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Sports
Medicine Advisor
Knee
Injuries in Athletics
Knee injuries are second
to ankle injuries in terms of lost playing time. However, knee injuries tend to be more severe. It is critical that a proper history is
taken to help with the exam and assessment. In a study done by Kenneth
DeHaven,MD, at the University of Rochester School of Medicine, found
that 80% of all hemoarthroses (blood in the joint) indicate an injury to
the Anterior Cruciate Ligament(ACL). ACL injuries must be ruled out in
knee injuries which present an effusion and an audible pop heard by the
athlete. A high percentage of ACL injuries are deceleration injuries;
that means that the athlete was changing direction, slowing down, or
pivoting on the involved leg. There is no contact or impact to the knee,
the foot is usually planted, and there is a rotation to the knee.
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