Feb 10 • 12:47 UTC 🇰🇷 Korea Hankyoreh (KR)

When the 'Seatbelt' of the Knee Breaks... The Aftermath of Anterior Cruciate Ligament Tear

The article discusses the implications and dangers of anterior cruciate ligament (ACL) tears, particularly in athletes, focusing on Lindsey Vonn's recent injury during competition.

The article provides insights into the common yet serious knee injury known as an anterior cruciate ligament (ACL) tear, which can result from intense sports activity, sudden changes in direction, or landing after a jump. The recent incident involving Olympic skier Lindsey Vonn, who pushed through an ACL tear only to fall moments after starting her run, highlights how quickly such injuries can escalate. Footage of her emergency helicopter transport was broadcast globally, emphasizing the severity of the situation.

The ACL plays a crucial role in stabilizing the knee by connecting the thigh bone to the shin bone, preventing the knee from moving back and forth. Following an ACL tear, patients often experience intense pain and swelling initially; however, as the swelling subsides over a few weeks, many mistakenly believe they are on the road to recovery. This misjudgment can have severe consequences, as the structural instability of the knee remains, leading to potential further injuries such as meniscus tear, cartilage damage, or early-onset arthritis when the knee is put under stress again.

Professor Lee Dong-won from the Sports Surgery and Pain Clinic of Konkuk University Hospital remarks that Vonn's case illustrates just how rapidly the knee can become compromised after an ACL injury. He emphasizes that the criteria for returning to sports should focus on actual functional ability rather than the athlete's willpower. Furthermore, while an MRI may show a complete tear, not every case requires surgery, as the imaging reveals structural issues but not functional stability. A comprehensive assessment of movement stability, muscle strength recovery, range of motion, and neuro-muscular control is essential before considering a return to athletics, particularly since some athletes classified as 'copers' might still return to sport despite not having full ACL function.

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