Symptoms of ligament rupture

Written by Guan Jing Tao
Orthopedics
Updated on September 10, 2024
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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.

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Written by Wang Jing
Pediatric Orthopedics
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Can I drink yogurt with a ligament injury?

After a ligament injury, the treatment varies depending on the severity of the injury. However, in the acute phase, the main treatments include immobilization and elevation of the affected limb. As for what medications to take or what foods to eat to promote healing of a ligament injury, currently, there are no foods found to have a significant promoting effect on ligament recovery, nor are there common everyday foods that hinder ligament repair. Of course, we still recommend avoiding spicy foods. Therefore, after a ligament injury, it is okay to drink yogurt. There are no contraindications with yogurt, nor is there evidence that yogurt has any beneficial effects on ligament repair.

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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 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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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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Written by Wang Jing
Pediatric Orthopedics
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What medicine is good for ligament injury?

Ligament injuries first require assessment of whether the damage is acute or chronic before considering medications. For acute ligament injuries, there are key principles to follow. First, the injured area must rest and the joint should no longer be active. Second, immediately apply cold compresses. The temperature of the ice-water mixture touching the skin should be between 4℃ to 10℃. Apply the cold compress for about 10 to 15 minutes, generally not exceeding 20 minutes. If there is severe swelling, you can continue to apply cold compresses two hours later. Then, elevate the patient's limb and apply compression bandaging to the injured site, which forms the treatment principles for acute ligament injuries. For chronic ligament injuries, different situations require different approaches. For ligament injuries that do not affect joint stability, some topical medications can be used. This can include traditional Chinese medicines or anti-inflammatory and analgesic patches, which mainly improve local blood circulation and reduce local chronic inflammation. (Please use medications under the guidance of a doctor.)