Normal ACL
The ACL, or anterior cross ligament, is the main stabilizer of the knee, especially during rapid changes in the direction. As seen clearly, the anterior cross ligament originates in the posterior face of the femur (at the top of the image) and is inserted into the anterior face of the tibia. This crosses (previous) to the posterior cruciate ligament, the main connection of the pimp to the upper leg. The ACL generally controlled the backward movement of the lower leg and prevents the tibia from sliding or located too much in relation to the femur, which could be disastrous. Sudden stops and changes in the direction, a plant injury with a touch or frontal collisions can generally make this break, which is probably a recovery time from 8 to 9 months. In general, this requires reconstructive surgery, either from a body or taking a thread of the patellar tendon that connects the pimp with its chatter. The lateral view (Sagital T2) shows the cursing ACL from the back of the femur (above) to the front of the pimp (tibia). The frontal view (coronal) clearly shows the insertion into the tibial peak (protuberance in the pimp). This is an ACL that appears normal, something weird in Real Madrid.
Dani Carvajal
UGH: Below we see that the central stabilizer in the knee is gone. Unfortunately, here numerous people close to the situation suggest that this could take at least 12 months, and there is a good possibility that it only recovers from 50 to 60% of its maximum performance level. This is due to the patient’s age and the fact that Carvajal has more varus anatomy (inclined). This is something difficult to surgically repair the ACL course must now be longer since there is a rotation involved. This also makes the grafted acl more tense (weaker), and it is more likely to retire. To start, Carvajal is 33 years old. The other ligaments and tendons in the knee have had 33 years of wear, which makes its knee less strong and more likely to fail. The beginning of June is 8 months since surgery, and that is the time we will need to see where Dani’s leg is.
Remember with David Alaba, the knee was not ready close. This could probably last until next October, until the 2025 – 2026 campaign the League. Finally, there is a psychological factor that plays in the tears of LCA, which probably suggest that numerous people have returned have been much more cautious and less likely to exercise completely with fear of scolding.
Unfortunately, Carvajal fits that mold.
David praises
Like Dani Carvajal above, David Alaba has torn his acl. You can see that next, the ACL is missing inside the notch. This joins the two parts of the knee (the femur above and the warm below) is approaching.
Unfortunately, in the case of David Alaba, the ACL broke and probably achieved a part of the tibial plateau. In the normal knee, which covers all the ends of the bones in an joint, it is something called cartilage. The cartilage acts as a lubricant so that the bones do not rub with each other, and also protects the bones when there is an impact lesion, so the bone does not hit the bone and causes a fracture. Unfortunately, as you can see in the photo, much of the cartilage has been eliminated, and now there is an important chondromalacia (elegant word for cartilage loss), which usually occurs with knee wear, usually in major players.
David Alaba is 31 years old, who in the regular world is very young, however, in the football years this could be old. Once the cartilage in the knee joint begins to go, the bone scraping in bone, it is likely that the previous osteoarthritic changes and severe pain. It can also cause bone changes as you can see the photo, when there is an ostial defect (often called osteochondral defect: TOC) that is known as a microfracture.
If someone is a basketball fan, there was a famous Draft selection name #1 Greg Oden. He had an OCD (also called microfracture), which ended his career. You can see that condromalacia with a rebuilt ACL will be very difficult to return. From the moment of writing this article, Alaba has returned, however, I hope it is a fraction of what it was previously, although with the hope that it can be formed again despite the fact that the condromalacia probably worsens.
Oeder militao
The reconstruction of the LCA is carried out by means of 1 of 2 methods: 1) Take the ACL of a body (unfortunately a person who has died with an intact ACL); or 2) Take it from the patellar tendon as you can see before, which connects the tibia with the kneecap.
There must be screws that support this new ACL in its place. These are called interference screws, and there is a tibial (lower) tunnel, as well as a femoral tunnel (above). The screws keep this ACL tight in place. As discussed with Dani Carvajal, the patient’s knee anatomy has a lot to do with the size of the LCA, what type of LCA repair they perform and the possibility of revenue kings.
Unfortunately, in the case of Eder Militao, the ACL was repaired, which would be excellent normally, and very good results in a regular population, however, this is now returns for the second time. What will have to happen is that they will have to redo the tibial and femoral tunnels, go back to an ACL of the cadaveric site and hopes it remains intact.
But if someone has drilled a hole and screwed a screw on the wall, he decelerated, and then he helped again, one can see that this has less possibilities of being so resistant. The same is probably true in the knee. Unfortunately, the most important factor in this case will be your psychological return, which will be very difficult. I await a quick and complete recovery, but in this case, I am less optimistic. This could be a very difficult and rigorous return, and you will probably see it only as a backup in the future. If Carvajal has a probability of 50 to 60% return, Militao is remarkably less since his ACL is already torn.
Eduardo Camavoso
Eduardo Camavosa has been diagnosed with the biceps femoral lesion, also known as the hamstrings. In the image below, in the arrow pointing towards the lesion (high t2 signal on the edge of the arrow) is the tension in the back of the thigh or the hamstrings: the biceps of femoral origin. Depending on how bad this is, this can keep away from three to six weeks.
The most worrying thing is the thing that tensions can lead to tears and tears have a longer recovery. We can see that if it is a tension, the muscle obtains some liquid inside it, and that causes difficulty running, significant pain and weakness. Most football players have significant injuries in hamstrings (we remember that Vinicius Jr. had the same) because this is a very important piece of rapid acceleration or rapid contraction muscles.
In addition, excessive extension, excess stretching and race at high speeds generally cause lesions in hamstrings. While this is part, plot and normal for the course of football players, it is still something to monitor, since the lesions in the hamstrings can be persistent. While we see that most players return to normal levels, can affect. We expect a quick recovery.
Go to Martínez
Do you remember our old friend the ACL? Well, here we can see that it has gone completely, similar to the situation of Joan Martínez. Probably, Joan Martínez has a young healthy knee with normal anatomy, which is different from David Alaba, Eder Militao and Dany Carvajal (only age factorization). Hopefully this can be easily repaired, although crazier things have happened. We hope that this does not look like Lonzo Ball, a famous NBA basketball player who had a meniscus injury, but given the extensive cartilaginous damage, he was out for two years.
Jude Bellingham
Here is a quick note about Jude Bellingham: we remember last year that his shoulder dislocated. The arrow points to a divot in the part of the shoulder joint, or the head of the humerus. This is because the humerus leaves his normal joint and forest joint, and sits in the corner of the glenoid. As in the knee, there is a cover of the bones, predominantly in the corners of the Zócalo (Genoides) called Labrum that is represented by the two circles.
What we see here is that there is a beautiful black triangle that cushions the glenoid corners so that the beautiful ball (humeral head) can sit gently in the zócalo (glenoids). Unfortunately, when dislocated, part of the labr can be deployed (a labral break), and can cause bone bruise as seen in the arrow (called a fracture of Sachs of the hill). While this is very painful, and normally when you run it, it causes pain, it is not something that a soccer player generally needs. However, for Jude’s future, he is most likely to need surgery in the future, either to repair a rotator sleeve, it has been torn due to the dislocation, or what is more important, the labrum that has been torn . This will require a long recovery time and, more importantly, eventual surgery, which is not fun. Jude is young, strong and more a man who will ever be, he is playing through this as if he means nothing.