Knee injuries are common diagnosis at out patient and emergency departments. The mode of injury mainly involves a twisting injury to the knee. This injury may occur in complex sports or even a simple fall on stairs. More commonly seen in sports persons but not uncommon to find with people injured doing activities of daily living. The crucial component in the injury is the torsional force from upper body while the leg remains fixed on ground.
To understand the injury pattern and function of the ACL a breif insight to anatomy is crucial. The ACL(Anterior cruciate ligament) has a basic function of preventing a translational(Anterio-Posterior) as well as a torsional (Rotational) force on the knee which can make the knee unstable. It is indeed very important to understand that any abrupt, violent eccentric loading of the ligament may lead to compromise in the fibres of the ligament.
Patients usually complaint of severe throbbing pain and swelling in the knee with the injury which is caused by th bleeding inside the joint. Rarely patients may end up having a locked knee due to an associated tear in the meniscus also.
Initial treatment comprises of reducing the mgnitude of symptoms i.e swelling, pain and instability.
Initial phase of tretment comprises of :
2.Anti inflammatory and analgesic medication
5.Elevation of limb
This is supplimented with a Brace( Immobilizer/Range of motion) and protected weight bearing is permitted. In a span of 2 weeks, as the swelling and pain reduces, it is advisable to do range of motion exercises and achieve at least 90 to 100 degrees of ROM. Some exceptional cases where there is frequent locking of joint, early surgery is advisable wthout any delay.The patients are reassessed for instability and range of movements. This follow up deciedes the further plan of management.
When Do I need a Surgery ?
Plan may be surgical or conservative depending on the symptoms. Following criteria usually guide for a surgical treatment:
1.Complaint of instability
2.Clinical examination overlapping with symptoms
3.Radiology suggesting complete tear.
4.Associated meniscal tear
7.Associated Bony fractures
Please feel free to consult our Orthopedic and Sports Medicine Specialist for consultation of the injury. Jyoti Hospital is proud to present a one stop solution to all needs of the athletes including consult, Physiotherapy and Rehabilitation. Call us at +91-7210796667; whatsapp +91-9053267890. Book your online appointments at jyotihospital.setmore.com