Traumatic instability in the knee joint due to an anterior cruciate ligament (ACL) injury in a 23-year-old athlete

TABORSKA, Nina, MARTYKA, Anna and KUBICKA-FIGIEL, Martyna. Traumatic instability in the knee joint due to an anterior cruciate ligament (ACL) injury in a 23-year-old athlete. Journal of Education, Health and Sport. 2024;52:197-204. eISSN 2391-8306. https://dx.doi.org/10.12775/JEHS.2024.52.014

https://apcz.umk.pl/JEHS/article/view/47213

https://zenodo.org/records/10501277

The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of 05.01.2024 No. 32318. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical culture sciences (Field of medical and health sciences); Health Sciences (Field of medical and health sciences).

Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 05.01.2024 Lp. 32318. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe:  Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu).

© The Authors 2024;

This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland

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Received: 23.11.2023. Revised: 06.01.2024. Accepted: 09.01.2024. Published: 13.01.2024.

Traumatic instability in the knee joint due to an anterior cruciate ligament (ACL) injury in a 23-year-old athlete

Nina Taborska

University Clinical Hospital of the Military Medical Academy – Central Veterans' Hospital, 113 Stefana Żeromskiego Street, 90-549 Łódź.

ORCID: https://orcid.org/0009-0003-4505-4053

e-mail: nina.taborska13@gmail.com

Anna Martyka

Independent Public Health Care Facility, Municipal Hospitals Consortium in Chorzów, 11 Strzelców Bytomskich Street, 41-500 Chorzów.

ORCID: https://orcid.org/0009-0007-6517-5919

e-mail: aniamartyka98@gmail.com

Martyna Kubicka-Figiel

Provincial Specialist Hospital No. 5, St. Barbara in Sosnowiec, Medyków Square 1, 41-200 Sosnowiec

ORCID: https://orcid.org/0009-0008-0008-401X

e-mail: martynakubickafigiel@gmail.com

ABSTRACT

Introduction

 In this paper, we aim to present an analysis of the diagnostic, therapeutic, and rehabilitation procedures in a 23-year-old athlete with an anterior cruciate ligament (ACL) injury. The study includes the patient's medical history, circumstances of the injury, diagnostic and therapeutic procedures applied, as well as the course of postoperative rehabilitation.

Objective

 The objective of our study is to present the anatomy of the ACL, the typical mechanism of injury, and diagnostic and therapeutic possibilities.

Methods

 This is a retrospective study. The medical documentation and imaging studies were subjected to analysis. The analysis was complemented by a literature review based on publications in the English-language PubMed database.

Results

 The case involves a 23-year-old soccer player with an isolated ACL injury in the right knee joint. The case analysis highlights the challenges related to diagnosis and decision-making regarding therapeutic procedures. ACL reconstruction using the STG method and lateral tenodesis with the iliotibial band in combination with postoperative rehabilitation resulted in a positive outcome in terms of knee joint stability and return to sports.

Conclusions

 The review of this medical case underscores the importance of a personalized approach to each patient with an ACL injury, taking into account age, level of physical activity, and coexisting injuries within the knee joint. This allows for the correct decision on the best treatment method for the patient, facilitating a return to sports and minimizing the risk of complications.

Keywords: Anterior Cruciate Ligament (ACL), ACL injury, ACL diagnosis, ACL treatment, ACL rehabilitation, lateral tenodesis.