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✅Understanding ACL Stump Entrapment: Diagnosis and Management ✅
- ACL stump entrapment (SE) is a condition where a fragment of the torn anterior cruciate ligament (ACL) gets displaced into the intercondylar notch, potentially causing knee extension limitations or locking.
- This displacement can trigger inflammation and the accumulation of fibrous tissue, leading to discomfort and restricted movement.
- The Significance of Timely Diagnosis Promptly identifying SE is crucial for determining the optimal timing for surgical intervention.
▶️▶️ Surgical Considerations and Timing:
- Early surgical reconstruction is advisable for patients whose mechanical block caused by SE is unlikely to be resolved through physical therapy.
- Early removal of the entrapped stump facilitates better outcomes for ACL reconstruction by preventing further complications and promoting recovery.
▶️▶️ Preserving ACL Stumps:
- A Sensory Perspective Considering the proprioceptive qualities of the residual ACL stumps, preserving them as much as possible is beneficial.
- These stumps not only retain sensory functions but also may contribute to the re-innervation of the newly implanted ACL graft, helping to avoid complete sensory loss in the affected area.
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