How to treat patellar ligament injury?

Written by Na Hong Wei
Orthopedics
Updated on September 11, 2024
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First, it is necessary to qualitatively assess the injury of the patellar ligament, determining whether it is a partial or complete rupture, whether it is a simple rupture, or a compound rupture, the latter involving other injuries such as fractures or joint dislocations. The treatment of patellar ligament injuries, like other tendon injuries, follows the principle of "three earlies": early diagnosis, early treatment, and early rehabilitation. Early diagnosis has been mentioned before. Early treatment means that if surgery is needed, it should be conducted as soon as possible, as earlier surgeries often result in better postoperative recoveries. If surgery is not required, an immediate fixation with a cast or brace should be applied to keep the knee joint in an extended position, and this fixation should be maintained for three to four weeks. The third step is early rehabilitation. As the knee joint is immobilized during the fixation period, and pain and swelling starts to decrease, early functional exercises should be initiated, focusing on distal joint movement and muscular isotonic exercises, but avoiding flexion and extension movements of the knee joint. Early rehabilitation primarily aims to prevent muscle atrophy, prevent joint adhesion, and promote recovery from the condition.

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Written by Zhang Ying Peng
Orthopedics
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What supplements are good for ligament injuries?

Patients with ligament injuries are advised to consume more foods containing high-quality protein, such as beef, eggs, and milk. However, it is not recommended to eat high-calorie, high-nutrient foods, such as sea cucumber and abalone. Ligaments are important structures that connect two bones at the joint. Once a ligament is injured, it can only recover under strict rest, which may involve immobilization with plaster casts and bed rest. After a ligament rupture, a great amount of energy is consumed during the healing process. It is crucial to balance meat and vegetables in the diet and maintain nutritional balance. It is suggested to appropriately increase the intake of high-quality protein foods, such as beef, eggs, and milk, but it is not advised to consume high-calorie, high-nutrient foods, like sea cucumber and abalone.

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Written by Wang Jing
Pediatric Orthopedics
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Can ligament injuries heal by themselves?

Whether ligament injury can be healed depends on the severity of the injury. Generally, there are four types of ligament injuries. The mildest is a sprain, which is when some fibers of the ligament are torn. The second type is a partial tear of the ligament, the third type is a complete tear of the ligament, and the fourth type is a combined injury, which includes damage to other structures in addition to the ligament injury. If the ligament injury is just a sprain, it can generally heal within two to three weeks with immobilization. However, partial ligament tears that are more severe may require surgical intervention. If the partial ligament injury is not severe and does not affect stability, it can also heal with about three to six weeks of immobilization. However, complete ligament tears or combined injuries often require surgery for suturing or reconstruction in order to heal.

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Written by Wang Jing
Pediatric Orthopedics
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What are the symptoms of ligament injury?

Ligament injuries may exhibit different symptoms depending on whether they are acute or chronic. Acute ligament injuries generally occur within one to three days after the injury. At this time, the main symptoms are caused by blood drawn from the injured ligament, leading to swelling, bruising, pain, and corresponding joint movement disorders at the injured site. Severe ligament injuries can even cause avulsion fractures. Chronic ligament injuries usually result from acute injuries that have not been properly treated. At this point, the main issues are joint instability and pain in the joint caused by long-term damage to the cartilage.

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Written by Guan Yu Hua
Orthopedic Surgery
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Symptoms of knee ligament injury

The ligaments in the knee joint are quite complex, often resulting from trauma, strain injuries, or lateral impacts. Symptoms such as reluctance to move the knee, pain, and worsened pain after movement usually necessitate a hospital examination. Lateral stress tests examine the medial and lateral collateral ligaments, drawer tests check the anterior and posterior cruciate ligaments, and pivot shift tests or squat walking tests assess the meniscus. If necessary, an MRI is performed for diagnosis. Early detection and treatment are crucial. If trauma is frequent, or instability after injury occurs, one should seek hospital examination. Ligament damage often heals slowly, typically taking around a month to fully recover.

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Written by Li Jie
Orthopedics
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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.