Ligament injuries in the knee joint
In the following you will find an overview and a brief informative explanation of the most common knee ligament injuries. For more detailed information, there is a reference to the main article for the specific infringement at the end of each section.
Most common knee ligament injuries
Here is a short list of the most common knee ligament injuries:
- Internal ligament injuries
- Ligament injuries
- Anterior cruciate ligament tear
- Posterior cruciate ligament tear
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The knee joint is one of the joints with the greatest stress.
Therefore, the treatment of the knee joint (e.g. meniscus tear, cartilage damage, cruciate ligament damage, runner's knee, etc.) requires a lot of experience.
I treat a wide variety of knee diseases in a conservative way.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
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Injuries to the collateral ligaments
Inner ligament tear
The inner band runs along the inside of the knee and is attached to the lower thigh and upper shin. It is strained when pressure is applied to the fixed joint from the outside of the knee and typically tears in sports injuries in which patients claim to have "twisted the knee". The treatment of a torn inner ligament is usually conservative by immobilizing the joint with a splint that must be worn for about 6 weeks.
For details, see Inner ligament tear in the knee.
Inner ligament stretch
The inner ligament stretch is the little sister of the inner ligament tear. The inner ligament was overstretched but not torn. Still, the knee should be immobilized to help the ligament heal and prevent further injury. Depending on the extent of the stretch, tape dressings, bandages and splints can be used. In addition, a sport break should be taken and the knee should be cooled and raised.
For details, see Inner ligament stretch in the knee.
Outer ligament tear
The outer ligament is the pandant to the inner ligament on the outside of the knee. It runs from the outer lower thigh to the fibula head. It stabilizes the knee joint against lateral pressure from the inside and tears accordingly if too much pressure is exerted on the joint from the inside. In the case of simple tears in the outer ligament without bony involvement, the therapy is usually conservative, also by wearing a splint for about 6 weeks. Physiotherapeutic exercises to build muscle and stabilize joints are also an important part of the therapy.
For details, see External ligament tear in the knee.
Outer ligament stretch
Even with an outer ligament stretch, the most important part of the therapy is immobilizing and protecting the joint using tape bandages, bandages or splints. In addition, the affected knee should be cooled and elevated. Similar to a rupture of the outer ligament, physical therapy should also be carried out when the outer ligament is stretched in order to build up the muscles of the joint and stabilize it in order to prevent further injury.
For details, see External ligament stretch in the knee.
Injuries to the cruciate ligaments
Anterior cruciate ligament tear
The anterior cruciate ligament runs within the knee joint from the lower rear thigh to the upper anterior shin. Injuries to the anterior cruciate ligament are much more common than those of the posterior cruciate ligament. They typically occur in accidents that involve rapid stopping / turning movements in the knee, for example when skiing or playing football. Cruciate ligament tears heal much more slowly than injuries to the outer ligaments, which is why the injury is often treated with surgery, especially in athletic patients.The cruciate ligament is usually replaced by muscle tendons, e.g. through the tendon of the so-called semitendinosus muscle of the rear thigh.
For details, see Anterior cruciate ligament tear.
Posterior cruciate ligament tear
The posterior cruciate ligament runs within the knee joint in a "crossing" direction to the anterior cruciate ligament. Posterior cruciate ligament tears are much rarer than anterior ones and are not a classic sports injury. A typical course of injury is e.g. more of a car accident in which the knee slams against the dashboard. To diagnose cruciate ligament tears, the attending physician first conducts specific clinical examinations of the knee. However, an MRI examination is essential to confirm the diagnosis. For conservative therapy of a torn cruciate ligament, muscles can be strengthened through physiotherapy, although this form of therapy is more suitable for older, no longer physically active patients. Patients with high demands on their knee joint, e.g. Athletes are more likely to undergo surgical therapy that is analogous to an anterior cruciate ligament tear.
For details, see Posterior cruciate ligament tear.