>>JENNIFER READY: 14 WELCOME BACK FALL FOOTBALL IS IN FULL SWING AND ACCORDING TO DOCTORS,
THE NFL USUALLY HAS ONE ACL
TEAR A WEEK DURING THE SEASON.
BUT THIS YEAR IN THE FIRST 2
WEEKS THERE
WERE 18. JOINING ME NOW WITH
MORE IS DOCTOR MACRO WITH MAYO
CLINIC MATT THANK YOU SO MUCH
FOR BEING WITH US.
>> YEAH, THANKS SO MUCH FOR
HAVING ME.
>>JENNIFER READY: CAN YOU
EXPLAIN FOR THOSE PEOPLE WHO
AREN’T FAMILIAR. WHAT IS THE A
C L.
>> STABILIZING LOOKING AT IN
THE MIDDLE OF
IN THE MIDDLE OF THE KNEE AND
IT REALLY HELPS AND CUTTING AND
PIVOTING ACTIVITIES, ESPECIALLY
SO IT’S SOMETHING WE SEE SORT OF TEAR INTO GROUPS WE SEE IT IN OUR YOUNG ATHLETES,
ESPECIALLY THOSE PLAYING
BASKETBALL FOOTBALL.
AND SOCCER. AND THEN WE SEE IT
AGAIN AND SOME OF OUR WEEKEND
WARRIORS SO PEOPLE DO IN MUD
RUNS AND PLAYING ON THE BEACH
ON THE WEEKENDS WITH THEIR KIDS
CAN BE REALLY DEVASTATING INJURY BOTH FOR FOR YOUNG ATHLETES AND FOR
OLDER ATHLETES.
>>JENNIFER READY: AND DOCTOR
WE’RE LEARNING THAT IN THE NFL
THERE WERE 18 ACL TEARS IN THE
FIRST 2 WEEKS HOW COMMON ARE A
CL INJURIES. YES,
SO THE.
>> THEY ARE MORE COMMON FEMALE
ATHLETES AND CERTAINLY MORE
COMMON YOUNGER FEMALE ATHLETES
PLAYING CUTTING AND PIVOTING
SPORTS, ESPECIALLY SOCCER.
>> AND BASKETBALL. BUT ALSO VERY COMMON AND FOOTBALL AS WELL I THINK THE CONCERN WE
SPENT ABOUT
6 MONTHS. WORKING VERY
DILIGENTLY ON RETURN TO PLAY
PROTOCOLS FOR BUBBLES AND ALL
THE SORTS OF THINGS THAT
EVERYBODY’S HEARD ABOUT FOR
SPORTS. BUT I THINK
THERE WAS YOU KNOW SOME
QUESTION WHAT’S BEEN DONE ON
THE PREPARATION FOR THE SEASON
SIDE. SO THE NBA WAS VERY
VERY DILIGENT. ABOUT SETTING UP
THEIR BUBBLE 3 WEEKS IN ADVANCE
AND AND A LOT OF CONTACT.
PLAY BEFORE THEY ACTUALLY
RETURN TO PLAY.
THE NFL’S MOST PEOPLE ARE AWARE
CUT OUT THEIR PRE SEASON WENT
RIGHT BACK INTO THE SEASON
WITHOUT MUCH SPRING TRAINING OR
SPRING CONTACT SO.
WE’RE WE’RE CONCERNED THAT SOME
OF THIS MAY TRICKLE DOWN WE MAY
START TO SEE IT AMONGST OUR
HIGH SCHOOL ATHLETES. AS WELL
THIS YEAR.
>>JENNIFER READY: WITH THAT
BEING SAID WHAT TYPE OF
TREATMENT IS TYPICALLY NEEDED
FOR ACL INJURIES ARE WE TALKING
ABOUT SURGERY ARE WE JUST
TALKING
ABOUT REHAB.
>> YES, I THINK WE’RE ALL
FAMILIAR WITH THE YOU KNOW
PROFESSIONAL ATHLETES WHO
ROUTINELY HAVE HAVE
THIS RECONSTRUCTED WITH SURGERY
AND THAT THAT CERTAINLY IS THE
MAINSTAY FOR ANY OF OUR OUR
HIGHER LEVEL ATHLETES.
PATIENTS IN THEIR 30’S, 40’S
AND 50’S YOU DON’T PLAN ON
RETURNING TO HIGH LEVEL CUTTING
AND PIVOTING ACTIVITIES.
YOU KNOW ABOUT 50% OF THEM
ACTUALLY CAN DO JUST FINE
WITHOUT A
FUNCTIONAL ACL AND GET BACK
INTO JOGGING AND RUNNING 5 K’S
IN
10 MARATHONS BUT FOR THOSE THAT
ARE REALLY TRYING TO GET BACK
INTO AN ACTIVE LIFESTYLE.
SURGERY OFTEN AS
IS REQUIRED.
>>JENNIFER READY: AND FOR THOSE
WHO DO DEUCE THE SURGERY
OPTION. WHAT IS THAT RECOVERY
TYPICALLY LIKE.
>> IT’S A LONG, IT’S A LONG
TIME SO IN ALL THOSE SITUATIONS
WE DON’T ACTUALLY HAVE A WAY OF
REPAIRING THE ACL
GENERALLY SOME USUALLY
RECONSTRUCTING IT OUT OF
ATTENDANT FROM SOMEWHERE ELSE
IN THE BODY OR FROM A
CADAVER TENDON IT TAKES ABOUT 9
TO 12 MONTHS FOR TENDON
THE TURNING TO A FUNCTIONAL ACL
FOR
PATIENTS SO THIS REALLY CAN BE
A DEVASTATING INJURY FOR A HIGH
SCHOOL ATHLETE IS THEY’RE
TRYING TO GET RECRUITED TO
COLLEGE AND IT CAN ALSO BE A
BIG
SETBACK FOR FOR OUR WEEKEND AS
THEY’RE TRYING TO GET BACK
ACTIVITY IN DAILY LIFE.
>>JENNIFER READY: AND TO
PREVENT IT WHAT ARE SOME OF THE
TIPS THAT YOU HAVE FOR PEOPLE,
ESPECIALLY ATHLETES TO REDUCE
THE RISK OF TEARING
AN ACL.
>> I THINK THAT’S THE THING
THAT WE’VE MADE THE BIGGEST
PROGRESS AND PREVENTION
WE’VE GOTTEN INFINITELY BETTER
THE SURGERY BUT WE MAY EVEN
PROGRESS IN THE LAST 15 TO 20
YEARS
ON PREVENTION AND REALLY
ESPECIALLY FOR FOR PARENTS OF
OF CHILDREN THAT ARE PLANNING
ON PLAYING SOCCER
AND BASKETBALL. AND FOOTBALL
THIS COMING SEASON, ESPECIALLY
AND EVEN VOLLEYBALL ON SOME OF
THE OTHER CUTTING AND PIVOTING
SPORTS. SOMETHING THAT PEOPLE
SHOULD THINK HARD
HAVING THEIR KIDS ACTUALLY MEET
WITH PHYSICAL
THERAPY SPECIALIST ATHLETIC
TRAINER WHO IS SPECIFICALLY
TRAINED ITSELF
PREVENTION REHAB AND SO THERE
SOME A NUMBER OF GOOD STUDIES
OUT OF SOCCER POPULATION
IN EUROPE THAT HAVE LOOKED AT
THIS SINCE SHOWN 30 TO 50%
REDUCTIONS IN NONCONTACT
ACL INJURIES WITH ACL
PREVENTION TRAINING PROGRAM SO
THIS LOOKS AT YOUR BIO
MECHANICS AS YOU’RE AS YOU’RE
RUNNING AND JUMPING AND TRIES
FACTOR OUT SOME OF THOSE BAD
HABITS AND STILL SOME GOOD
HABITS AND AND
STRENGTHENING PATTERNS.