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Anterior Cruciate Ligament Function in Osteopathic Medical Education

Journal: The Journal of the American Osteopathic Association Date: 2010/01, 110(1):Pages: 42. doi: Subito , type of study: cross sectional study

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2010.110.1.24/html)

Keywords:

anterior cruciate ligament [8]
cross sectional study [783]
curriculum [279]
knee [96]
medical schools [187]
osteopathic medicine [1955]
USA [1531]

Abstract:

Hypothesis: The anterior cruciate ligament (ACL) of the knee and the function of its' anteromedial (AM) and posterolateral (PL) bundles, have become a focus of orthopedic research. The purpose of this project is to asses the degree to which the AM and PL bundles are discussed within basic science medical curricula. Materials and Methods: A survey was mailed to all osteopathic medical schools within the United States accredited through the Commission on Osteopathic College Accreditation (COCA) addressing different aspects of anatomical ACL education. Results: Nine (42%) institutions indicated that the AM and PL bundles of the ACL are discussed within their basic science curricula, while 12 (57.14%) do not discuss them. Four (44%) discuss that the bundles are parallel in extension and crossed in flexion. Nine (44%) instructed that the AM bundle is a major anterior-posterior restrictor, 12 (56%) schools discuss the kinematic contribution of the PL as a major rotational stabilizer of the ACL. Seven (33%) schools identified the AM and PL bundles via direct visualization during anatomical dissection of the ACL. Conclusion: Due to the probability that 3rd and 4th year medical students will encounter ACL injuries during their clinical rotations; it is paramount that students fully understand the function of the ACL to ensure effective use of osteopathic diagnostic techniques. This in-turn requires an understanding of AM and PL bundles as the two distinct functional components of the ACL. Our findings suggest the need for enhanced presentation of the AM and PL bundles within basic science medical education, thereby providing a more comprehensive anatomical education in osteopathic medical institutions.


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