Anterior Cruciate Ligament Sprain (Grade III) (GOLD)

Question 1

What is a Grade III ACL Sprain?

Answer 1

refers to a complete rupture to the ligament, with excessive laxity.

Question 2

Are males or females more affected?

Answer 2

Females

Question 3

Factors that make females more likely to develop ACL Sprains?

Answer 3

• Joint laxity
• Body positions
• Larger Q angle
• Narrow intercondylar notch

Question 4

Prefered imaging tool for diagnosis?

Answer 4

MRI

Question 5

What subjective reports may be heard during an evaluation?

Answer 5

Reporting hearing a loud “pop”

Question 6

What special test can be used to confirm diagnosis?

Answer 6

Anterior Drawer
Lachman’s

Question 7

What other structures can be involved during an ACL rupture?

Answer 7

2/3 chance of torn meniscus

collateral ligament involvement (MCL)

Question 8

What are the components of the Unhappy Triad?

Answer 8

ACL
MCL
Medial Meniscus

Question 9

What tendon is most likely to be utilized during reconstructive surgery?

Answer 9

Patellar tendon graft

Question 10

Are closed chain activities or open chain activities more desirable?

Answer 10

Closed chain (decrease anterior translation of the tibia)

Question 11

Is it possible for patient without formal reconstruction to participate in light to moderate physical activity?

Answer 11

Yes, with an aggressive strengthening an/or activity modification program.

Question 12

Are contact or non-contact injuries more attributed to ACL tears?

Answer 12

Non-Contact