Its Anatom-knee
LETs talk about history
The examination of your life
Choo-choo-choosing a graft
Athletes without ACLS
100
What bones are on either side of the ACL.
Tibia and Femur
100
Who did the first LET procedure in North America?
MacIntosh (who also described the pivot shift)
Modification of the Lemaire technique
100
Describe the grading system for ACL tears
1,2,3 for amount of laxity
A-solid end point
B-soft end point
100
This is the most common graft used in the US, 2020-2022
Hamstring autograft
100
This wide receiver tore his ACL and returned in the same season.
JERRY RICE
200
Draw the posterolateral corner
Get up and draw....
200
During what World War was the first ACL done?
1917
200
This is the angle that is the most accurate to test the ACL/Lachman test?
30 degrees
200
This graft was popularized in the 1970s and 1980's for ACLs and jackets.
Goretex
200
This athlete tore his ACL in high school, played college QB at stanford, and won super bowls while a mile high.
John Elway
300
These are the two bundles of the ACL--what are they and what do they do?
300
This person described the standard test for ACL laxity
Torg described the Lachman test and named it after his chair at Temple.
300
This test is the best to evaluate rotational instability
Pivot shift
300
This autograft has a higher rate of radiographic arthritis
Patella tendon autograft
300
This famous athlete popularized ACL tears and sleeping in snuggies
Tom Brady
400
What is the nerve supply to the ACL
the tibial nerve
400
Volker Mushal and colleagues at Pitt described using the LET to decrease internal rotation for what type of 'knee deficiency'?
What is partial meniscus deficiency.
The Effect of Lateral Extra-articular Tenodesis in an ACL-Reconstructed Knee With Partial Medial Meniscectomy: A Biomechanical Study
OJSM 2023.
400
You did an ACL, and you find that you are too vertical. What is your exam potentially going to feel like?
Horrible. Well at least you'll feel some potential rotational instability of the knee and a pivot shift
400
According to the STABILITY trial, addition of the LET graft lowered the reinjury rate to what primary graft?
Single bundle hamstring semi T
400
This athlete tore his ACL, then his achilles
Klay Thompson
500
In what bundle does the isometric point lie on the femoral attachment?
In the anteromedial bundle
500
In what year and country was the first arthroscopic ACL done?
1980, England.
500
Describe what happens with an accurate pivot shift
The tibia starts in a subluxed position, then is reduced with the IT band going from flexion to extension.
500
In the MARS Revision ACL trial, what type of graft was responsible for a 3-fold increase in re-rupture rates?
Allograft has a 3 fold increase over autograft
500
This famous 'Joe' played QB his entire career without an ACL, and also won Super Bowl III.
Joe Namath