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ACL (anterior cruciate ligament) injuries

ACL (Anterior Cruciate Ligament) Injuries | Omar Saleem, MD, MsPT

Dr. Omar Saleem is an expert in treating ACL injuries, which are common among athletes and individuals involved in high-intensity sports like soccer, basketball, and skiing. The anterior cruciate ligament (ACL) is one of the key ligaments stabilizing the knee, and its injury can result in pain, swelling, instability, and loss of function in the knee joint.

Dr. Omar Saleem is a skilled orthopedic surgeon specializing in the treatment of fractures, including stress fractures, offering both non-surgical and surgical care tailored to the specific needs of each patient. His expertise ranges from simple fractures to complex breaks, ensuring that every patient receives precise, effective treatment for optimal healing and recovery.

Comprehensive Diagnosis and Evaluation

Dr. Saleem begins with a thorough evaluation of each fracture, utilizing advanced diagnostic imaging techniques such as X-rays, MRIs, or CT scans to assess the type, severity, and location of the break. For stress fractures, which often develop over time due to overuse, Dr. Saleem’s expertise ensures early detection and prevention of further complications.

Diagnosis

Dr. Saleem follows a comprehensive diagnostic approach for ACL injuries, including:

  • Patient History: Discussing how the injury occurred, typically involving a sudden stop, twist, or pivot, and evaluating symptoms such as knee instability and difficulty walking.
  • Physical Examination: Performing tests like the Lachman test and pivot shift test to assess the integrity of the ACL.
  • Imaging: MRI is often used to confirm the diagnosis and evaluate the extent of the injury, as well as any associated damage to the knee’s other ligaments or cartilage.

Treatment Options

Treatment for ACL injuries varies depending on the severity of the injury, the patient’s activity level, and their personal goals:

  • Non-Surgical Management: In cases where the patient has a partial tear or a lower activity level, Dr. Saleem may recommend:

    • Rest, Ice, and Anti-Inflammatory Medications: To reduce pain and swelling.
    • Bracing: Providing knee support to improve stability during recovery.
    • Physical Therapy: A structured rehabilitation program to strengthen the muscles around the knee, improve range of motion, and enhance stability.

  • Surgical Treatment: For more severe injuries or when patients wish to return to high-impact sports, Dr. Saleem may perform:

    • ACL Reconstruction Surgery: Replacing the torn ligament with a graft (from the patient’s own tissue or a donor), typically using minimally invasive arthroscopic techniques to promote faster recovery.
    • Post-Surgical Rehabilitation: Following surgery, a detailed rehabilitation plan is designed to restore knee strength, stability, and function.

Rehabilitation and Prevention

Dr. Saleem emphasizes the importance of a tailored rehabilitation program post-surgery or injury:

  • Progressive Rehabilitation Programs: Focusing on gradually increasing the intensity of exercises to restore the knee’s full strength and range of motion.
  • Preventive Measures: Educating patients on proper movement techniques, warm-up routines, and exercises to prevent future ACL injuries, especially for athletes.