What should I do if the patellar ligament is injured?

Written by Na Hong Wei
Orthopedics
Updated on September 26, 2024
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Once a patellar ligament injury occurs, the first step is to immobilize the area; stop all activities to prevent further damage and secondary injuries. Secondly, apply ice. The initial ice application should last from half an hour to an hour, applied directly to the injured patellar ligament. Thirdly, bandage to immobilize the area, primarily using an elastic bandage and cotton padding to compress the knee joint. This can help stop bleeding and limit swelling. Fourth, elevate the injured limb to at least 30 degrees above the level of the heart. After these measures, it's necessary to go to the hospital for further examination including physical assessments by a doctor, X-rays, or an MRI to fully understand the extent of the ligament damage. If there is a partial tear of the ligament without complete discontinuity, conservative treatment such as casting or bracing can be effective, typically for three to four weeks. However, if the ligament is completely torn and surgery is clearly indicated, surgical treatment should be followed by the use of a brace for six weeks. Thus, proper early management of a patellar ligament injury is crucial, followed by hospital evaluation. Additionally, since patellar ligament injuries often coincide with fractures or damage to other structures such as the meniscus or cruciate ligaments, these factors cannot be overlooked.

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Do ligament injuries fear the cold?

Ligament injuries should not naturally be sensitive to cold; however, due to impaired blood circulation in the damaged area or poor blood supply due to scar repair, the circulation in the injured tendons becomes worse compared to other areas. In cold conditions, this can lead to even poorer blood flow. When circulation is poor, it's hard for metabolic byproducts to be removed from the area, leading to their accumulation, which can stimulate the injured site and cause pain. Therefore, areas with ligament injuries often become sensitive to cold, as the cold causes blood vessels to constrict, leading to the accumulation of metabolic by-products and resulting in pain at the affected site.

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Can a ligament injury cause the knee to make noise?

Whether the knee will make noise after ligament damage depends on the condition of the ligament damage. If it is an anterior cruciate ligament injury, generally the knee will not make noise. However, if the anterior cruciate ligament injury is combined with damage to the meniscus or cartilage, forming loose bodies, popping noises in the knee joint can occur. If there is damage to the medial or lateral collateral ligaments of the knee joint, which causes instability in the knee joint, this can also lead to popping sounds. If instability of the patella is caused by damage to the patellar ligament of the knee joint, changes in the alignment of the patellar joint during movement can also cause popping noises in the knee joint.

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How to recover from ligament damage

Recovery from ligament damage should be divided into two phases. The first phase is the acute phase of the ligament injury, which generally occurs within three weeks after the injury. During these three weeks, it is recommended to immobilize and minimize movement to create favorable conditions for the growth and repair of the ligament. During this period, heat application can be beneficial, and oral medications that promote blood circulation, remove blood stasis, reduce swelling, and relieve pain can be taken to facilitate the repair of the ligament. After three weeks, the continuity of the ligament is usually established. During this period, it is necessary to enhance functional exercises to prevent joint adhesion. Under the guidance of a physician, joint movements should be strengthened, combined with oral medications for promoting blood circulation, removing blood stasis, reducing swelling, and relieving pain, and also include local heat application and possibly physical therapy. With these comprehensive treatment measures, generally, a good recovery outcome can be achieved.

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How long does it take for a triangular ligament injury to heal?

The deltoid ligament, as a very important structure on the medial side of the ankle joint, is mainly divided into superficial and deep layers. The superficial layer generally originates from the anterior colliculus of the medial malleolus and is more superficial, making it more susceptible to injury. The deep layer originates from the posterior colliculus of the medial malleolus and is tightly connected with the talus bone, meaning that any injury likely involved significant force. Moreover, once injured, it cannot self-repair except through surgery. So, how long does it take for a deltoid ligament injury to heal? For superficial injuries, with proper immobilization or surgical repair, recovery typically takes about three weeks. For deep injuries, surgical repair can be challenging, and reconstruction is often required, extending the healing time to about six weeks or even three months.

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Symptoms of femoral head ligament injury

The clinical symptoms of a femoral head ligament injury mainly manifest as significant local pain. Severe cases may affect the patient's joint mobility and normal ability to move about, which are the clinical manifestations of a femoral head ligament injury. Usually, within a recent period, it is necessary to strictly rest in bed to protect the area, reducing local stimulation, which is the best condition for patient recovery. If the patient is not allergic to plasters, topical plasters that invigorate blood and dissolve stasis can be used, along with oral non-steroidal anti-inflammatory and pain-relieving drugs, and drugs that invigorate blood and dissolve stasis for treatment. After 48 hours post-injury, local heat application should be actively performed. Most patients will gradually recover through these active treatment methods. (The use of medications should be under the guidance of a professional doctor.)