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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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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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.)

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What should I do if I have a knee ligament injury?

Ligament injuries in the knee are commonly seen in two areas: the first is the anterior cruciate ligament (ACL) injury, and the second is the medial collateral ligament (MCL) injury. The treatment for these two ligament injuries is the same; for instance, in cases of just a simple ligament tear or partial tear, it only requires the use of a plaster cast for external fixation, and immobilization for three to four weeks can achieve recovery. If there is a complete tear, surgery might be needed. There are two types of surgeries: the first one involves direct repair of the ligament, the second involves using autologous tendons to reconstruct the ligament, restoring the stability of the entire knee joint. To determine whether you have a tear, complete tear, or partial tear, it is necessary to undergo an MRI of the knee to confirm.

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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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Symptoms of ligament rupture

After a ligament rupture, the area will experience pain, swelling, and restricted movement, and it will not be possible to actively extend or bend. Taking the rupture of the finger extensor tendon as an example, after the rupture caused by accidental bumps or other reasons, the site exhibits pain and cannot be straightened. When passively straightened, it will flex on its own after removing the support, unable to actively extend. These are the symptoms of functional limitation after a ligament rupture. Furthermore, some patients may also experience persistent local pain and significant swelling. At this time, it is advisable to combine local hot compresses and physical therapy. For distal finger extensor tendon ruptures, hyperextension fixation can be applied. About four weeks later, if the hyperextension fixation splint or plaster is removed, some patients can heal on their own. However, if some patients cannot heal naturally, surgical anastomosis treatment is required.