Mechanism of ACL Tear
- See: Biomechanical Role:
- Discussion:
- ACL tears most often occur during football and basketball in
younger patients, and occur most often from skiing injuries in
older patients;
- substantial anterior tibial shear forces that stress ACL are
produced from quadriceps contraction, esp in 0-30 deg of extension;
- typically, the ACL is torn in a noncontact deceleration
situation that produces a valgus twisting injury;
- this usually
occurs when the athlete lands on the leg and quickly pivots in the opposite
direction.
- mechanisms reported as possibly able to disrupt ACL w/ minimal
injury to other structures are:
- hyperextension
- marked internal
rotation of tibia on femur;
- pure
deceleration;