[Epub ahead of print]. These injuries form a gap between the torn edges, and do not heal on their own. dog brace arthritis. Symptoms. ACL injuries are common among people who play sports because they make movements that can put a lot of stress on the knee, like: When your ACL is healthy, it helps to hold together the bones of your knee. [Epub ahead of print], Mun JU,Cho HR,Sung YJ,Kang KN,Lee J,Joo Y et al. For example, an ACL tear often occurs along with tears to the MCL and the shock-absorbing cartilage in the knee (meniscus). She holds a Bachelor of Science in physical therapy and Bachelor of Arts in psychology from the University at Buffalo, as well as a post-professional Doctor of Physical Therapy from Utica College. 95. Depending on the severity of your ligament injury, initial treatment may include anti-inflammatory medication and physical therapy modalities such as ultrasound and electrical stimulation to decrease pain and swelling. Eva Umoh Asomugha, MD, is a board-certified orthopedic surgeon who specializes in all conditions involving the foot and ankle region. (Tendons connect muscle to bone.) or brace to keep your hand still. If you have regional anesthesia, you probably will also get medicine that helps you relax during the procedure. Severe grade 3 sprains may require surgery, particularly if you have ongoing pain or consistently feel like your ankle is going to give out. Unlike X-rays, an MRI scan shows the soft tissues such as ligaments quite well and can sometimes confirm the presence of a torn ligament in the wrist. Your medical team may tell you to keep your knee raised on pillows, put ice on it, and wrap it in a bandage to keep it compressed. A lace-up ankle brace may help mild to moderate flatfoot. Read more: Signs of a Torn Ligament in the Ankle. Get hit very hard on the side of your knee, such as during a football tackle, Quickly stop moving and change direction while running, landing from a jump, or turning, Pain, especially when you try to put weight on the injured leg, Raising your leg above the level of the heart, Pain relievers, such as nonsteroidal anti-inflammatory drugs (such as ibuprofen), Crutches to walk until the swelling and pain get better, Physical therapy to help improve joint motion and leg strength. In: Miller MD, Thompson SR, eds. 2005 - 2022 WebMD LLC. If you are experiencing serious medical symptoms, seek emergency treatment immediately. Knee injuries. I would reccommed it to everyone. PMID: 26955296 pubmed.ncbi.nlm.nih.gov/26955296/. The ligament has been torn in half or pulled directly off the bone, and the knee joint is unstable. Your doctor will have you stay off your leg, rest your knee, and wear a brace to protect the joint. Khor YP, Tan KJ. or brace to keep your hand still. Return this item for free Tendon, Ligament and Meniscus Injuries. The first step is to place the graft at the right spot. ACL Surgery Risks. The rehabilitation phase of treatment typically begins once you are able to bear full weight on your ankle and no longer need crutches to walk. The PCL is injured and another knee ligament is damaged. A sprain occurs when a ligament is stretched or torn. This means that the knee joint may be dislocated, and blood vessels to the foot may be injured. Most ACL tears occur in the middle of the ligament, or the ligament is pulled off the thigh bone. This type of sprain typically happens when the foot turns inward as you run, turn or land on the ankle after a jump. The rehabilitation phase of treatment typically begins once you are able to bear full weight on your ankle and no longer need crutches to walk. This type of injury occurs in sports. URAC's accreditation program is an independent audit to verify that A.D.A.M. ; Neck: The neck's ligaments can be torn during whiplash injuries, as in a car accident.The hard speed-and-stop is an extreme motion that injures the cervical spine, the part of the spine in the neck. Approximately 7-10% of emergency department hospital admissions are due to ankle strains 1.The lateral ankle ligament is a complex of three different ligaments including the calcaneofibular ligament (CFL), anterior talofibular ligament The procedure takes about an hour. Your physical therapist may stretch your ankle to decrease stiffness and improve movement. This can stretch the ligaments on the outside of the near too far and may cause them to tear. This can confirm the diagnosis. Orthop J Sports Med. American Academy of Orthopaedic Surgeons: ACL injury: Does it require surgery? Anterior Cruciate Ligament (ACL) Injuries., Mayo Clinic: ACL Injury Overview, ACL Reconstruction: What You Can Expect., Emory Healthcare: ACL Reconstruction., Boston Childrens Hospital: Bridge-enhanced ACL Repair Clinical Trial Overview., Polymers in Medicine: Synthetic grafts in the treatment of ruptured anterior cruciate ligament of the knee joint., Intermountain Healthcare: Allograft Transplant., Stanford Health Care: General Surgery - Possible Complications., University of Wisconsin Health: Anesthesia for ACL Surgery.. Four main ligaments connect these two bones: Women are more likely to have an ACL tear than men. From the brand. Unlike standard ACL surgery, BEAR helps the torn ACL heal itself so it doesnt need to be replaced. Get breaking NFL Football News, our in-depth expert analysis, latest rumors and follow your favorite sports, leagues and teams with our live updates. Grade 1 sprains involve ligament stretching without obvious tearing. Then, your doctor will drill two holes, called tunnels. Theyll put one in the bone above your knee and another in the bone below it. It is not possible to brace, tape, or support the knee to completely prevent injuries. It prevents the knee from bending outward. The ACL (anterior cruciate ligament) is a band of tissue inside your knee. That will help to strengthen the muscles and ligaments. After surgery, most people are able to go home the same day. It serves as a sort of bridge that a new ligament will grow on as you heal. ; Knee instability: Treatment of a partial ACL tear is most dependent on how much knee instability is caused by the injury. See your health care provider if you think you have an ACL injury. foot splint for dogs. Nyland J, Mattocks A, Kibbe S, Kalloub A, Greene JW, Caborn DN. Range-of-motion exercises continue with added resistance from an elastic band. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Over time, the torn ends heal and become new, healthy ACL tissue. Finally, for cases in which the diagnosis is still in question, arthroscopy of the wrist joint may be used to determine whether a ligament injury is causing the continued symptoms. The innovative rear entry design allows you to slip your foot into the back of the brace. In: Prodomos CC. Your doctor will replace your torn ligament with a tissue graft. Ankle ligament tear treatment may include a combination of rest, exercise and rehabilitation. Duplication for commercial use must be authorized in writing by ADAM Health Solutions. You are also less likely to return to the same level of sports without the ACL. Gender issues in ACL injury. The brace would support the joints of the back of the foot and take tension off of the tendon. Aubrey Bailey has been writing health-related articles since 2009. An anterior cruciate ligament (ACL) tear is an injury of the knee joint, and it usually happens while playing sports. The role of the anterior talofibular ligament area as a morphological parameter of the chronicanklesprain.J Orthop Sci. Anterior cruciate ligament repair - Series, U.S. Department of Health and Human Services. Open Access J Sports Med. For more clinically relevant anatomy of the knee click here.The medial collateral ligament (MCL) is one of the four ligaments that are critical to maintaining the mechanical stability of the knee joint. the torn ends heal and become new, healthy ACL tissue. Around 90% of ankle sprains involve an inversion injury (the foot turns inward) to the anterior talofibular (ATFL) and calcaneofibular (CFL) ligaments the lateral ligaments on the outside of the ankle. It becomes a support for the ACL. Range-of-motion exercises continue with added resistance from an elastic band. Physical Therapy for Coracoclavicular Ligament Injuries, Strengthening exercises, such as calf raises, 12 Easy, Anytime Exercises to Strengthen Your Ankle, American Academy of Orthopaedic Surgeons: "Foot and Ankle Conditioning Program", Harvard Health Publishing: "Recovering From An Ankle Sprain", Martin R, McGovern R. Managing ankle ligament sprains and tears: current opinion. Philadelphia, PA: Elsevier; 2018:chap 49. This method causes less scarring of the skin than open-knee surgery does. Unstable knee after ACL tears can lead to further knee damage. Anterior cruciate ligament reconstruction (ACL reconstruction) is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after an injury. The most common ankle injuries involve lateral ligament damage and are one of the most prevalent seen by physiotherapists. Philadelphia, PA: Elsevier; 2020:chap 98. This is often referred to as a partial tear of the ligament. When the tendon is put into your knee, its known as a graft. Toni Fernndez . If youre older or less active, your doctor might recommend treatments that dont require surgery. Once the cast is removed, treatment begins at the subacute phase and progresses through the rehab and functional phases. A ligament is a strong, fibrous band of rope-like tissue that connects two or more bones at a joint. Read more: 12 Easy, Anytime Exercises to Strengthen Your Ankle. There are jumping and landing exercises that have been shown to reduce ACL injuries. In: Giangarra CE, Manske RC, eds. The Anatomic Pattern of Injuries in Acute Inversion Ankle Sprains: A Magnetic Resonance Imaging Study. 1 year later she tore the other knee. Ankle injuries most frequently affect the ligaments on the outside of the ankle. Simply adjust the 2 Velcro straps to secure the brace which eliminates time consuming lacing. As healing progresses, range-of-motion and strengthening exercises are added. Types If you strain or slightly tear your ACL, it may heal over time with your doctors help and physical therapy. You might receive physical therapy, including ultrasound and electrical stimulation, to help promote healing and exercises to improve your mobility. For athletes, it can take up to 12 months to be able to play again. The human body is a complex system comprised of bones, muscles, organs, tendons, veins, and other integral parts. They control the side-to-side motion of your knee. The knee joint is located where the end of the thigh bone (femur) meets the top of the shin bone (tibia). Her articles have appeared in ADVANCE for Physical Therapy & Rehab Medicine. The effects of wearing anAnkleStabilizing Orthosis (ASO)AnkleBrace onanklejoints kinetics and kinematics during a basketball rebounding task.Foot (Edinb). Exercises often include drawing the alphabet in the air with your toes, ankle circles, gentle stretches and possibly non-weight-bearing activities, such as riding a stationary bike 1. Planting your foot and pivoting; and wear a brace to protect the joint. It can take months for a new ACL to grow in fully. Do NOT return to play or other activities until you have been treated. 2019 May 7;40:34-38. doi: 10.1016/j.foot.2019.05.003. Symptoms of a Torn Anterior Cruciate Ligament (ACL) Medically reviewed by Adam Bernstein, MD, ScD By Jennifer Larson on May 12, 2021 Signs of an ACL tear Knee taping. Grade 3 Sprains. Bolgla LA. Sprained Ankle. The subacute phase of healing begins around day four and continues until 2 weeks after an ankle ligament injury. Six weeks after injury and beyond, treatment for ankle ligament tear treatment focuses on returning to full function. Surgery in most cases involves a small incision on the top of the foot over the region between the two bones held together by the injured ligament. Do not play sports or other activities until you have seen a provider and have been treated. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. People with posterior cruciate ligament injuries may have short- or long-term symptoms. Basketball, football, soccer, and skiing are common sports linked to ACL tears. 4th ed. American Academy of Orthopaedic Surgeons. First hand information on the Bara football first team. Campbell's Operative Orthopaedics. such as a torn meniscus, fracture to the bone around the joints, or a ligament tear and use a knee brace for support. Use a splint to keep the knee straight until you see a doctor. To use the sharing features on this page, please enable JavaScript. This is a medical emergency. A grade 3 sprain is a complete tear of a ligament, causing instability in the affected joint. Do NOT move your knee if you have had a serious injury. WebMD does not provide medical advice, diagnosis or treatment. You may have to wear a cast and use crutches for 6 to 8 weeks while the ligament heals. These injuries form a gap between the torn edges, and do not heal on their own. Those who have only a mild injury may notice that the knee feels unstable or seems to "give way" when using it. 4th ed. is also a founding member of Hi-Ethics. Right foot, 3rd degree sprain. You might begin to put some weight on your foot as you walk, if approved by your doctor. Copper Compression Shoulder Brace - Copper Infused Immobilizer & Support for Torn Rotator Cuff, AC Joint Pain Relief, Dislocation, Arm Stability, Injuries, & Tears - Adjustable Fit for Men & Women 4.0 out of 5 stars 10,225 This means they insert tiny tools and a camera through small cuts around your knee. This is often necessary to be sure the bones are appropriately together (reduced) by direct visualization. The pain was so intense that he was unable to walk for quite some time, putting him on the sidelines. This involves a series of warm up exercises and jumping drills. The custom orthotic is more costly, but it allows the doctor to better control the position the foot. The torn ligament can either be removed from the knee (most common), or preserved (where the graft is passed inside the preserved ruptured native ligament) before It causes leg pain and instability of the knee. 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It gets damaged when it stretches or tears. The medial collateral ligament is on the inside of your knee, and the lateral collateral ligament is on the outside. How Long Does it Take to Rehab From Meniscus Surgery? EXOUS BODYGEAR Knee Brace Support For Knee Pain 4-Way Adjustable Wrap Around Compression Patellar - Side Stabilizing For Meniscus Tear LCL, MCL, ACL Arthritis ligament injury Size guide [Medium] 4.3 out of 5 stars 2,713 [Epub ahead of print] You may have to wear a cast and use crutches for 6 to 8 weeks while the ligament heals. Your doctor may recommend crutches, a supportive boot, elastic bandage and/or a splint to protect your ankle from further injury. Read more: Signs of a Torn Ligament in the Ankle. This ligament may be injured after a sudden movement or repeated bending and lifting. Strengthening exercises, such as calf raises, towel toe scrunches and toe marble pick-up, may be performed. Brotzman SB. Copyright 1997-2022, A.D.A.M., Inc. Severe tears may require surgery. There may be a little swelling or a lot of Theyll place screws in the tunnels to hold the graft in place. Anterior cruciate ligament (ACL) is in the middle of the knee. Doctors are also involved in research to see if a new type of ACL surgery is better than the standard care. It may also show other knee injuries. Next page. Severe grade 3 sprains may require surgery, particularly if you have ongoing pain or consistently feel like your ankle is going to give out. That brace was the best money spent i felt without surgery. Updated by: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. (ASO) Ankle Brace on ankle joints kinetics and kinematics during a basketball rebounding task.Foot (Edinb). Ankle sprains are categorized and treated based on the severity of the ligament injury. Its called bridge-enhanced ACL repair (BEAR). If it gets damaged, you may have trouble putting pressure on your knee, walking, or playing sports. Kalawadia JV, Guenther D, Irarrazaval S, Fu FH. Dr. Bailey is also a certified hand therapist. Your doctor may recommend medication to help with pain, including: As your ACL begins to heal, your doctor should send you for progressive physical therapy. In general, surgery may cause: With ACL surgery in particular, the risks include: Before you leave the hospital, youll learn how to change the dressing on your wound. 5th ed. These are found inside your knee joint. Buy EzyFit Knee Brace Support For Arthritis, ACL, LCL, MCL, Sports Exercise, Leg & Foot Supports Knee Braces $21.95 $ 21. However, most people complain that their knee is unstable and may "give out" with physical activity. A hinged knee brace has solid metal supports down the sides to give extra support to protect the ligaments. DeLee, Drez, & Miller's Orthopaedic Sports Medicine. If you're living with knee pain, try these. The fibers of the ligament are completely torn (ruptured); the ligament itself is torn completely into two parts. In: Giangarra CE, Manske RC, eds. News on Piqu, Ansu Fati, Pedri and all your favourite players. This ankle support brace is made of latex-free neoprene, and is designed for easy application and adjustment. It has not been shown to reduce the number of knee injuries, but not specifically ACL injuries. A.D.A.M. Some college sports programs teach athletes how to reduce stress placed on the ACL. This ensures that the bone heals correctly. A tear may be partial or complete. A ligament is a tough band of tissue that connects one bone to another bone or holds organs in place. Grade III. A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). Posterior cruciate ligament (PCL) works with the ACL. 2019 May 7;40:34-38. doi: 10.1016/j.foot.2019.05.003. Early treatment can prevent long-term issues with loss of motion and chronic weakness that can develop after this injury. A sprain occurs when a ligament is stretched or torn. These structures hold bones together throughout your body. Buy Physix Gear Sport Knee Support Brace - Best No-Slip Knee Braces for Knee Pain Women & Men, Compression Knee Sleeves for Running Workout Walking Hiking Sports Arthritis ACL Torn Meniscus: Knee Braces - Amazon.com FREE DELIVERY possible on The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. An Iliolumbar ligament sprain is an injury to the Iliolumbar ligament between the pelvis and the 5th lumbar vertebrae. Your healthcare provider will assess this This site complies with the HONcode standard for trustworthy health information: verify here. Anterior cruciate ligament injuries. A tear may be partial or complete. is among the first to achieve this important distinction for online health information and services. Cruciate ligaments. mozzie pants for dogs. It also helps to keep your knee stable. URL of this page: //medlineplus.gov/ency/article/001074.htm. You may have general anesthesia, which puts you to sleep through the surgery, or you may have regional anesthesia, when your doctor puts medicine in your back so you wont feel anything in your legs for a few hours. A custom-molded leather brace is needed in severe flatfoot that is stiff or arthritic. Get NCAA football news, scores, stats, standings & more for your favorite teams and players -- plus watch highlights and live games! It prevents the knee from bending inward. This graft is most often taken from another part of your body, or from another human donor (cadaver). Thumb: The ulnar collateral ligament can be torn when skiing (the injury is often called skier's thumb) or in a fall when the thumb is bent in an extreme position. When your doctor removes your torn ACL, they put a tendon in its place. It prevents the shin bone from sliding backward under the femur. Lateral collateral ligament tears do not heal as well as medial collateral ligament tears do. You might begin to put some weight on your foot as you walk, if approved by your doctor. If you've ever sprained your ankle, it's likely you have experience with ligament injury 2. Your physical therapist may stretch your ankle to decrease stiffness and improve movement. Lateral collateral ligament (LCL) runs along the outside of the knee. 's editorial policy editorial process and privacy policy. All rights reserved. Editorial team. Password requirements: 6 to 30 characters long; ASCII characters only (characters found on a standard US keyboard); must contain at least 4 different symbols; Balance training activities, such as standing on an uneven surface and standing only on your injured leg, are also included in treatment. 2016;7:21-32. An MCL tear is damage to the medial collateral ligament, which is a major ligament thats located on the inner side of your knee. It prevents the shin bone from sliding out in front of the thigh bone. NEENCA Professional Knee Brace, Compression Knee Sleeve with Patella Gel Pad & Side Stabilizers, Knee Support Bandage for Pain Relief, Medical Knee Pad for Running, Workout, Arthritis, Joint Recovery Best Seller in Wheelchair & Mobility Scooter Foot & Leg Rests. Call 911 for all medical emergencies. 14th ed. ACL surgery is a procedure that doctors use to replace a torn ligament in your knee. Miller RH, Azar FM. 2016;7:33-42. doi:10.2147/oajsm.s72334. The goal is to get your knee stable again and give it the full range of motion it had before you got hurt. Infact I did. One day after injury. After that, you should be back to doing the things you like to do within about 9 months. A Lisfranc ligament tear is an example of this type of injury. Theres a partial tear and the ligament feels loose. Philadelphia, PA: Elsevier; 2021:chap 45. But if its completely torn, you may need to have it replaced -- especially if youre young and active or an athlete who wants to keep playing sports. She is based in northern Virginia. There is tenderness, but limited pain, especially when compared to the seriousness of the injury. PAIN RELIEF: reduces pain caused by cruciate ligament injuries, osteoarthritis and kneecap problems by increasing the joint's temperature helping to reduce the inflammation. An anterior cruciate ligament injury is the over-stretching or tearing of the anterior cruciate ligament (ACL) in the knee. 2nd ed. As with any type of surgery, there are risks with ACL surgery. 2013;1(7):2325967113517078. doi:10.1177/2325967113517078, Dewar RA,Arnold GP,Wang W,Drew TS,Abboud RJ. A Grade 2 sprain stretches the ligament to the point where it becomes loose. During this phase, range-of-motion exercises begin to decrease ankle stiffness caused by swelling. Iliolumbar ligament sprain. In these situations, your torn ankle ligaments may be reattached with screws. His doctor performed surgery on his knee and put him in a competitors knee brace, but eventually switched the brace out for a Breg T Scope Premier Post-Op Knee Brace after complaints of the competitors brace being too uncomfortable. follows rigorous standards of quality and accountability. Philadelphia, PA: Elsevier; 2018:chap 1. The goal of this phase is to regain movement, strength and function in your ankle. Right foot, housed in an air brace, has become swollen as a result of a more severe 2nd degree sprain to the ankle. Physical exam: A physical exam can help assess the extent of your injury. Get immediate medical attention if the foot is cool and blue after a knee injury. 2019 May 16. pii: S0949-2658(19)30129-0. doi: 10.1016/j.jos.2019.05.001. Youll probably have to use crutches to keep the pressure off your knee. The foot is tricky, and patients frequently injure more than just a bone or a ligament when they sustain a foot or ankle injury. Use proper techniques when playing sports or exercising. A grade 2 ankle sprain describes a partial ligament tear, and grade 3 sprains involve complete tearing of one or more ankle ligaments. They then inject the sponge with your own blood and stitch the loose, torn ends of the ACL into the sponge. All on FoxSports.com. Rebuilding the ligament. Grade IV. ; The less common medial ankle sprain is caused by an eversion injury (the foot turns out) to the deltoid ligament on the inside of the ankle. Clinical Orthopaedic Rehabilitation: A Team Approach. The use of knee braces during vigorous athletic activity (such as football) is controversial. Updated February 2016. Learn more about A.D.A.M. ACL injuries often occur with other injuries. Anterior cruciate ligament injuries. This will often include a Lachman test, which places stress on the ACL, and a pivot-shift test, which is a subjective test of the knee. Surgery is sometimes needed for severe ankle sprains. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. The anterior cruciate ligament (ACL) is one of a pair of cruciate ligaments (the other being the posterior cruciate ligament) in the human knee.The two ligaments are also called "cruciform" ligaments, as they are arranged in a crossed formation. Braces. In the quadruped stifle joint (analogous to the knee), based on its anatomical position, it is also referred to as the cranial cruciate ligament. In: Azar FM, Beaty JH, eds. ACL tears are often seen in high-profile athletes such as football player Tom Brady, golfer Tiger Woods, and soccer player Frankie Hejduk. This ensures that the bone heals correctly. This type of sprain is most commonly referred to as a complete tear of the ligament. Philadelphia, PA: Elsevier; 2018:chap 47. Clinical Orthopaedic Rehabilitation: A Team Approach. The ligament is completely torn and the knee is unstable. Copyright 2022 Leaf Group Ltd., all rights reserved. A.D.A.M. Tears to the lateral collateral ligament most often occur from a direct blow to the inside of the knee. Some people can live and function normally with a torn ACL. A sprain happens when a ligament is stretched or torn. Bruising may occur around the ankle. The ligamentous sleeve spans the entire medial side of the knee from the medial aspect of the Cheung EC, McAllister DR, Petrigliano FA. Bought attachments for the other knee. Functional activities might also include sports and recreational activities, jumping and running. Six weeks after injury and beyond, treatment for ankle ligament tear treatment focuses on returning to full function. The medial collateral ligament is a big ligament on the medial side of the knee. Cruciate ligament injury - anterior; ACL tear; Knee injury - anterior cruciate ligament (ACL). Your provider may send you for an MRI of the knee. Anatomy and biomechanics of the anterior cruciate ligament. // Leaf Group Lifestyle. Three types of grafts can be used with ACL surgery: Doctors typically use arthroscopic surgery on your ACL. The subacute phase of healing begins around day four and continues until 2 weeks after an ankle ligament injury. One of the essential parts of the makeup of the foot is the Achilles tendon. Contact your provider right away if you have a serious knee injury. Get Fast, Free Shipping with Amazon Prime FREE Returns . Because sewing the ligament ends back together does not usually heal, a torn posterior cruciate ligament is typically reconstructed, or rebuilt. Doctors insert a special tiny sponge into your knee between the torn ends of the ACL. Anterior cruciate ligament reconstruction, rehabilitation, and return to play: 2015 update. Open Access J Sports Med. Medial collateral ligament (MCL) runs along the inside of the knee. The tear can be partial (some fibers in the ligament are torn) or complete (the ligament is torn into two pieces). Healed completely without surgery. Seek medical attention if you sprain your ankle, even if you think it's just a minor injury. ; Sprains can range from tiny tears in the An anterior cruciate ligament injury is the over-stretching or tearing of the anterior cruciate ligament (ACL) in the knee. She is now 6. 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