Management of 43 yo female with an acute ACL tear | Figure 1
Management of 43 yo female with an acute ACL tear
43 yo female with a complete ACL tear confirmed on MRI and exam after jumping over an object. Patient prefers non-surgical management. Sports orthopedist recommends ACL repair. Patient 3 weeks s/p injury and enrolled in PT with mild pain on ambulation.
Normal BMI, an avid dog walker, no other sports.
Main concern is for any potential long-term complications if left unrepaired. Willing to continue with PT. Rarely requiring NSAIDs for pain control.
How would you advise the patient?
Report: Femorotibial contusions with subchondral fracture in internal femoral condyle and posterolateral aspect of the tibia and cortical tear in medial femoral condyle. Tearing of the ACL and posterior horn of both menisci.