries result in
over contracts to footballers worth severalinstability of the knee joint. Whenever the person
millions of Euros and dollars and withdraw themruns or comes downstairs rapidly the tibia slides
immediately if the player is injured. The MOHoff the femur. This can lead to repeated falls.
hospitals in Oman, Bahrain, and Saudi Arabia treatThese can result in injuries to the semilunar
a large number of knee injuries. There have beencartilages or menisci. Meniscal tears can lead to
a larger number of new concepts in themechanical symptoms like locking or unexpected
treatment of this injury.ACL Injury(anteriorfalls.A combination of persistent ligamentous laxity
cruciate ligament injury)and meniscal tears can result in the development
Anatomical background-The ACL (anteriorof secondary osteo-arthritis.Treatment-
cruciate ligament) is one of four ligamentsRICE(Rest, ice, compression, elevation). An ACL
stabilising the knee joint. Ligaments are cord likeinjury is a serious one which needs medical
tissues, which connect one bone to another. Inattention immediately. The surgeon may aspirate
the knee joint there are four ligaments, namelythe blood inside the joint to provide comfort. He
the medial collateral (inner), lateral collateral (outer),may order a MRI scan to confirm the diagnosis
the anterior cruciate and the posterior cruciate.immediately. An ACL injury can be treated
The anterior cruciate ligament runs from the backconservatively in those individuals who are willing
of the thigh-bone to the front of the inner side ofto restrict their sporting activity. For those
the shin or leg bone. It prevents the leg boneunwilling to do so, surgical treatment is advisable.
from sliding off in front from the thigh bone. TheSurgical treatment consists of an examination
ACL injury can be a partial sprain or a completeunder anesthesia, arthroscopy and ACL
tearMechanism of injury-The most commonreconstruction. The orthopedic surgeon may
mechanism is a sports injury where there is adecide to take a graft from the patellar tendon or
cutting or twisting injury to the knee.Activities forhamstrings. Bony tunnels are drilled through the
riskInjuries in sports like football when the playertibia and femur and the graft is fixed.The Author
tries to tackle from the back, his knee twists andis a Knee specialist in Chennai doing arthroscopic
he falls to the ground. Involvements in othersurgery, Joint replacements, Arthroscopic ACL
sports like basketball, cricket, skiing and hockeyReconstruction,Cartilage restorative surgery.
can also result in ACL injury. A blow to the kneeOperations are performed according to latest
from the front. Patients with cruciate ligamenttechniques at Knee & Shoulder centre, Chennai.
injuries are prone to develop tears of the