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Sports Injuries and Others

ACL and Collateral Tears

OVERVIEW

The anterior cruciate ligament (ACL) is a crucial ligament in the knee that stabilises and controls the forward motion of the shin bone. Collateral ligaments, including the medial collateral ligament (MCL) and lateral collateral ligament (LCL), are responsible for stabilising the inner and outer aspects of the knee joint. Tears in these ligaments can result from trauma, sports injuries, or degeneration over time.

Types of ACL and collateral tears:

  1. ACL Tears: These are commonly classified into three grades – Grade I involves a mild stretch, Grade II is a partial tear, and Grade III signifies a complete tear. The severity determines the course of treatment.
  2. MCL Tears: The MCL is frequently injured due to a direct impact on the outer knee. Grades I and II are often managed conservatively, while Grade III may require surgical intervention.
  3. LCL Tears: Injuries to the LCL typically result from direct impact on the inner knee. Treatment varies based on the severity of the tear.

Causes of ACL and collateral tears:

  1. Sports injuries: High-impact sports, such as football, soccer, and basketball, can subject the knee to significant stress, leading to ligament tears.
  2. Trauma: Accidents, falls, or direct blows to the knee can cause ligament damage.
  3. Degeneration: Over time, wear and tear can weaken ligaments, making them more susceptible to tears.

 

SYMPTOMS
  • Pain and swelling: Immediate pain and swelling are common symptoms following an injury.
  • Instability: Patients may experience a feeling of the knee "giving way" or being unable to support body weight.
  • Limited range of motion: Reduced flexibility and difficulty in fully extending or bending the knee.
TREATMENT
  • Conservative treatment: Depending on the severity, mild to moderate tears may be treated conservatively with rest, physiotherapy, and bracing to allow natural healing.
  • Surgery: Severe tears, especially in the ACL, often require surgical intervention. Dr du Plessis employs state-of-the-art techniques such as arthroscopy for minimally invasive procedures, promoting quicker recovery.
  • Rehabilitation: Post-surgery, a tailored rehabilitation program is crucial for restoring strength, flexibility, and functionality.

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    PUBLICATIONS

    Assessment of the Reliability and Reproducibility of the Langenskiöld
    Classification in Blount’s Disease

    DU PLESSIS J, Firth GB, Robertson A. Assessment of the reliability and reproducibility of the Langenskiöld classification in Blount's disease. Journal of Pediatric orthopedics. Part B. 2019 Nov 12.

     

    The Impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg

    Foster M, Du Plessis J, Jansen van Vuuren M, Jingo M, Pietrzak JR. The impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg. SA Orthopaedic Journal. 2022;21(2):70-5.

    Short term results following two stage revision for periprosthetic joint infection

    DU PLESSIS, J et al. Short-term results following two-stage revision for periprosthetic joint infection. South African Orthopaedic Journal, [S.l.], v. 19, n. 2, p. 64-69, may 2020

     

    Comparison of visual estimations of distal radius fracture radiographic parameters between different levels of orthopaedic doctors.

    Naidoo V, Milner B, du Plessis J. SA Orthop J. 2025;24(1):26-31. http://dx.doi.org/10.17159/2309-8309/2025/v24n1a4