{"id":1565,"date":"2024-09-18T09:01:32","date_gmt":"2024-09-18T09:01:32","guid":{"rendered":"https:\/\/cirurgiadojoelho.pt\/anterior-cruciate-ligament\/"},"modified":"2025-06-18T12:07:19","modified_gmt":"2025-06-18T12:07:19","slug":"anterior-cruciate-ligament","status":"publish","type":"page","link":"https:\/\/cirurgiadojoelho.pt\/en\/pathologies\/anterior-cruciate-ligament\/","title":{"rendered":"Anterior Cruciate Ligament (ACL)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1565\" class=\"elementor elementor-1565 elementor-1008\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-876186b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"876186b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-65cf730\" data-id=\"65cf730\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-944056e elementor-widget elementor-widget-heading\" data-id=\"944056e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Anterior Cruciate Ligament Injury<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2799e779 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2799e779\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-102abd9c\" data-id=\"102abd9c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6eeb6513 elementor-widget elementor-widget-heading\" data-id=\"6eeb6513\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">What is the Anterior Cruciate Ligament (ACL)?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-93df63a elementor-widget elementor-widget-text-editor\" data-id=\"93df63a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The ACL limits abnormal movement of the tibia over the femur and plays a vital role in rotational stability of the knee.  <span style=\"letter-spacing: 0.3px;\">Injury to this ligament commonly causes a sensation of instability or the knee feeling \u201cout of place\u201d.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d08568 elementor-widget elementor-widget-heading\" data-id=\"4d08568\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">What causes an ACL injury?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36ac021 elementor-widget elementor-widget-text-editor\" data-id=\"36ac021\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>What causes an Anterior Cruciate Ligament injury is usually a <span style=\"letter-spacing: 0.3px;\">twisting\/rotating mechanism without contact with other players. <\/span><span style=\"letter-spacing: 0.3px;\">The most common are movements of rotation or change of direction with the foot <\/span><span style=\"letter-spacing: 0.3px;\">fixed on the ground, very common in soccer or handball, but also in skiing <\/span><span style=\"letter-spacing: 0.3px;\">, basketball, rugby, among others.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71f77e1 elementor-widget elementor-widget-heading\" data-id=\"71f77e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Do I have an ACL injury? What should I do now? <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d70afe elementor-widget elementor-widget-text-editor\" data-id=\"2d70afe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Immediately after a knee sprain with an ACL injury, there is <span style=\"letter-spacing: 0.3px;\">usually a sharp pain sensation and difficulty moving the <\/span> knee.  <span style=\"letter-spacing: 0.3px;\">knee joint for a few days or weeks. Generally   <\/span><span style=\"letter-spacing: 0.3px;\">is accompanied by significant joint effusion (fluid inside the knee). In   <\/span><span style=\"letter-spacing: 0.3px;\">However, the symptoms are quite variable, especially in more  <\/span><span style=\"letter-spacing: 0.3px;\">prolonged over time. Diagnosis is based on clinical examination by   <\/span><span style=\"letter-spacing: 0.3px;\">specialist in the area and imaging tests such as Magnetic Resonance Imaging.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-89d0884 elementor-widget elementor-widget-heading\" data-id=\"89d0884\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Do all ACL injuries require surgery?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c25e0b5 elementor-widget elementor-widget-text-editor\" data-id=\"c25e0b5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The most common treatment after an Anterior Cruciate Ligament injury is the  <span style=\"letter-spacing: 0.3px;\">surgical reconstruction, called ligamentoplasty. However, not all   <\/span><span style=\"letter-spacing: 0.3px;\">patients need surgical treatment, depending on their age, level of physical activity <\/span><span style=\"letter-spacing: 0.3px;\">level of physical activity, associated injuries (particularly to the menisci) and <\/span> <span style=\"letter-spacing: 0.3px;\">of each person&#8217;s own symptoms. Our team advocates   <\/span><span style=\"letter-spacing: 0.3px;\">individualized approach, based on the characteristics and motivations of each <\/span><span style=\"letter-spacing: 0.3px;\">patient.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fbccb5 elementor-widget elementor-widget-heading\" data-id=\"3fbccb5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">What does surgery for an ACL rupture consist of?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb5f0c8 elementor-widget elementor-widget-text-editor\" data-id=\"bb5f0c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Surgical treatment consists of the removal of a tendon and placement of the&nbsp;<span style=\"letter-spacing: 0.3px;\">even to reconstruct the injured ligament. There are several options &nbsp;<\/span><span style=\"letter-spacing: 0.3px;\">can be used in ligamentoplasty: hamstring (or \u201cpaw\u201d) tendons.&nbsp;<\/span><span style=\"letter-spacing: 0.3px;\">goose&#8221;); rotator\/patellar tendon (generally referred to as bone-tendon-bone);&nbsp;<\/span><span style=\"letter-spacing: 0.3px;\">quadriceps tendon.&nbsp;<\/span><span style=\"letter-spacing: 0.3px;\">This procedure is carried out by arthroscopy, which consists of performing&nbsp;<\/span><span style=\"letter-spacing: 0.3px;\">\u201choles\u201d to access the inside of the knee and view it through a camera.&nbsp;<\/span><span style=\"letter-spacing: 0.3px;\">However, removing the tendon (harvesting the graft) requires&nbsp;<\/span><span style=\"letter-spacing: 0.3px;\">necessarily a slightly wider scar, depending on the&nbsp;<\/span><span style=\"letter-spacing: 0.3px;\">choice.&nbsp;<\/span><span style=\"letter-spacing: 0.3px;\">Our treatment philosophy consists of understanding the needs of each individual.&nbsp;<\/span><span style=\"letter-spacing: 0.3px;\">patient, in particular their level of physical activity, their&nbsp;<\/span><span style=\"letter-spacing: 0.3px;\">professional, the type of sport practiced, among others. The choice of graft &nbsp;<\/span><span style=\"letter-spacing: 0.3px;\">to be used is personalized and according to what best suits each <\/span><span style=\"letter-spacing: 0.3px;\">situation.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e329ba elementor-widget elementor-widget-heading\" data-id=\"2e329ba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Will I be able to play sport again after ACL surgery?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eb867e8 elementor-widget elementor-widget-text-editor\" data-id=\"eb867e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Our treatment goal is to get the patient back to practicing sport  <span style=\"letter-spacing: 0.3px;\">usual. However, this return to high-intensity sports practice   <\/span><span style=\"letter-spacing: 0.3px;\">takes around 9 months, depending on progress. In addition, it can   <\/span><span style=\"letter-spacing: 0.3px;\">be conditioned by associated lesions (in the cartilage, for example). In these   <\/span><span style=\"letter-spacing: 0.3px;\">situations an adaptation of sports practice may be a necessity.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-5f9f2fc7\" data-id=\"5f9f2fc7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1d4a8295 elementor-widget elementor-widget-image\" data-id=\"1d4a8295\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/cirurgiadojoelho.pt\/wp-content\/uploads\/2024\/10\/man-have-a-problem-with-knee-while-running-2023-11-27-05-21-44-utc-1024x683.jpg\" class=\"attachment-large size-large wp-image-1502\" alt=\"\" srcset=\"https:\/\/cirurgiadojoelho.pt\/wp-content\/uploads\/2024\/10\/man-have-a-problem-with-knee-while-running-2023-11-27-05-21-44-utc-1024x683.jpg 1024w, https:\/\/cirurgiadojoelho.pt\/wp-content\/uploads\/2024\/10\/man-have-a-problem-with-knee-while-running-2023-11-27-05-21-44-utc-1536x1024.jpg 1536w, https:\/\/cirurgiadojoelho.pt\/wp-content\/uploads\/2024\/10\/man-have-a-problem-with-knee-while-running-2023-11-27-05-21-44-utc-2048x1365.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-819e71d elementor-widget elementor-widget-text-editor\" data-id=\"819e71d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Ask us all your questions about Anterior Cruciate Ligament Injury!<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b7f3de0 elementor-widget__width-auto elementor-mobile-align-justify elementor-widget-mobile__width-inherit elementor-widget elementor-widget-button\" data-id=\"b7f3de0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/cirurgiadojoelho.pt\/en\/contact\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Contact us &gt;<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3b2cff1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3b2cff1\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-86a9043\" data-id=\"86a9043\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9c9a786 elementor-widget elementor-widget-heading\" data-id=\"9c9a786\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Learn about other knee pathologies<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5553ae elementor-align-center elementor-mobile-align-justify elementor-widget elementor-widget-button\" data-id=\"c5553ae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/cirurgiadojoelho.pt\/patologias\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">see all<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Anterior Cruciate Ligament Injury What is the Anterior Cruciate Ligament (ACL)? The ACL limits abnormal movement of the tibia over the femur and plays a vital role in rotational stability of the knee. Injury to this ligament commonly causes a sensation of instability or the knee feeling \u201cout of place\u201d. What causes an ACL injury? [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1571,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-1565","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cirurgiadojoelho.pt\/en\/wp-json\/wp\/v2\/pages\/1565","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cirurgiadojoelho.pt\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cirurgiadojoelho.pt\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cirurgiadojoelho.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cirurgiadojoelho.pt\/en\/wp-json\/wp\/v2\/comments?post=1565"}],"version-history":[{"count":5,"href":"https:\/\/cirurgiadojoelho.pt\/en\/wp-json\/wp\/v2\/pages\/1565\/revisions"}],"predecessor-version":[{"id":1641,"href":"https:\/\/cirurgiadojoelho.pt\/en\/wp-json\/wp\/v2\/pages\/1565\/revisions\/1641"}],"up":[{"embeddable":true,"href":"https:\/\/cirurgiadojoelho.pt\/en\/wp-json\/wp\/v2\/pages\/1571"}],"wp:attachment":[{"href":"https:\/\/cirurgiadojoelho.pt\/en\/wp-json\/wp\/v2\/media?parent=1565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}