Rafael Serrano, MD

Board Certified Orthopedic Surgeon / US Soccer Team Physician

[Rafael Serrano, MD @ACL_KneeSurgery]

@DrJesseMorse Jesse - Thanks for sharing! Do not think those are her X-rays. She has had 3 acl surgeries in that knee. There is no presence of tunnels or implants in that knee. Cheers!

[Rafael Serrano, MD @ACL_KneeSurgery]

@RyanPolesBacker @DrJesseMorse yes. if this was offseason -> surgery,

In season, you try to rehab and get back to play (unless concerning findings on MRI). surgery at the end of the season

[Rafael Serrano, MD @ACL_KneeSurgery]

@DrJesseMorse If those 3 things are right - athlete can go back

MRI to determine severity of the injury is critical

[Rafael Serrano, MD @ACL_KneeSurgery]

@DrJesseMorse These are the 3 things I look for clearance with brace
#1. No apprehension (pain with motion)
#2. Full Range of motion
#3. Normal strength

[Rafael Serrano, MD @ACL_KneeSurgery]

@RyanPolesBacker @DrJesseMorse Sidney Crosby penguins

[Rafael Serrano, MD @ACL_KneeSurgery]

@UNI_wrestling Well said! No shortcuts. Do not wait for things to get easier. Be comfortable being uncomfortable!

[Rafael Serrano, MD @ACL_KneeSurgery]

@DrNickColyvas @KostasEcono13 @ArthroscopyJ @mayoclinicsport @MayoClinic let's do a study. Multicenter. Easy to do since it would be entirely done in the office. Group 1 intra-articular injection vs group 2 pie crusting + injection

[Rafael Serrano, MD @ACL_KneeSurgery]

@DrNickColyvas @KostasEcono13 @ArthroscopyJ @mayoclinicsport @MayoClinic I have thought about this in the subset of obese patients that are not good surgical candidates

[Rafael Serrano, MD @ACL_KneeSurgery]

@JacobOeding @AJSM_SportsMed @DrKrych @ChrisCampMD @nathanvarady @AyooshPareekMD @bennwachukwumd Most of the articles in this study do not mention dose of PRP (how may milliliters of blood were drawn, total of platelets injected etc). Imaging performing a study comparing aspirin and lovenox for dvt ppx without knowing the dose.

[Rafael Serrano, MD @ACL_KneeSurgery]

@JonathanDHughe1 Great meeting for fellows reunion @ianenglermd

[Rafael Serrano, MD @ACL_KneeSurgery]

@MarkWoodleyTV I would respectfully disagree with Sheryl. Beating those records in this day and age it is significantly harder. Teams scout opponents. Strategies are in place. Players are more physical. Teams really prepare for those games and how to stop their key players.

[Rafael Serrano, MD @ACL_KneeSurgery]

@DrNickColyvas Looks great! side to side horizontal repair? ever consider transtibial?

[Rafael Serrano, MD @ACL_KneeSurgery]

@DrNickColyvas @DrBrianFeeley please do not give anyone ideas...😂

[AOSSM @aossm1972]

Kudos to the team physicians, researchers, global nonprofits and sports leagues teaming up to counteract worrisome trends on #ACL injury in young patients.

[Rafael Serrano, MD @ACL_KneeSurgery]

@SportklinikBern @hirslanden what protocol do you use after the injection? do you place them on a brace to make sure both ends of the tear remain close to each other?

[Rafael Serrano, MD @ACL_KneeSurgery]

@mikeinglephysio @nickMira9 @Aspetar https://t.co/eSb6wxbvRh

[Rafael Serrano, MD @ACL_KneeSurgery]

@mikeinglephysio @nickMira9 @Aspetar you may read Freddie Fu's studies over 30 years at the university of Pittsburgh looking at transtibial techniques vs anatomic acl recon.

[Rafael Serrano, MD @ACL_KneeSurgery]

@mikeinglephysio @nickMira9 @Aspetar Yamamoto Y, Debski RE. Knee Stability and Graft Function after Anterior Cruciate Ligament                    Reconstruction: A Comparison of a Lateral and an Anatomical Femoral Tunnel Placement. The American Journal of Sports Medicine. 2004;32(8):1825-1832.