ALL Injuries

The Anterior Lateral Ligament (ALL) stabilizes the knee during rotational movements, working with the ACL to prevent excessive twisting. ALL injuries often occur with ACL tears, especially in athletes who make sudden direction changes.

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A "popping" sensation or sound at the time of injury

Immediate knee pain and swelling

Instability, especially when trying to pivot or change direction

Difficulty walking or bearing weight on the affected leg

Decreased range of motion and stiffness in the knee
Dr. Romanelli will conduct a physical examination to assess the stability of the knee and evaluate any potential damage to both the ACL and ALL. Imaging tests, such as an MRI, are typically used to confirm the diagnosis and determine the extent of the injury.
At our practice, we believe in comprehensive, patient-centered care. We’ll work with you to develop a treatment strategy tailored to your specific injury and lifestyle. Whether surgery is required or non-invasive methods are an option, Dr. Romanelli ensures that your recovery process is as smooth and effective as possible.
In cases where the ACL tear is partial or the patient is less active, non-surgical treatments may be an option. These include:

Rest, ice, and elevation to manage swelling and pain

Knee bracing to protect the joint and improve stability

Physical therapy to strengthen the muscles around the knee and restore range of motion
For those needing surgical intervention, ACL reconstruction is the most common procedure. Dr. Romanelli offers advanced options like Adult Bone Patellar Tendon Bone (BPTB) Autografts, which provide a strong and reliable method for ligament repair.

In certain cases, patients may benefit from the Bridge-Enhanced ACL Restoration (BEAR) Procedure, an innovative technique that promotes the body’s natural healing response by using a scaffold to help regenerate the torn ligament, offering a less invasive alternative to traditional graft-based ACL reconstruction.
Rehabilitation through physical therapy is essential following either surgical or non-surgical treatment of an ACL injury. Physical therapy helps restore strength, flexibility, and stability to the knee, enabling a return to normal activities. Dr. Romanelli works closely with physical therapists to design a recovery plan tailored to your individual needs, ensuring the best possible outcome.

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Dr. Daniel A. Romanelli

Your knees provide the range of motion you need for everyday activities—from reaching and lifting to throwing and rotating. When shoulder pain or injury limits your movement, it can affect your entire lifestyle. Dr. Romanelli specializes in diagnosing and treating shoulder conditions, helping you return to full mobility with personalized, effective care.

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