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Consequences of Complete ACL Ruptures

  • Sue D. Barber-Westin
  • Frank R. Noyes
Chapter

Abstract

This chapter reviews the potential problems caused by ACL tears that are treated conservatively. A general consensus exists among clinicians that a complete ACL rupture causes long-term problems, especially a decrease in activity level and an early onset of knee osteoarthritis. Few patients sustain an isolated ACL tear. Concomitant bone bruising has been documented in 80–95 % of patients; meniscus tears occur in approximately 60 %, and chondral injuries exist in 20 %. Subsequent meniscus tears have been reported in the majority of studies, along with chondral injuries and articular cartilage lesions that presumably result from further giving-way episodes or increased catabolic activity. Knees with ACL-deficiency that undergo meniscectomy have an increased risk of developing early arthritis compared to those that do not sustain meniscus damage. Altered knee kinematics, quadriceps weakness, and abnormal gait patterns that increase or alter joint loads and contact pressures may cause early arthritis in ACL-deficient knees.

Keywords

Anterior Cruciate Ligament Anterior Cruciate Ligament Reconstruction Anterior Cruciate Ligament Injury Meniscus Tear Anterior Cruciate Ligament Rupture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Cincinnati Sportsmedicine Research and Education FoundationCincinnatiUSA
  2. 2.Cincinnati Sportsmedicine and Orthopaedic CenterCincinnatiUSA

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