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Damage to the lateral ligaments of the knee joint

A full range of orthopedic services, from diagnosis to full recovery

The lateral ligaments of the knee joint include the medial collateral and lateral collateral ligaments. The rupture of the lateral ligaments of the knee joint is a common sports injury, which is treated by an orthopedic doctor.
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The internal ligament is more often injured, taking into account the peculiarities of the anatomy of the knee joint. As a rule, when doing active sports such as cross-country skiing, football, squash or tennis.

Usually, the fibers of the ligaments are strong enough to withstand loads of this kind. However, as a result of their strong tension, which occurred due to improper unnatural movement in the knee joint, such as twisting the knee, the fibers can break. As a rule, this can cause a characteristic crunch. The rupture is always accompanied by bleeding.

The lateral collateral ligament of the knee joint is less often damaged than the internal one, but the entire ligament is more often torn completely or there is a complete separation from the place of its attachment to the femoral condyle. The medial collateral ligament undergoes traumatic injuries more often. However, usually it is partially broken. Part of the fibers of the internal lateral ligament is woven into the capsule of the joint and into the tissue of the internal meniscus of the knee joint. This attachment of the ligament leads to possible damage to the internal meniscus of the knee joint with ligament injuries.

There is a partial and complete rupture of the internal lateral ligament. Partial rupture often occurs at the site of its attachment to the inner meniscus.

Immediately after the injury, there is a restriction of the function of the joint, sometimes there may be hemarthrosis – the accumulation of blood in the joint cavity. In the area of the damaged ligament, there may be swelling of soft tissues. The feeling of this area is painful.

A complete tear leads to instability of the knee joint. More often, the internal lateral ligament is torn. 

With excessive force applied to the inner surface of the knee joint, other elements of the knee joint (cruciate ligaments, menisci), and the peroneal nerve can often be damaged.

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Diagnostics

Based on the symptoms and clinical examination, the orthopedist may prescribe such tests as radiography, magnetic resonance imaging (MRI), ultrasound diagnostics (ULTRASOUND).

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Treatment

The treatment tactics in most cases are conservative: wearing a special orthosis with lateral stability, cold locally, elevated position of the limb, limiting the load on the injured limb for 4 weeks. During this period, most of the gaps are fused together. In cases where conservative treatment has not helped, resort to surgical treatment. Reconstruction of the lateral ligament is performed with an autograft from the tendons of the muscles of the posterior surface of the thigh.

Prevention

It is recommended to pay special attention to a thorough warm-up and warming up of the muscles before exercising. A well-trained musculature is already a good defense against injury.

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