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History of torn ACL injuries


SteelersFanMD

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8 hours ago, SteelersFanMD said:

I would not know how many players from a  particular NFL team have had a torn ACL since this particular type of injury has become common in not just football, but basketball and baseball as well (I don't think a torn ACL has occurred in hockey)

Yes, ACL tears have occurred in hockey.

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5 hours ago, squire12 said:

Specific Adaptation to Imposed Demands (SAID principle) argues that bigger and stronger happens across all tissue structures.  The histiological studies of the tensile strength of the ACL done in the 70's and 80's were looking at athletes that ...as you stated were not as strong and not as big.  The ACL of today's athletes might actually be stronger than those of the previous generation.

I hope those tensile studies weren't performed on the living :)

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8 hours ago, squire12 said:

ACL tears are more easily diagnosed in the last 10-20 years vs 40-50 years ago.  There very well may not be more of them occurring, just more easily diagnosed.

In todays NFL and sports overall, just about any acute injury leads to an MRI...which is the gold standard for diagnosing ACL tears.  Years ago, there were a lot less MRI's done.

Think of your uncle's "trick knee" from his HS playing days.   That was likely an ACL tear, not diagnosed.

This is a similar theory to what we've seen in Baseball with Tommy John surgery.  A lot of guys used to have "dead arm" where they fall off a cliff at some point in their careers.  Many of these were cases of UCL damage.  Now, doctors are better at ID'ing the issue and the success rate for the surgery is way higher than it was a few years ago.  As a result, you see a lot more players go under the knife with TJ, but it isn't necessarily today's players getting injured at a higher rate.

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I have to admit that even if I am not an expert on sports injuries, I have seen how star players (football, baseball, basketball, and hockey) are affected by a torn ACL.  Sure, it takes better than a year to rehab from this particular kind of injury (even after undergoing surgery), but there are some who rebound from a torn ACL (or even an MCL or UCL, in addition to a torn ACL) and come back better than ever.  Adam Eaton of the Washington Nationals suffered not only a torn ACL, but also a high ankle sprain, during the 2017 MLB season, but will he come back in 2018 better than he did in 2017?  All I can honestly say is I hope he does.

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1 minute ago, SteelersFanMD said:

I have to admit that even if I am not an expert on sports injuries, I have seen how star players (football, baseball, basketball, and hockey) are affected by a torn ACL.  Sure, it takes better than a year to rehab from this particular kind of injury (even after undergoing surgery), but there are some who rebound from a torn ACL (or even an MCL or UCL, in addition to a torn ACL) and come back better than ever.  Adam Eaton of the Washington Nationals suffered not only a torn ACL, but also a high ankle sprain, during the 2017 MLB season, but will he come back in 2018 better than he did in 2017?  All I can honestly say is I hope he does.

I said this a page ago. Peterson and Gronk are better examples.

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On 14/8/2017 at 11:33 PM, OleXmad said:

Why not just give players robotic legs. No more knee injuries and if they have a leg injury, just give em a new one.

I would like that. That would also make a lot of stuff easier like stretching the leg or going up stairs and stuff.

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46 minutes ago, SteelersFanMD said:

I have to admit that even if I am not an expert on sports injuries, I have seen how star players (football, baseball, basketball, and hockey) are affected by a torn ACL.  Sure, it takes better than a year to rehab from this particular kind of injury (even after undergoing surgery), but there are some who rebound from a torn ACL (or even an MCL or UCL, in addition to a torn ACL) and come back better than ever.  Adam Eaton of the Washington Nationals suffered not only a torn ACL, but also a high ankle sprain, during the 2017 MLB season, but will he come back in 2018 better than he did in 2017?  All I can honestly say is I hope he does.

I've torn my ACL in my left knee twice. I can say from experience - every tear is different, every body is different. 

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On 8/14/2017 at 1:02 PM, HorizontoZenith said:

Was hoping to come here and see a comparison of ACL injuries before new practice rules and after new practice rules to see if there was a major disparity between the two.  I left disappointed. 

Same. Although most ACL injuries are non-contact injuries so I'm not sure there would be much difference with this particular injury.

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I think that football doc (Dr. Chao?) on twitter asserts that the season after the ACL is torn, it is more likely to re-tear the same ACL. Two years after, the opposite ACL is more likely to tear. After that, the likelihood of either one tearing drops back to baseline level.

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1 minute ago, cddolphin said:

Same. Although most ACL injuries are non-contact injuries so I'm not sure there would be much difference with this particular injury.

I think a more accurate study would be percentages of injuries on various fields and field types - grass vs turf vs grassy turf vs those old baseball/football field (back when multi use stadiums were the rage).

Sounds like an interesting project. Glad to see @cddolphin and @HorizontoZenith volunteer. I smell post of the month material here!

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This thread reminds me of this Bleacher Report article a couple of years ago. I wonder how many teams actually try to do this.

http://bleacherreport.com/articles/2555624-preseason-acl-injures-can-be-drastically-reduced-heres-how

Quote

There's more to it than that. Hewett's explanations of ACL tears are peppered with phrases like abduction and adduction, cadaveric studies and asymmetric neuromuscular patterns. But even at its most scientific, the concept is simple. Some athletes are more likely to suffer an ACL tear than others, based on biomechanics that can be easily and affordably analyzed.

These players don't have to take a helmet to the knee to suffer an ACL tear; in fact, Hewett's research indicates that 70 percent of ACL injuries in the NFL, like many of this preseason's high-profile injuries, are not contact-related. Many outstanding athletes jump, land and plant their feet in ways that, combined with their great size and speed, create forces that will inevitably result in injuries.

High-risk players don't have to get crossed off the draft board or left off the shopping list in free agency.

"Here's the good news," Hewett said. "There are things that can be done that have been demonstrated again and again to work in randomized trials. With neuromuscular training, we can reduce those risk factors."

So NFL teams (or any other sports teams) can identify athletes with high ACL risks, alter their training regimens and lower their non-contact-injury risks by more than half.

But here's the bad news: Not many teams are doing it.

"The data is there, but the implementation and compliance is very weak," Hewett said.

 

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