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Correlation between ACL tears and knee osteoarthritis

March 28, 2014/in Physical Therapy /by badams
knee

(c) Netter

If you play sports, ski, play football… if you walk your dog…if you walk on ice while getting your mail…chances are you are putting yourself at risk for an injury. Life has a funny way of leveling you when you least expect it. 

If you suffer a traumatic event affecting your knee, you may fear the announcement: you’ve torn your anterior cruciate ligament (ACL).

The bonus: there are many ways to manage this damage.

The real problem is: what happens to your knee 5…10…15 years down the road?

The warning has come from professionals in the sports medicine and ortho world, including me: do your absolute best to keep that leg mobile, strong and out of trouble…because the clock is ticking. Your knee is now at a significantly higher risk for developing knee osteoarthritis (OA). Starting…now.

There is a new article by Barenius, et al. published this month in the American Journal of Sports Medicine (http://bit.ly/1mcvKMb) that identifies (again) that the long term (14 yr) follow up on knee OA prevalence after an ACL tear and reconstruction. 

ARTICLE CONCLUSION: A 3-fold increased prevalence of OA was found after an ACL injury treated with reconstruction compared with the contralateral healthy knee. No differences in the prevalence of OA between the BPTB and quadrupled ST reconstructions were found. An initial meniscus resection was a strong risk factor for OA; the time between injury and reconstruction was not.

This is not to say that surgery increases the risk for knee OA. Depending on the type of injury, it can be due to bone bruising from the initial mechanism of injury. 

Take home message: the best medicine is prevention; preferably before a traumatic injury, but equally important is the after-care and ongoing maintenance to maintain the tissue strength, mobility, stability and vitality. 

 

Read more here: American Journal of Sports Medicine (http://bit.ly/1mcvKMb)

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Natalie is currently a senior at Novi High school and will be attending Ball State University this Fall 2023. She plans to major in Exercise Science with the intention of pursuing a physical therapy career after graduate school. Natalie has been involved with sports her whole life specifically playing volleyball and basketball. She has taken on a few leadership roles within her teams as captain of the JV volleyball team (sophomore year) and captain of the varsity basketball team this past season. After being a patient at ASMPT, Natalie was inspired to be a part of the team and learn more about the world of physical therapy. She has a passion for photography and in her free time, she loves to read, hangout with friends, and spend time with her family.

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Hannah co-owns and operates Aerial Dragonfly Movement Studio, an aerial arts studio in Ferndale, where she teaches a variety of aerial based disciplines to individuals of all backgrounds and experience levels. She loves guiding others through movement and assisting them in achieving their goals. Hannah is a NASM Certified Personal Trainer, FMT Certified Mobility Specialist, Aerial Physique Certified Aerial Silks Instructor and Wild Roots Certified Aerial Yoga Instructor. Outside of aerial arts, Hannah enjoys weight lifting, spending time with friends, walking her dog, cooking, and volunteering at a local animal shelter. 

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Noelle Bedard graduated from the University of Michigan with a B.S in Kinesiology with an emphasis in Movement Science. She starts her Masters of Athletic Training program in July at the University of Michigan!

Josue Gonzalez also graduated from the University of Michigan with a B.S in Kinesiology with an emphasis in Movement Science. He plans to apply to PT school this summer! 

Charlie Mills graduated from Wayne State University with a B.S in Kinesiology with a concentration in exercise and sports science. Charlie plans to study to take the CSCS as well as apply to PT school in the near future! 

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