Ligamentous laxity

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• The anterior cruciate ligament, or ACL, is a piece of tissue like a rope connecting your shin bone to your thigh bone.
• It’s only 3cm long and 1cm wide but is the most important stabiliser of the knee, alongside your muscles.
• Women are more likely to tear their ACL than men playing the same sports, with women soccer players twice as likely to tear their ACL as men.

Why are women more prone to ACL injury?

• Other contributing factors include women and girls having fewer opportunities, confidence or support to participate in sports such as football, or activities such as gym training.
• Read more:
  Female football players are at much higher risk of career-ending ACL injuries – the science on why

How long will you be out for? And what if you’re not an elite athlete?

• Most young people (elite and non-elite athletes) will require 12 months off sport to physically recover from an ACL tear.
• Many will require longer: up to 80% may have ongoing muscle weakness, 40% have ongoing symptoms, and only half return to sport.
• Surgical repair involves taking a small graft from your hamstring, quadriceps, or patellar tendon to replace your ACL.

What can be done about the high rates of ACL injuries in women?

• Given the high cost of ACL injuries to women athletes, the best thing we can do is to prevent them.
• Injury-prevention programs that address movement patterns and muscle function through training and coaching can reduce the risk of non-contact ACL injuries in women by 67%.
• Research suggests ACL injury-prevention programs are effective regardless of whether they are implemented by a coach or a medical professional.

So why are ACL injuries on the rise?

• ACL surgeries have increased by 43% in Australia between 2000 and 2015.
• In Australia, women’s knee injuries have grown by 3% (compared to 1.3% for men), with the highest growth among girls aged 5–14 years (around 10% a year).
• While injury-prevention programs are effective when tested in clinical trials, their use by sporting clubs outside of research projects can be as low as 10–20%.

• But the scandal involving the local arm of PricewaterhouseCoopers (PwC), the world’s second-largest professional services firm, is much worse than that.
• In March, the Senate announced an inquiry into the integrity of consulting services.
• Up to eight partners shared the information about plans to tackle multinational tax avoidance.
• As many as 40 of PwC’s 900 partners received emails discussing using the information.

Values in conflict

• In terms of PwC Australia’s total revenues of $2.6 billion last year, it’s not much.
• Read more:
  Putting a dollar value on how much employees are willing to put their own interests first

  The whole fiasco stands in stark contrast to PwC’s stated corporate values that “celebrate doing the right thing”.

• It’s hard to reconcile the statements about values with the apparent laxity around the Collins case.

Bigger than one company

• The fundamental conflict that underlies the scandal is what makes it bigger than just PwC.
• In any area where governments make decisions affecting business profitability, there are incentives for vested interests to influence the process.

The high priests of consulting

• Nonetheless, since the Enlightenment it has been broadly accepted that keeping church and state broadly distinct is necessary for good democracy.
• It was a source of advisers who could read, write and add up numbers – useful skills for any monarch.
• The lack of separation, however, between their allegiances came with significant downsides, both for religious freedom and state political independence.

Much more needs to be done

• The cost to Australian taxpayers (through lost revenue from Australian companies using tax havens) is estimated to be about A$6 billion a year (US$5 billion).
• Much more needs to be done to prevent the system of democratic government being abused for private gain.

• After years of offering fillers, fat-reduction treatments, and more, she now is pleased to announce the development of an especially effective treatment strategy to maximize jawline definition.
• EMFACE™ is a non-invasive, radiofrequency and electromagnetic stimulation-based device designed to lift and tighten loose tissue.
• It is injected deeply to correct moderate to severe loss of jawline definition in adults older than 21.
• For more advice about dermatological care, contact the Dermatology Office of Dr. Ellen Turner.