Understanding ACL injuries: Part 1 •••••••••••••••• @thebeastufc is reported to b
Understanding ACL injuries: Part 1
@thebeastufc is reported to be scheduled for ACL reconstruction surgery. According to ESPN (@arielhelwani ) Lewis consulted with his doctors 2 weeks prior to his fight against Junior dos Santos who concluded even though he had a torn ACL he would still be able to fight. The source also confirmed that this was a chronic ACL tear from 2015 when he fought out of a kneebar attempt against Ruan Potts. Additional damage to the knee included a torn meniscus and torn MCL.
Lewis ultimately decided to have surgery because he felt his knee “give out” during the second round against dos Santos.
If he had his ACL torn for 4 years how could he have made a successful run for the title? ACL rupture requires reconstruction for return to high level competition, right? New evidence shows that is depends. . Copers vs. noncopers: 42% of people are copers : meaning they have enough leg strength and dynamic balance to function despite not having an ACL. . IDing a coper: • No other injuries •Minimal swelling • Full ROM •Able to walk without a limp •70% quadriceps strength on bilateral comparison •Hop on leg without pain •1 or less incidents of knee giving out. . ACL reconstruction is still the gold standard for ACL injuries, which is a decision up to the athlete, surgeon and other medical staff. However there are many high level athletes who return to activity without a functional ACL. Consequences of nonop include further meniscus damage and early onset of arthritis. .
In this video orthopedic surgeon,. @drnimamehran demonstrates a lachman and pivot shift, orthopedic tests to demonstrate the laxity in the knee with a compromised ACL. These tests work better while performed under anesthesia due to the patient being unable to guard. .
Next post I’ll discuss the surgery, rehab and return to fighting.
. Reference: Logerstedt, D. S., Snyder-Mackler, L., Ritter, R. C., Axe, M. J., & Godges, J. J. (2010). Knee stability and movement coordination impairments: knee ligament sprain: clinical practice guidelines Orthopaedic Section of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy, 40(4), A1-A3