Page 48 - 2021 IDMT Digital

ANTERIOR CRUCIATE LIGAMENT (ACL) INJURY
Introduction:
• 7KH $&/¶V SULPDU\ SXUSRVH LV WR SUHYHQW DQWHULRU WUDQVODWLRQ RI WKH WLELD RQ WKH IHPXU
• 7KH $&/ FDQ EH LQMXUHG ZLWK FRQWDFW RU ZLWK QRQ FRQWDFW LQMXU\ DQG LV FRPPRQ LQ VNLLQJ
IRRWEDOO EDVNHWEDOO DQG VRFFHU
• 3ODQW DQG WZLVW LQMXULHV DV ZHOO DV K\SHUH[WHQVLRQ LQMXULHV DUH FRPPRQ FDXVHV RI DQ
$&/ LQMXU\
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQ
o 6ZHOOLQJ DERXW WKH NQHH
o 'LIILFXOW\ ZLWK ZDONLQJ
o )HHOLQJ RI LQVWDELOLW\
• )RFXVHG +LVWRU\
o 7UDXPD
o 0HFKDQLVP RI LQMXU\
o $PEXODWLQJ DIWHU LQMXU\
Objective:
• 3K\VLFDO ([DP
o /LPLWDWLRQ RI 520
o 2EYLRXV HGHPD UHSUHVHQWDWLYH RI SRVVLEOH KHPDUWKURVLV
o 3RVLWLYH /DFKPDQ¶V RU SRVLWLYH DQWHULRU GUDZHU WHVW
o *DLW FKDQJHV
• 7RROV
o ; UD\V LI DYDLODEOH PD\ KHOS UXOH RXW IUDFWXUH EXW PD\ QRW EH QHFHVVDU\
Assessment:
• 'LIIHUHQWLDO
o )UDFWXUH WHQGHUQHVV WR SDOSDWLRQ RYHU ERQH
o 0HQLVFDO LQMXU\ PHFKDQLVP RI LQMXU\ ORFDWLRQ RI SDLQ
o 3DWHOODU VXEOX[DWLRQ SRVLWLYH DSSUHKHQVLRQ VLJQ
o 3&/ WHDU SRVLWLYH VDJ WHVW SRVWHULRU GUDZHU WHVW
Plan:
• 5,&(
• &UXWFKHV QRQ ZHLJKW EHDULQJ XQWLO FOHDUHG E\ RUWKRSHGLFV
o &DQ FRQVLGHU NQHH LPPRELOL]HU
• 16$,'V QDUFRWLFV IRU SDLQ
• If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence, consider
administering up to 10 treatment sessions as an alternative to NSAIDs as long as
there is clinical benefit and no worsening of the patient’s condition
• $YRLG DJJUDYDWLQJ DFWLYLWLHV
• 520 H[HUFLVHV ZKHQ SDLQ VXEVLGHV
• &RQVLGHU XUJHQW EXW QRW HPHUJHQW (9$& RUWKRSHGLFV
o 3DWLHQW OLNHO\ UHTXLUHV VXUJLFDO LQWHUYHQWLRQ

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