Bess denies reports of partially torn ACL in addition to sprained MCL in Finale | FinHeaven - Miami Dolphins Forums

Bess denies reports of partially torn ACL in addition to sprained MCL in Finale

As long as he followed doctor's orders after the injury he'll be fine. ACL has good blood supply and will heal with proper conservative care if he just had partial tear.
 
cuban_refugee said:
As long as he followed doctor's orders after the injury he'll be fine. ACL has good blood supply and will heal with proper conservative care if he just had partial tear.
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I don't think that's accurate. A torn ACL isn't the sort of tissue that will heal. Now, it may not be torn enough to be a real problem, but if the joint is loose it will constantly be a problem until surgically repaired.

From orthoinfo.com

Nonsurgical Treatment​
In nonsurgical treatment, progressive physical therapy and rehabilitation can restore the knee to a condition close to its pre-injury state and educate the patient on how to prevent instability.37, 38 This may be supplemented with the use of a hinged knee brace. However, many people who choose not to have surgery may experience secondary injury to the knee due to repetitive instability episodes.
Surgical treatment is usually advised in dealing with combined injuries (ACL tears in combination with other injuries in the knee). However, deciding against surgery is reasonable for select patients. Nonsurgical management of isolated ACL tears is likely to be successful or may be indicated in patients:

  • With partial tears and no instability symptoms39
  • With complete tears and no symptoms of knee instability during low-demand sports who are willing to give up high-demand sports
  • Who do light manual work or live sedentary lifestyles
  • Whose growth plates are still open (children)
 
The ACL, half torn or not, is a pretty serious injury. It is most responsible for knee stability. The blood supplied to the ligament is by the middle genicular artery. The bony attachments do not provide a significant source of blood to distal or proximal ligaments. The ACL, while one of the most supplied with blood in the knee, is not easy to heal and takes a lot of time. I hope he has rehabbed correctly, but don't expect him to be 100% come preseason or season opener. This is worrisome. Given that Bess is a great route runner, which requires precision in his breaks and cuts, this is going to be a detriment to him. Let's hope he is a quick healer.
 
Mudder1310 said:
I don't think that's accurate. A torn ACL isn't the sort of tissue that will heal. Now, it may not be torn enough to be a real problem, but if the joint is loose it will constantly be a problem until surgically repaired.

From orthoinfo.com

Nonsurgical Treatment​
In nonsurgical treatment, progressive physical therapy and rehabilitation can restore the knee to a condition close to its pre-injury state and educate the patient on how to prevent instability.37, 38 This may be supplemented with the use of a hinged knee brace. However, many people who choose not to have surgery may experience secondary injury to the knee due to repetitive instability episodes.
Surgical treatment is usually advised in dealing with combined injuries (ACL tears in combination with other injuries in the knee). However, deciding against surgery is reasonable for select patients. Nonsurgical management of isolated ACL tears is likely to be successful or may be indicated in patients:

  • With partial tears and no instability symptoms39
  • With complete tears and no symptoms of knee instability during low-demand sports who are willing to give up high-demand sports
  • Who do light manual work or live sedentary lifestyles
  • Whose growth plates are still open (children)
Click to expand...

Get whatever info you want from the web.....the only reason the tib-femoral joint would be loose (and thus causing excessive anterior translation of the tibia on the femur) would be if the ACL is not doing its job (or intact). A partial tear will usually respond well to conservative care including rest and rehabilitation. Now, if there is a more serious MCL injury or meniscus impairment you have to take that into account as well....but I'm soley focusing on a partial tear of the ACL......it doesn't matter what portion, whether it's the anterior bundle or posterior bundle of an ACL.....there is good blood supply and the ligament, still being intact, has a very good ability of restoring conservatively (and, thus, no instability).
 
Mudder1310 said:
I don't think that's accurate. A torn ACL isn't the sort of tissue that will heal. Now, it may not be torn enough to be a real problem, but if the joint is loose it will constantly be a problem until surgically repaired.

From orthoinfo.com

Nonsurgical Treatment​
In nonsurgical treatment, progressive physical therapy and rehabilitation can restore the knee to a condition close to its pre-injury state and educate the patient on how to prevent instability.37, 38 This may be supplemented with the use of a hinged knee brace. However, many people who choose not to have surgery may experience secondary injury to the knee due to repetitive instability episodes.
Surgical treatment is usually advised in dealing with combined injuries (ACL tears in combination with other injuries in the knee). However, deciding against surgery is reasonable for select patients. Nonsurgical management of isolated ACL tears is likely to be successful or may be indicated in patients:

  • With partial tears and no instability symptoms39
  • With complete tears and no symptoms of knee instability during low-demand sports who are willing to give up high-demand sports
  • Who do light manual work or live sedentary lifestyles
  • Whose growth plates are still open (children)
Click to expand...

Oh, by the way, a hinged knee brace will do NOTHING to improve anterior translation of tibia on femur due to ACL disruption. And, if you do some further research on knee braces, you'll see that they really will not prevent injury.
 
MP-Omnis said:
If Wes can do it, Bess can do it.
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