Torn ACL

Red card said:
My DD '05 is now in the club. We will be setting up surgery this week. Has anyone used stem cell regeneration for recovery or heard any pros or cons?
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Sorry to hear this. This is club where we hope to not get new member. One of my kids teammates may be unfortunately joining after a very dirty play in a game yesterday. Hoping it's just a sprain but it didn't look good.

I don't know of anyone doing stem cell regeneration. My kid did blood restriction therapy and it seemed help get strength back in her quads pretty quickly. Hoping for a quick recovery for your DD.
 
It is starting to feel like a club I that I wish membership was capped at zero. I am wondering about something, that more enlightened minds than myself should look at but.... My daughter is in the U-16 range, another of her teammates also an 06 just joined the unofficial club two weeks ago. In my research to shore up my daughter's morale I read Cat Macario tore her during her sophomore year as well. Maybe it is something with the maturation stage of our daughters, maybe the transition from small girls to big girls that our DD are the undersized victims. Who knows for sure but it would be something to look into.
For future member's joining the club possibly looking for new ways to repair I found a Dr. Chen here in the Bay Area, he was not our guy, but I would definitely look at him if I was facing a renewal of membership.
jameschenmd.com

Procedures by Dr. James Chen MD

Dr. Chen is a top San Francisco orthopedic surgeon who offers advanced arthroscopic and open surgical procedures to his patients.
jameschenmd.com jameschenmd.com
or
www.arthroscopytechniques.org

Anterior Cruciate Ligament Reconstruction With Amnion Biological Augmentation

Anterior cruciate ligament (ACL) ruptures are common and unfortunate injuries for many athletes. The standard therapy for ACL rupture is ACL reconstruction with either autograft, harvested from hamstring or patellar tendon, or allograft tendon from a tissue donor. Advances in tissue engineering...
www.arthroscopytechniques.org
 
It truly is. Anecdotal perhaps but my DD’s 3 teammates that suffered non contact injuries were on cycle. The dad of one of them is the one doing the research and it is eye opening. He also suggested some contact ones may be suffered during this time too. Not for my DD, though. I still have the DA game that it happened in on my computer but 4 years later cannot watch it. My DD has though.
 
NorCalUSN said:
Man, that is a third-rail I don't want to even go close to. Can you imagine that conversation. No thank you.
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I do not doubt the veracity of the study. Definitely something that could/should be looked into, i'm sure. I'm just picturing a conversation with my wife and daughter where I ask about her cycle and then tell her she shouldn't play today. NOT. GOING. TO. HAPPEN.
 
Red card said:
So i wasn't at the game when this happened. My wife told me yesterday that one of the club coaches came and asked her if she was on her menstrual cycle and she was the next day. So I just looked it up and.......

https://myesurgi.com/the-menstrual-cycles-effect-on-acl-injury-rates/

There were many studies done. I don't know if this would help anyone but this is the research
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On average 65 NFL players tear their ACL per year. I think you can make data tell you whatever you want. The study mentioned was only of 38 females. No mention on how they were chosen to participate which could certainly tip the results. Only 27 had cycle information. 10 of them tore their ACL immediate before or 1-2 days after. No mention if these 10 females had anything other going on that was similar that could have resulted in their injury. Facts matter. Now this may or may not be a factor but it seems silly to base conclusions on 10 injuries.
 
Simisoccerfan said:
On average 65 NFL players tear their ACL per year. I think you can make data tell you whatever you want. The study mentioned was only of 38 females. No mention on how they were chosen to participate which could certainly tip the results. Only 27 had cycle information. 10 of them tore their ACL immediate before or 1-2 days after. No mention if these 10 females had anything other going on that was similar that could have resulted in their injury. Facts matter. Now this may or may not be a factor but it seems silly to base conclusions on 10 injuries.
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that isn't the only study.
Maybe it has a connection I don't know that is way above my pay grade. The coach asked my wife as if she is collecting data. If you have a daughter in the age group 15-19 and she tears an ACL you can ask her if she is on cycle. Either way don't be shocked if she gets asked that question. Then at that time you can tell them your thoughts on the matter
 
Red card said:
that isn't the only study.
Maybe it has a connection I don't know that is way above my pay grade. The coach asked my wife as if she is collecting data. If you have a daughter in the age group 15-19 and she tears an ACL you can ask her if she is on cycle. Either way don't be shocked if she gets asked that question. Then at that time you can tell them your thoughts on the matter
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It would be so helpful to get the truth on this one way or another.
 
Calikid said:
This is an extremely important and helpful article to read as to the optimal time frame to return to the field of play after an ACL injury.

Young Athletes Who Return to Sport Before 9 Months After Anterior Cruciate Ligament Reconstruction Have a Rate of New Injury 7 Times That of Those Who Delay Return


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This is consistent with my daughters’ orthopedist’s approach. He explains that it has nothing to do with how good the rehab is or how strong the athlete is but how the graft has healed and whether it has become a “new” ACL. You cannot really assess the graft - it will show as swollen for some time after clearance - so you use some functional testing then the data that shows a 9-month timetable (much less risk from waiting > 9 months v waiting months < 9). 9 months for one of my kids is Jan 30 and March 8 for the other but we are taking a ”wait and see” approach. We know they are getting stronger, more flexible and are working their programs. But we have zero expectation that they will be fully cleared prior to those dates (and a reasonable belief that it could be after).
 
We have many friends with girls that returned to play prior to 9 months post surgery due to be cleared by their Physical Therapist. Unfortunately, quite a few suffered reinjury to the same ACL within six months. One on her first day back on the pitch, which was really sad.
 
Calikid said:
This is an extremely important and helpful article to read as to the optimal time frame to return to the field of play after an ACL injury.

Young Athletes Who Return to Sport Before 9 Months After Anterior Cruciate Ligament Reconstruction Have a Rate of New Injury 7 Times That of Those Who Delay Return


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Interesting study. Previously studies like this have been based on general population with widely varying rehab programs and questionable functional testing which skewed the stats. Our doc and PTs insisted that rigid adherence to time-frames is not the right way to prescribe rehab activities or assess readiness to return to play. There are just too many factors involved.
 
Surf Zombie said:
My 2007 9th grader just tore her ACL in a game. Essentially half way through her HS season. Cleared a ball with her right foot and as she was bringing it back down slipped on the wet turf and her knee twisted awkwardly.

We are In the process of scheduling surgery. Will miss the rest of her HS season and probably all (most?) of her ECNL season which is early December-late May.

Anyone else been through it and have any tips on the recovery process? She made it from U8 until now without ever being injured, so it’s going to be a big adjustment I’m sure.
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Mine had surgery this past Monday. First 72 hours have been pretty rough. Hoping the pain starts subsiding over the weekend. She's using a continuous passive motion machine 10 hours a day for the first week that is supposed to be very helpful, plus the ice machine.
 
USWNT, Chelsea women, many others starting to tailor training, recover and playing time around menstrual cycle. Worth a watch:

 
Surf Zombie said:
Mine had surgery this past Monday. First 72 hours have been pretty rough. Hoping the pain starts subsiding over the weekend. She's using a continuous passive motion machine 10 hours a day for the first week that is supposed to be very helpful, plus the ice machine.
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My dd had a tough time with pain that first week also although we didn't have the CPM. She was teased by the lack of pain while the nerve block was in play the first 24 hrs and didn't get on the oral painkillers early enough to stay ahead of it. It only gets better from here, keep icing.
 
Surf Zombie said:
Mine had surgery this past Monday. First 72 hours have been pretty rough. Hoping the pain starts subsiding over the weekend. She's using a continuous passive motion machine 10 hours a day for the first week that is supposed to be very helpful, plus the ice machine.
Click to expand...

It sounds like you are on the right track. After the first 5-7 days, things get easier. We stayed away from the perscription opioid pain relief and stuck with Dr. approved heavy doses of Ibuprofen and acetaminophen. It was a bit more difficult for pain management but we dint wish to introduce opioids into our kids life.
 
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