2024-11-04T08:03:36
Physiotherapy clinic in Tambaram Are you Looking for Physiotherapy Treatment in Tambaram, Sunshine Super Speciality Physiotherapy Clinic, We Provide Electrotherapy, Exercise and Manual Therapy, Orthopedic, Neuro, Cardio, Pediatric, Sports and Geriatric Rehabilitation, Post Operative Physiotherapy Treatment, Fracture Rehabilitation, pain free movement. ACL Rehabilitation: Part 1 ACL Ligament 👨⚕️Introduction The anterior cruciate ligament (ACL) is a band of dense connective tissue which courses from the femur to the tibia. The ACL is a key structure in the knee joint, as it resists anterior tibial translation and rotational loads. ➡️Origin Arises from the posteromedial corner of the medial aspect of lateral femoral condyle in the intercondylar notch. This femoral attachment of ACL is on the posterior part of the medial surface of the lateral condyle well posterior to the longitudinal axis of the femoral shaft. ♻️Orientation It runs inferiorly, medially and anteriorly. ⬅️Insertion: Anterior to the intercondyloid eminence of the tibia, being blended with the anterior horn of the medial meniscus. The tibial attachment is in a fossa in front of and lateral to an anterior spine, a rather wide area from 11 mm in width to 17 mm in AP direction. ♿Nerve Supply The ACL receives nerve fibers from the posterior articular branches of the tibial nerve. 🚩Vascular Supply: The major blood supply of the cruciate ligaments arises from the middle geniculate artery.The distal part of both cruciate ligaments is vascularized by branches of the lateral and medial inferior geniculate artery. ⚕️Composition The ACL has a microstructure of collagen bundles of multiple types (mostly type I) and a matrix made of a network of proteins, glycoproteins, elastic systems, and glycosaminoglycans with multiple functional interactions. 🚨Bundles: There are two components of the ACL. ➡️The smaller anteromedial bundle (AMB). ➡️The larger posterolateral bundle (PLB). Named according to where the bundles insert into the tibial plateau. 🆕The anteromedial bundle is tight in flexion and the posterolateral bundle is tight in extension. In extension both bundles are parallel; in flexion the femoral insertion site of the posterolateral bundle moves anteriorly, both bundles are crossed, the anteromedial bundle tightens and the posterolateral bundle loosens. 🧎Rupture of PLB: Rupture of the posterolateral bundle causes increase in hyperextension, anterior translation (extended knee), increase in external and internal rotation (knee extended), and increases in external rotation with the knee in mid flexion; ⛷️Rupture of AMB: Rupture of the anteromedial bundle causes anterolateral instability with an increase in anterior translation in flexion, minimal increase in hyperextension, and minimal rotational instability. Comment with the following if you want to continue it. #Acl #Pcl #aclrehabilitation #aclrehab #aclinjury #aclrecovery #aclreconstruction #aclrepair #aclrecoveryjourney #aclexercise #exerciseforacl #PhysiotherapyAtHome #kneepainrelief #kneesurgery #kneeinjury SUNSHINE ® SUPER SPECIALITY PHYSIOTHERAPY CLINIC - #DrParthiban #Sunshinephysioclinic.in #Physiotherapyclinicintambaram #Physiotherapyclinicnearme DR.M.P. PARTHIBAN.M.P.T (Ortho), Chief Orthopedic Physiotherapist, Call for Appointments: - 9345122177 East Tambaram, CHENNAI