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Ligament Tear
Rupture Ligament

Presentation

An LMRT was present in 26 (9.8%) of 264 patients, and an MMRT was present in eight (3.0%) (P=.008). [ncbi.nlm.nih.gov]

Overview Snapshot A 21-year-old man presents to the emergency department for severe pain in the right knee. A few hours prior to presentation, an opposing football player hits his leg from his right side. [step2.medbullets.com]

Entire Body System

  • Pain

    To evaluate clinical and radiological outcomes we used the Lysholm score, Tegner activity scale, visual analogue scale for pain (VAS-pain), KOOS and Sherman score. [ncbi.nlm.nih.gov]

    Depending on the degree of pain or looseness of your knee joint, the injury will be classified as: Grade 1 — Some tenderness and minor pain. [cedars-sinai.org]

    The ice packs relieve pain and reduce bleeding within the tissue. The Aircast Knee Cryo/Cuff is the most effective method of providing ice therapy and can be used for the home treatment of knee injuries and knee pain. [physioroom.com]

  • Swelling

    The area will usually swell considerably. Posterior cruciate ligament tears often cause severe pain, which may radiate to the calf. Swelling will usually be much less evident than an ACL tear. [nsmi.org.uk]

    Depending on how well it reduces your pain and swelling, you may be able to start a rehabilitative program in a few days. [cedars-sinai.edu]

    If the immediate pain and swelling makes it too difficult to judge how severe the injury is, you may need to wear a light splint, apply ice and raise the knee. Once the swelling and pain have lessened, your doctor will make the diagnosis. [cedars-sinai.org]

    NEXT: Symptoms & Diagnostic Process › Symptoms & Diagnostic Process MCL tear symptoms include: Pain on the inside of the knee Swelling Bruising Feeling the knee is not stable ACL tear symptoms include: Hearing a pop in the knee followed by immediate swelling [mdmercy.com]

    Immediate treatment options include: applying ice to reduce swelling elevating your knee above your heart to help with swelling taking nonsteroidal anti-inflammatory drugs (NSAIDs) to ease pain and swelling compressing your knee using an elastic bandage [healthline.com]

  • Finger Pain

    Finger pain disappeared or decreased in 3 low-demand patients but persisted in 1 high-demand patient. [ncbi.nlm.nih.gov]

Musculoskeletal

  • Knee Pain

    Knee pain and physical function were similar over follow-up between those with and without a complete ACL tear. [ncbi.nlm.nih.gov]

    Patella Fracture Jumpers Knee Patellofemoral Pain Syndrome PCL Tear [physioroom.com]

    Not Sounding Like Your Knee Pain? If you didn't twist your knee or don't have pain on the inner side of your knee, it is unlikely you have an MCL tear. [knee-pain-explained.com]

    Suffering from knee pain? We can help. Schedule your appointment today. [physiologicnyc.com]

  • Joint Swelling

    Usually, the knee joint swells within a short time following the injury. This is due to bleeding into the knee joint from torn blood vessels in the damaged ligament. [miamisportsmedicine.com]

    Knee swelling within the first few hours of the injury. This may be a sign of bleeding inside the joint. Swelling that occurs suddenly is usually a sign of a serious knee injury. Limited knee movement because of swelling and/or pain. [northshore.org]

    When a doctor suspects ACL injury in a person who reports a popping sound in the knee followed by swelling, pain, and instability of the knee joint, they can perform several tests to evaluate the damage to the knee. [en.wikipedia.org]

  • Wrist Pain

    This can be confused with other sources of wrist pain (especially pain in close proximity to the TFCC), making an accurate diagnosis somewhat difficult based only on physical exam. [drlox.com]

    Abstract Ulnar-wrist pain is a complex problem whose cause often remains elusive. [ncbi.nlm.nih.gov]

    The presence of any combination of symptoms including wrist pain and swelling, decreased or painful grip strength, painful noise at the wrist, or a feeling of instability, should alert the HCP to look beyond the “it’s only sprained” presentation. [3pointproducts.com]

  • Ankle Pain

    Symptoms of Ankle Joint Ligament Injury Ankle Pain- One of the most common symptom of ankle joint ligament injury is severe pain in ankle that is observed over the outer side of ankle joint. Pain intensity is increased with ankle joint movement. [epainassist.com]

    and the ankle remains unstable I sprained my ankle three months ago but it's still painful and swollen. [cambridgefootandankle.com]

Treatment

Evaluation of the injury and treatment options, including complex reconstruction will be presented via a case study approach and review of the literature. The focus of this review for treatment of ACL tear was in those younger than 14 years. [ncbi.nlm.nih.gov]

NEXT: Treatment Options › Treatment Options A MCL tear in the knee most often is treated successfully with: Rest Anti-inflammatory medications A brace (for more severe knee injuries) An ACL tear cannot heal on its own. [mdmercy.com]

Prognosis

If such intraarticular injuries prove to be a significant risk factor for poor long-term outcome, women may enjoy a better prognosis after reconstruction. [ncbi.nlm.nih.gov]

Prognosis The prognosis for these injuries when cared for correctly is good. Time frames vary with the severity of the injury. As a general rule, ligament density and incidence of instability play a role in how quickly these injuries heal. [twinboro.com]

[…] non-contact mechanisms changing direction, pivoting, or landing that leads to rotation or valgus stress of the knee after sudden deceleration Associated conditions unhappy triad which consists of injury to the ACL medial collateral ligament medial meniscus Prognosis [step2.medbullets.com]

Prognosis for recovery from this injury is usually good with proper surgical treatment, but untreated cases can lead to chronic instability and the development of painful debilitating arthritis of the joint. [centraljerseyhand.com]

Etiology

A histopathology analysis of the ruptured tendon could provide answers to some unresolved questions about etiology and pathogenesis of this complex injury. [go.galegroup.com]

Background & Etiology The elbow joint is a connection point between the humerus (arm bone) and the radius and ulna (forearm bones.) Ligaments are strong, fibrous connective tissues made of collagen that attach bone to bone. [twinboro.com]

Lower-limb dominance as a possible etiologic factor in noncontact anterior cruciate ligament tears. J Strength Cond Res. 2007;21(1):270–273. 14. Hewett TE, Ford KR, Myer GD. [aafp.org]

These proprioceptors monitor the position of our limbs in space, our movements, and the effort we exert in lifting objects. [5] Epidemiology /Etiology MCL injuries mostly occur after an impact on the outside of the knee, lower thigh or upper leg, when [physio-pedia.com]

Epidemiology

Introduction Clinical definition injury in the form of tear or rupture affecting the anterior cruciate ligament (ACL) in the knee Epidemiology incidence non-contact ACL injuries are more common demographics more common in female athletes risk factors [step2.medbullets.com]

Epidemiology of anterior cruciate ligament injuries in soccer. Am J Sports Med. 1997;25(3):341–345. 20. Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. [aafp.org]

"Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives". Journal of Athletic Training. 42 (2): 311–9. PMC 1941297. [en.wikipedia.org]

Related Medscape Reference topics : Ankle Impingement Syndrome Ankle Sprain Ankle Taping and Bracing Related Medscape resources Resource Center Exercise and Sports Medicine Resource Center Joint Disorders Specialty Site Orthopaedics Epidemiology Frequency [emedicine.medscape.com]

(used on 16 and 30 October 2014, 10 November 2014) (Level of evidence 5) ↑ ROACH, C., et al., “The Epidemiology of Medial Collateral Ligament Sprains in Young Athletes”,TheAmericanjournalofsportsmedicine, 2014. [physio-pedia.com]

Pathophysiology

MAHDZUB BACHELOR MEDICINE AND SURGERY (MBBS) UNIVERSITY COLLEGE SHAHPUTRA, KUANTAN 1. 1 PATHOPHYSIOLOGY ANTERIOR CRUCIATE LIGAMENT INJURY PROBLEM BASED LEARNING (PBL) PREPARED BY: MUHAMMAD ARIFF B. [slideshare.net]

Página 79 - Ischaemic nerve injury: experimental studies on intraneural microvascular pathophysiology and nerve function in a limb, subjected to temporary circulatory arrest. ‎ [books.google.es]

The information that follows includes the details of anterior cruciate ligament (ACL) anatomy and the pathophysiology of an ACL tear, treatment options for ACL injuries along with a description of ACL surgical techniques and rehabilitation, potential [orthoinfo.aaos.org]

Etiology and pathophysiology of tendon ruptures in sports. Scand J Med Sci Sports. 1997:107-12. [33.] Cree C, Pillai P, Jones B, et al. Bilateral patellar tendon ruptures: a missed diagnosis. Knee Surg Sports Traumatol Arthrosc. 20075:1350-4. [34.] [go.galegroup.com]

Prevention

Abstract Theoretical compensation after anterior cruciate ligament (ACL) tear could cause quadriceps weakness and hamstring activation, preventing anterior tibial subluxation and affecting the expected hamstring-to-quadriceps ratio. [ncbi.nlm.nih.gov]

This ligament prevents your thumb from being bent too far away from your hand. [bonetalks.com]

Research has not found knee braces to be effective at preventing ACL tears. ACL injury prevention program examples: Knee Injury Prevention Program (KIPP) for Coaches - Instructional PowerPoint, along with videos demonstrating each of the exercises. [healthychildren.org]

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