Sports clinic Paris
Metro: Saint Marcel
Parking 6 rue test
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Failure risk factors ACL: female gender
The rupture of the anterior cruciate ligament (ACL) is one of the most common injuries in athletes. Many studies have shown that equivalent practical level the risk of ACL injury in women was four to seven times higher than in men [1-4]. In the US, approximately 38,000 ACL injuries in female athletes occur annually. In Norway, the incidence of ACL tears is 85 failures per 100 000 individuals per year, among 16-39ans, with a more important number for both girls in the age group 15-19 years.  The cost of the damage to public health is important because it is 17 000 per ligament for a surgery patient and $ 2,000 for non-surgical patients [5,7]. The societal cost due to work stoppages is difficult to evaluate. A Belgian study found that the sports trauma engendered annual indirect costs in Flanders 111420813D . Different theories try to explain this difference in sex ratio. One of them would be an anatomical theory but that alone can not explain the difference. Other authors reported a neuromuscular control imbalance.  Finally, changes in sex hormones of the menstrual cycle may have some responsibility.
Partial ACL tear
Isolated ruptures of the anterior cruciate ligament (ACL) injuries are the most frequent ligament of the knee. These breaks may be complete or partial. In partial tears, clinical diagnosis is more difficult because the clinical presentation is variable. The diagnosis, evolution in time and treatment its partial tears are still subject to much controversy. The purpose of this article is to clarify the definitions, clinical diagnosis and therapeutic strategies to these partial ACL tears. (read more ...)
Women have four to eight times more likely than men to have a ruptured anterior cruciate ligament (ACL). This risk seems more important during the pre-ovulatory phase of the menstrual cycle than during the post-ovulatory phase. The main objective of the study was to describe the distribution of ACL injuries during the menstrual cycle in a large recreational skiers population.
The main goal of this study Was to compare the results of the GNRB arthrometer To Those of Telos TM in the diagnosis of partial thickness tears of the anterior cru- ciate ligament (ACL). A prospective study Performed January- December 2011 included all patients presenting with a partial or full-thickness tears ACL without ACL recon- struction and with a healthy contralateral knee. Anterior laxity Was Measured in all patients by the Telos TM and GNRB├ĺ devices.
It is necessary to distinguish:
- The fracture lesions which are always found with certainty notion traumatic (new or old)
- Chronic lesions with onset of osteonecrosis subchondral more or less extensive, described in the literature under different terminologies (osteochondrosis, osteochondritis, osteonecrosis).
This distinction seems to us essential because etiology, radiographic appearance, treatment and prognosis of such lesions are sometimes totally different.