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Every year, the number of anterior cruciate ligament ruptures increases considerably. The present analysis compares patients’ subjective sensations after the ACL injury to an objective arthrometric examination. The subjective evaluation of the knee-joint condition was performed using the Lysholm score scale and IKDC 2000 scale, whereas the objective evaluation was performed using a GNRB device to obtain an arthrometric measurement. Both measurement methods were performed before ACL reconstruction and after the rehabilitation process of ±11.5 months. The following research was conducted on a group of 8 patients who underwent anterior cruciate ligament reconstruction. Statistical analysis did not reveal any significant differences between the arthrometric examination and the subjective score scales. The test indicated the significant differences between the score scales questionnaires completed before and after the surgery. The conclusions that can be drawn from the present analysis show us the importance of using subjective evaluation devices. Despite the lack of significance in the examination performed with the objective device, the self-evaluation of kneejoint efficiency made by the patient indicated a significant improvement.
Background: Fractures of the proximal epiphysis of the tibia constitute one of the more frequently occurring types of sports injuries, and at the moment constitute about 1% of all reported bone fractures. They appear mainly as a result of traffic accidents, falls from heights, as well as being observed in groups of physically active people whose disciplines involve high-impact landings. From time to time, improperly executed movements or steps without falling result in injury. Case Report: We present a case study of a 21-year-old male football player with fracture of the lateral tibia condyle with indentation of articular surface. The patient came to the clinic with increasing pain in the knee joint, resulting from torsional injury which occurred the same day. Conclusions: A quick and accurate diagnosis as well as treatment of fractures of the lateral tibia which includes surgery, rehabilitation and supportive orthobiology, minimize the risk of chronic symptoms of the injury such as limited range of motion and subsequent osteoarthritis.
The term “proprioception” is defined as the conduction of sensory information deriving from proprioceptors that have an impact on conscious sensations, posture and trans-segmental sense. An ACL injury may lead to functional knee joint instability. According to research, this may result in impaired movement sensation and joint position. The purpose of this study was to evaluate the joint position sense (JPS) in patients before arthroscopic ACL reconstruction and 5 months after the surgery. The examinations were conducted in a group of twelve specifically selected male patients. The examination procedure consisted of JPS measurement in both lower limbs (the operated and the healthy one) during active extension in a range of angles: 30, 45, 60°. The level of significance was: p < 0.05. The analysis of variance performed for repeated measurements (ANOVA) did not indicate any statistically significant differences of JPS in comparisons made between the operated and the healthy limb. Statistical values for the absolute, relative, and variable errors were p = 0.7684, p = 0.1546, p = 0.5694 respectively. The obtained results do not indicate any limitation of proprioception in patients with ACL injury before the intervention or half a year later.
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