Physio Library

ACL injury and Rehabilitation. .

⛷️Grades of Injury:

An ACL injury is classified as :

➡️Grade I Sprain.
➡️Grade II Sprain.
➡️Grade III sprain.

🛐Grade I Sprain:

🏋️The fibres of the ligament are stretched, but there is no tear.
🏋️There is a little tenderness and swelling.
🏋️The knee does not feel unstable or give out during activity.
🏋️No increased laxity and there is a firm end feel.

🛐Grade II Sprain:

🏋️The fibres of the ligament are partially torn or incomplete tear with haemorrhage.
🏋️There is a little tenderness and moderate swelling with some loss of function.
🏋️The joint may feel unstable or give out during activity.
🏋️Increased anterior translation yet there is still a firm end point.
🏋️Painful and pain increase with Lachman's and anterior drawer stress tests.

🛐Grade III Sprain:

🏋️The fibres of the ligament are completely torn (ruptured); the ligament itself is torn completely into two parts.
🏋️There is tenderness, but limited pain, especially when compared to the seriousness of the injury.
🏋️There may be a little swelling or a lot of swelling.
🏋️The ligament cannot control knee movements.
🏋️The knee feels unstable or gives out at certain times.
🏋️There is also rotational instability as indicated by a positive pivot shift test.
🏋️No end point is evident.
🏋️Haemarthrosis occurs within 1-2 hours.

🗣️ACL avulsion:

It occurs when the ACL is torn away from either the femur or the tibia. This type of injury is more common in children than adults. The term anterior cruciate deficient knee refers to a grade 3 sprain in which there is a complete tear of the ACL. It is generally accepted that a torn ACL will not heal.

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