ACL Injuries and Downhill Skiing

WARNING: Graphic content..
French skier Valentin Giraud-Moine has a shocking fall during a downhill race at the German ski resort of Garmisch Partenkirchen on Friday, January 27, 2017. His team later confirmed he had fractured both legs..
Giraud-Moine wasn’t the only one to fall. Six other skiers, including the American Steve Nyman and Canada’s Erik Guay also crashed. Despite flipping, Guay was somehow able to avoid serious injury..
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Kaetlyn Osmond Short Program at GP France.
https://youtu.be/pxAZu85knnY

As I fell I heard a “pop”, is included in every skier’s worst nightmare: a torn ACL. While a torn ACL won’t stop you from skiing again, it will end your season, buy you a LONG rehab and potentially scar you for a long time. In this video you’ll learn what the ACL is, how it works and the risk factors. You’ll also learn what you can do to reduce your risks..
My preseason ski workout program is being completely revamped and you’ve got the opportunity to get on the wait lis to be part of it. This year it will include not only excersises that are important for skiers, ther will be a private, invite only, on line group where you can ge the comradie

Rescue and medical teams in a ski resort deal with extreme conditions and daily accidents on the slopes of the French Alps. To find out more and when and where to watch the full series, click here https://w.uktv.co.uk/shows/ski-e/.
#SkiA&E #ValThorens

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Learn about the anterior cruciate ligament (ACL), an important stabilizing ligament of the knee that connects the femur to the tibia. Discover how it can tear in sports and physical activity, and the treatments that can assist in its healing!
ANTERIOR CRUCIATE LIGAMENT.
The anterior cruciate ligament (or ACL) is an important stabilizing ligament of the knee that connects the Femur to the Tibia…
It is the most commonly injured knee ligament, and is frequently injured by athletes and trauma victims…
ACL tears are caused by lateral rotation, backward displacement or sideways impact of the knee, while the lower leg is in a stable position. This can happen during a pivot or a jump…
Sports associated with ACL injuries include alpine skiing, soccer, american football, rugby basketball, and tennis. However, American football players sustain the greatest number of ACL tears from contact injuries…
Statistics show that there are between 100,000 and 200,000 ACL ruptures per year in the United States alone…
When the injury occurs the patient would feel a pop in their knee, experience acute swelling and a feeling that the knee is unstable or giving way. This causes instability with movements such as squatting, pivoting, and stepping laterally, and activities such as walking down stairs…
The management of ACL tears depends on the extent of damage. Acute management consists of rest, ice, compression of the injured knee, elevation of the leg and the use of crutches. Over the counter pain killers and nonsteroidal anti-inflammatory drugs (NSAIDs) provide effective short-term pain relief…
The patient may also require reconstructive surgery with a hamstring graft or patellar graft..
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A quick video of my ski accident in the backcountry. It was a simple and awkward fall, but enough to blow my knee out and tear my ACL..
**Adult content and language. Viewer Discretion Advised!**

https://www.yorkvillephysiotherapy.com.
In this video, Toronto physiotherapist James Braithwaite discusses a very common ski injury, the ACL tear. Research tells us that the the most common mechanism for injury to this structure amongst recreational skiers is the “sit back fall” (demonstrated on the video). Anatomically, the direction of force incurred at the knee joint in this action is just right for stressing and potentially damaging The ACL. James and special guest Erin Campbell -also a physiotherapist in North Bay Ontariodescribe a couple of simple tips for avoiding this injury. Have fun on the slopes!

Julia Marino thrives at high speed and from great heights. In 2009, 17-year-old Julia was at the top of her game. Coaches and fellow slopestyle skiers had pegged her as a rising star on the World Cup circuit. Salomon, a top winter sports gear manufacturer, had signed on as her sponsor. Then, during the first event of the season, she crashed..
Learn more about ACL injury prevention and treatment:
http://www.childrenshospital.org/health-topics/conditions/a/anterior-cruciate-ligament-acl-injury.
Ski footage provided by: Cameron Thuman, 32 Degrees Productions: http://www.youtube.com/user/32DegreesProductions.
From Boston Children’s to the Olympics.
Daredevil skier Julia Marino is heading to the Winter Olympics in a few months. Being named an Olympian is an amazing feat for any athlete, but even more so for Julia, who just a few years ago suffered what could have been a career ending ACL tear. Thanks to the work of Boston Children’s Female Athlete Program, Julia received the treatment and rehab she needed, and instead of watching the Games from home, she’ll be competing in Sochi come February..
Crashes are common in slopestyle. Skiers hit jumps at speeds up to 35 miles per hour, flying up to 50 feet in the air to perform aerial tricks..
Julia landed awkwardly on one ski, heard a resounding pop in her left knee and felt the “most intense pain” of her life. She braced herself and skied to the medical tent..
The on-mountain medical crew insisted she wasn’t injured. But Julia and her mother doubted the diagnosis..
An MRI at Boston Children’s Hospital confirmed the family’s worst fear. Julia had torn her anterior cruciate ligament (ACL), and her season was over. Although Julia wanted immediate surgery, Martha M. Murray, MD, orthopedic surgeon and co-director of the Female Athlete Program at Boston Children’s, advised waiting several weeks until the swelling subsided before undergoing ACL reconstruction..
Prescription for patience.
Murray’s medicine was a bitter pill for Julia. Competitive athletes, anxious to return to their sport, often push for fast-track treatment and accelerated rehabilitation. Murray recommends a more gradual approach, focusing on long-term recovery and re-injury prevention..
“When a competitive athlete like Julia is injured, we have to focus on making sure she can return to her pre-injury performance level. Elite athletes are typically eager to get back to their sport. It’s our job to help them hold off until they are strong enough,” says Murray..
She performed Julia’s ACL reconstruction six weeks after the injury and recommended an extended rehabilitation, lengthening the conventional three-week course on crutches to four weeks..
“I trusted her,” recalls Julia. She complied with the doctor’s orders and focused on physical therapy and training to rebuild her strength and reduce her risk for future injuries..
Doctor and patient formed a new team that included Christopher Haslock, Julia’s coach, and Eric Kaloyanides, Julia’s trainer and owner of AthleticEvolution..
Six months after her surgery, Julia underwent functional strength testing to assess her ability to return to skiing. Murray cleared limited off-season training in the summer of 2010, but restricted her time on skis. “It was difficult to stay on the sidelines, but I had seen what happens to athletes who come back too soon,” says Julia..
Inside slopestyle.
Although slopestyle is an individual sport, competitors are often friends, and a team-like camaraderie permeates the slopes. Athletes are linked by their love for the sport, commitment to intense training and shared aches, pains and injuries..
Slopestyle skiers, particularly females, face high risk for ACL injuries, because the sport requires competitors to land hard at high speeds. If a landing is just the slightest bit off, the knees may twist and pivot, which are classic risk factors for an ACL injury..
Another common risk factor is skiers’ dogged pursuit of on-snow training and relative lack of strength and balance training. “Building up total body, core strength and balance can help the body better absorb impacts,” says Kaloyanides..
Julia had watched dozens of skiers grapple with ACL injuries and recovery, with many re-injuring the torn ACL or opposite knee. A handful of her friends have had four or more ACL tears..
She hoped that by taking it slowly she could avoid re-injury..
The payoff.
By 2012, Julia had regained her strength… and then some, nabbing second place in the Freestyle Ski World Cup Finals in Sierra Nevada, Spain, in March 2012..
Now her sights are set on the Sochi 2014 Winter Olympics as a member of the Paraguay ski team and what she calls, “the biggest season of my life.”.
As Julia chases her dreams, Murray reveals her take on why she reached new heights on the rebound. “She’s a surgeon’s dream come true. She has worked incredibly hard to strengthen and return to skiing. Her hard work makes her successful.”