Sports clinic Paris
Metro: Saint Marcel
Parking 6 rue test
The information provided on this website is provided by medical professionals: sports doctors, rheumatologists, functional rehabilitation doctors, orthopedic, clinical surgeons sport, podiatrist sports meeting within the group "chirurgiedusport.com"
- 75% of ruptures of the anterior cruciate ligament occur during sports practice.
- 16,000 ruptures of the anterior cruciate ligament occur per year in France when skiing.
- The average age of onset is 30 years.
- The rupture of this ligament is 2-6 times more common in women
This is the shot of the mechanism in vacuum
This is the mechanism of the support change football or skis crossing
This is the mechanism of the heel / buttocks during a fall
o Type of mechanism of injury
o Perception of a slam at time of injury with sometimes the perception of a "hyper movement"
o Can be painful sometimes with little opportunity to continue with some sports still the sensation of "crazy leg".
o Perception game in the knee and / or inability to take a free support on it.
o Sometimes joint effusion
o Evidence of abnormal movement in the knee
o Reproduction by the practitioner of a knee instability
o radio eliminates fracture
o MRI allows to visualize the state of the anterior cruciate ligament.
"Doctor, will I be able to resume football without to have surgery? "
"They told me I was too old to have surgery?
"After how long will I be able to race again? "
"Is it true that in case of rupture
in part, the operation is not necessary? "
Although with a ruptured ligament, it may be that the patient is not hampered in daily life and in the practice of some sports, not efficiency of the latter will generate a game in the knee will cause premature wear of the knee .
Two possibilities, either surgical repair of the ligament (ligament =) or physiotherapy (= functional treatment).
This surgery the interest to come closer to what the front knee injury. But suites are long and require great motivation and an important work of post-operative physiotherapy. In doing so, the resumption of sport will be between 7 ┬░ and 10 ┬░ months after ligament.
The only physical therapy, enables the recovery of sport from the 3rd month but does not always redo, sports such as rugby, football, handball, Basket Ball.
In any case, there is no urgency to operate unless there is a breach of other ligaments.
The decision must answer two questions.
The first is the short-term; simple physiotherapy she will allow me to practice my favorite sport in good conditions?
The second is the long term; simple physiotherapy she will allow me to limit the osteoarthritic lesions in 20 or 30 years?
Of course, everything is decided case by case but schematically we can offer this:
unsportsmanlike and not feeling of instability and Physiotherapy annual medical supervision
Sports patient and motivated
Depending on the sport and the existence of associated risk factor of osteoarthritis: surgery or physiotherapy
Recently, with the contribution of MRI, made increasingly early, we were able to highlight ligament ruptures that were not complete. As a simple fraying of a big hemp rope, the ligament just seems distended without complete rupture.
With many usual, the practitioner may also consider this diagnosis in its review; There is a game in the knee, but less than if there was a complete rupture.
Imagine a rectangular room with a big rope taut hemp one meter above the ground between two opposite walls.
Now imagine that you give a scissor kick to the rope. We are in the case of complete rupture. The two cut ends fall down, and have no chance to heal because they are far from each other. Now imagine with a knife, you cut your rope partially so as to leave only a few hemp fibers. We are part of a partial rupture. In this case our rope remains tense and the two cut ends will be able to heal because still close to each other. The few fibers of the ruptured ligament using tutor for this spontaneous healing of the ligament.
Therefore, any doubt of a partial lesion of the anterior cruciate ligament, you have to give two to three months to let the chance of a spontaneous healing, which, if it occurs helps regain full functional capacity of this ligament.
In this case, we will confirm this healing to the 2 ┬░, 3 ┬░ month by a medical examination and if necessary the implementation of a new MRI.
The main objective of the study was to compare the performance of GNRB┬« and that of Telos Ôäó in the diagnosis of a partial tear of the anterior cruciate ligament (ACL) methods. A prospective study from January to December 2011 included all patients with partial or complete tear of the ACL reconstruction without prior with a healthy contralateral knee. The anterior laxity was measured in all patients by the Ôäó T├ęlos and GNRB┬«. read lsuite ...
The rupture of the anterior cruciate ligament (ACL) is one of the most common injuries in athletes. Many studies have shown that equivalent practical level the risk of ACL injury in women was four to seven times higher than in men [1-4]. In the US, approximately 38,000 ACL injuries in female athletes occur per year .
The main goal of this study Was to compare the results of the GNRB arthrometer To Those of Telos TM in the diagnosis of partial thickness tears of the anterior cru- ciate ligament (ACL). A prospective study Performed January- December 2011 included all patients presenting with a partial or full-thickness tears ACL without ACL recon- struction and with a healthy contralateral knee. Anterior laxity Was Measured in all patients by the Telos TM and GNRB├ĺ devices.
Women have four to eight times more likely than men to have a ruptured anterior cruciate ligament (ACL). This risk seems more important during the pre-ovulatory phase of the menstrual cycle than during the post-ovulatory phase. The main objective of the study was to describe the distribution of ACL injuries during the menstrual cycle in a large recreational skiers population.
The high and complete rupture of the hamstring tendons, tendon avulsion, at the ischial is rare. The severity of the injury is often underestimated. There is no consensus on treatment. Functional treatment of these lesions simply by immobilization in a splint flexion knee gives bad results, unlike the early surgical treatment and / or late.
The meniscus is a small wedge between the two knee bones. At the top is the femur, the thigh bone. Downstairs there is the tibia, the leg bones. The bottom of the femur is rather round and the top of the tibia appears much flatter. These two bones do not fit together well. The menisci that allow a better insertion of the tibia on the femur. There are two menisci in each knee.