YOGYAKARTA - Anterior cruise ligament (ACL) is one of the ligaments in your knee joint the thighbone (femur) to the front of the dry bone (tibia). Then what is ACL's injury?

ACL's injury is a partial or total tear, a tenuous ligament, or a loose ligament of your bones.

ACL passes in front of another ligament, posterior cruise ligament (PCL). The cruciatum League gets its name from the fact that they form crosses inside their knees as they run in different directions from thighs to dry bones. Along with other ligaments on your knees, your ACL keeps your knees steady and prevents your thighbones and dry bones from getting out of place.

When your knee ligament loosens but doesn't tear, it's called a sprain. A knee ligament injury is given a different value depending on how severe it is. About half of everyone with an ACL injury will also suffer an injury to the other knee, such as a meniscus rip.

Cause

Most of the anterior ligament injuries (ACL) occur during sports, especially football, basketball, and skiing. Women are more likely to injure their ACL than men. ACL injury can occur if you:

Turn your knees, especially when your feet are on the ground, for example, you land from a leap and rotate in the opposite direction quickly changing direction when running or walking slow or stopping suddenly while running extending the joints of your knees.

If you play contact sports, you can also hurt ACL if your knees are hit directly by a collision with other players.

Self-help for ACL injuries

If you hurt your knee, you have to follow POLICE procedures to deal with any kind of soft tissue injury on your knee. POLICE stands for Protect, Optimal Loading, Ice, Compression, and Elevation.

In addition, there are certain things you should avoid in the first three days after injury so that your knees don't get worse. This can be remembered as HAM, which stands for heat, alcohol, run and massage.

If you are having trouble holding weights on your knees, you may need to use kruk or use a buffer to support you for a while. Your doctor or physio will explain how long you have to use it.

Treatment of anterior cruciatum ligament injuries

You usually have to go to A&E with this kind of injury, where they're going to check on you and take some of your knee X-rays. They can then refer you to an acute knee clinic, which will regulate the investigation and treatment you need.

The treatment you offer for your ACL injury will depend on how severe the damage is and how active you are usually. The initial treatment is controlling the pain and swelling you use the actions of the POLICE and HARM (see above) self-help. Further treatment may include physiotherapy, medicines and sometimes, surgery.

You may meet orthopedic surgeons (doctors who specialize in bone surgery) or sports medicine experts, such as sports or physiotherapist. There are different treatments that your doctor or physiotherapist may suggest, and there's a lot you can do yourself to help you recover.

Medicine

You can take free-selling pain relievers, such as paracetamol or ibuprofen, if you are in pain. Your doctor may be able to prescribed stronger pain relievers if your knees really hurt. In addition to reducing your pain, nonsteroid anti-inflammatory drugs (NSAID) such as ibuprofen can help reduce inflammation and swelling. Always read the patient's information included with your medication, and if you have questions, ask for advice from your pharmacist or general practitioner.

Physiotherapist

Your physiotherapist will assess your knees and then plan a rehabilitation exercise program that suits your personal needs. The physiotherapy program will be designed to give you the best opportunity to return to your usual activities. Make sure you do some training because this is an important part of your recovery. The goal of physiotherapy is to help your knees restore all of its movement, strength and stability, and return to normal work.

Operation

Your surgeon will tell you if you need surgery; for example if your knee is unstable and gives way when you exercise or sometimes just walk. Your taste may be the best choice to correct your injury if you exercise a lot or in physical demanding work. For example, you:

Playing sports that involve a lot of rounds and rounds like football or basketball, to high levels and you want to go back there

have very physical or manual work, for example you in the military, firefighters, police or work in construction

You may prefer to try rehabilitation with physiotherapy first before you undergo surgery. Either way, your doctor may not recommend that you undergo surgery as soon as your injury. Usually, it's best to wait at least a week or two, to let the swelling in your knee drop first.

Usually it takes between six and 12 months to return to full activity after surgery. And you have to be ready to undergo an intense and long period of physiotherapy after your surgery. Ask your doctor about the pros and cons of surgery, and how it can help you.

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