Sports Medicine

Grade I Hamstring Strain

Hamstrings are the three muscles at the back of the thigh. They traverse between the hip and the knee and are named semimembranosus, semitendinosus and biceps femoris. They are involved in bending the knee., tipping the pelvis back when you lean backwards, and twisting the knee when the knee is bent.

 

A hamstring injury ranges from a strain to a muscle tear.
There are three grades of hamstring injury:

  • Grade I: a mild muscle strain
  • Grade II: a partial muscle tear.
  • Grade III: a complete muscle tear or tear of an attachment.

 

Grade I injury may take a few days to heal but a grade III injury can take months. We’ll focus on grade I hamstring injury in this article.

The best way to avoid hamstring injury is to spend time working on your hamstring strength

Grade I Hamstring injuries are very common in sports, especially those that involve sprinting, suddenly stopping and changing direction, and jumping. These include football, rugby, baseball and track running. They typically happen at the end of the swing phase of running, just before the outstretched leg touches the ground, as it is at this point that the hamstring muscles have to suddenly contract to bend the knee.

 

There are multiple predisposing factors for hamstring injury, such as:

 

  • Weak hamstrings – if they are not toned up and strong enough to handle the stress, they are more likely to get injured.
  • Lack of warm-up before exertion – Hamstring muscles are less likely to be injured when they are warmed up through brief stretching/contracting exercises. Keeping the legs warm with suitable clothing while warming up also helps a lot.
  • Tiredness – if the muscle is fatigued, it is more likely to get injured. Having good fitness overall helps.
  • Previous hamstring injury – You are much more likely to have a hamstring injury if you have had a previous one.
  • Older age – you are more likely to have a hamstring injury as you get older.

 

Interestingly, being overweight is not thought to be a risk factor for a hamstring injury.

The best way to avoid hamstring injury is to spend time working on your hamstring strength. A highly trained sportsperson will tend to do this as part of their training but anybody looking to do any activities that involve these muscles is probe to grade I hamstring injury and needs to warm up as well.

There are various approaches to hamstring rehabilitation, with varying times of immobilization to the type of exercise. The goal of any hamstring rehabilitation (especially so in cases of sportspersons) is to return to the previous level of performance while attempting to minimize the rate of injury recurrence. It has been shown that Grade I (and even II) hamstring strains can be aggressively treated with brief immobilization followed by early initiation of running and isokinetic exercises. This is likely to lead to early recovery of function and a relatively low reinjury rate.

The Role of an Orthopedic Surgeon in Sports Medicine

The specialty of Sports medicine deals with the treatment and prevention of sports and fitness related injuries.

Orthopedic doctors who work in this field focus not only on treating sports injuries, but also injury prevention, rehabilitation, nutrition, and performance training in order to help athletes improve their game.

Here are some of the things an orthopedic doctor does in the sports medicine field.

  • Specialized Care: Orthopedic doctors who specialize in sports medicine have received special training to diagnose and treat athletes, fitness professionals, and active individuals.
  • Injury Prevention: Orthopedic doctors can provide patients with advice on how to prevent injuries and avoid re-injury.
  • Latest Treatment Options: Orthopedic doctors utilize the latest techniques and procedures to treat you.
  • Improved Performance: Orthopedic doctors who are also sports medicine specialists can design custom training programs for an athlete’s needs, strengths, and weaknesses, make training recommendations, and identify areas for improvement.

Sports were once a privilege of the fittest and most talented people. Not any longer. Sports medicine focuses on all issues surrounding sports and exercise, so that anyone who wishes to lead an active life or participate in sports can do so. Consult an experienced orthopedic doctor near you to understand more about how an orthopedic doctor can help you.

To learn more about sports medicine treatments, call the top orthopedic doctor and surgeon in Gilbert, AZ, call OSPI Arizona at 480-899-4333. OSPI’s Board Certified orthopedic surgeons have extensive experience and expertise in sports medicine, general orthopedics and joint replacement surgery.

Top Athletes Are Turning To PRP Therapy To Heal Injuries

How do top athletes come back so fast from seemingly career-ending injuries? In the NBA, NFL it’s common to hear of athletes coming back from ACL injuries to play their best seasons in just a matter of months. But what is their secret? What technologies and new and innovative therapies are they trying? One of these is known as platelet-rich plasma therapy, and the list of All-American athletes that have used it is grown. It now includes names like Troy Polamalu, Tiger Woods, Kobe Bryant and Danny Salazar.

What is platelet rich plasma therapy?

Platelet-rich plasma therapy is a new and exciting treatment that can be used for a whole host of injuries suffered by sports stars and amateur athletes alike. It works by enhancing the body’s own natural healing mechanisms. The procedure is performed in a number of steps:

  • A sample of the patient or athletes own blood is taken
  • This sample is spun at high speed (centrifuged), which acts to separate out the different components of the blood.
  • The platelets and plasma are removed from the centrifuge, leaving behind the red blood cells
  • The platelets and plasma are injected back into the individual into the area of injury that requires healing.

When these platelets are injected back into the injured site current theories suggest they work to stimulate the bodies healing process and speed up recovery time.

Platelet rich plasma therapy is a new and exciting treatment that can be used for a whole host of injuries

Russell Westbrook Joins growing list of top athletes trialing PRP

In late 2017 Russell Westbrook, star of the Oklahoma City Thunder,  was reported to have a PRP injection in his left patellar tendon. The injection wasn’t for any previously reported injury and Westbrook was it wasn’t for anything serious – he just had a minor injury was needed to get on top of it fast so that it wouldn’t trouble him in the regular season. General Manager Sam Presti said

“I think he really wanted to make sure he took care of that in advance, so it wasn’t something that lingered through the year,” Presti said. “We’ll work him back in, I think, as we get through camp and see how he’s doing.”

Many athletes are following Westbrooks lead, using PRP to get on top of small injuries as well as last ligament tears. PRPs power to improve the body’s own natural healing process is perfect for this.

Another athlete who recently turned to PRP injections to get back to their best was Tampa Bay Buccaneers quarterback Jameis Winston. He received the injection for an AC joint sprain in his throwing shoulder. Jameis ended up being able to finish the NFL season because of conservative treatment like PRP therapy.

If you or somebody you know has suffered a sporting injury and you think you might be benefited by platelet-rich plasma therapy, get in contact with a specialist clinic that specializes in the procedure today.

Ultrasound Therapy Found To Be Effective For Osteoarthritis Pain

Osteoarthritis is often referred to as “wear and tear” arthritis or “degenerative arthritis”. It is a condition that occurs with aging and can cause significant pain. One might find as they grow older than their joints begin to creak and ache – some of this may be due to osteoarthritis. Some statistics estimate that around 10% of men and 13% of woman over the age of 60 have symptomatic osteoarthritis. This pain is often constant and significantly debilitating – coming to dominate the lives of millions of Americans each and every year. There are a number of different treatment out there – but many don’t work for patients and there’s a need to identify new and exciting therapies that could treat this chronic condition. Luckily a physical therapy technique known as ultrasound therapy has recently been shown to be effective for those suffering from osteoarthritis!

What is osteoarthritis?

Osteoarthritis can occur in any joint but typically affects the knee or the hip. There is a protective layer in each and every joint known as the cartilage which acts as a shock absorber and stops bones rubbing up against each other and causing significant pain. In individuals with osteoarthritis the cartilage wears down and bone on bone contact results in pain.

therapy has been found to be effective in reducing pain and improving physical function

What is ultrasound therapy for osteoarthritis?

In a therapeutic ultrasound session sound waves from an ultrasound probe is used to relieve pain in a joint. This is usually done by a trained physiotherapist or doctor. In some specialized physiotherapy programmes the ultrasound treatment may be used before exercise therapy to relieve pain and allow the patient to undertake physiotherapies they wouldn’t be able to engage in with the pain.

So what’s the verdict – does ultrasound therapy work?

The technique has been used for a number of years – but evidence for its use has been slowly mounting. A Cochrane review suggested that it might be useful for knee osteoarthritis in 2010 but more research was needed. A recent 2017 study published in the journal “Ultrasound in Medicine and Biology” assessed its effectiveness in patients with osteoarthritis. The study included 62 patients 31 of which had the treatment 31 of which had a placebo treatment. They found that:

● In a patient receiving real ultrasound therapy, there was a significant improvement in pain compared to the sham group immediately after treatment
● At 1 month after treatment, there was no statistically significant improvement in the real group versus the sham group.

The authors conclude that

“In conclusion, US therapy has been found to be effective in reducing pain and improving physical function in the short term, but this positive effect was not persistent in the long term. However, we believe that the results of our study may contribute to ongoing research for the treatment of patients with knee OA, and further systematic investigation on larger patient populations may delineate the role of US in knee OA treatment.”

In fact, its use as a short-term treatment before another physiotherapy at some centers is potentially the best use for the experimental therapy.

What is Tendonitis and How can it Be Managed?

TendonitisThe tendons are thick, fibrous cords that attach muscles to bones and they can become inflamed and cause pain similar to that experienced by muscle injury and inflammation. This is them referred to as tendinitis and the causes of this condition may be due to:

  • Sudden injury sustained to the affected limb or joint.
  • Repetitive movements over a period of time that results in increased stress being placed on the affected tendons.
  • Occupations that involve the individual being placed into awkward positions to perform duties in, frequent overhead reaching, forceful exertion, and being exposed to repetitive vibrations.
  • Using improper techniques to perform certain jobs or sport-related movements.

Types of tendinitis

Some common names of tendonitis pathologies include:

  • Golfer’s elbow – involvement of the medial (inside) tendon of the elbow.
  • Tennis elbow – involvement of the lateral (outside) tendon of the elbow.
  • Swimmer’s shoulder – impingement of the rotator cuff tendon between the acromion of the shoulder blade and the greater tuberosity of the humerus (bone of the upper arm). This is seen in swimmers who specialize in freestyle and front crawling swimming strokes.
  • Pitcher’s shoulder – inflammation of the long head of the biceps muscle that attaches to the shoulder which is called bicep tendonitis and may occur in baseball and softball pitchers. This condition may also occur in swimmers where the bicep muscle is involved as well as in any other sports where throwing activities are performed such as javelin and cricket, and where contact occurs such as in wrestling, gridiron football, and martial arts.
  • Jumper’s knee – inflammation of the tendon of the patella (knee-cap) or even the quadriceps tendons caused by repetitive straining from too much running and/or jumping.

Signs and symptoms

Patients may present with the following clinical signs and symptoms when dealing with tendinitis:

  • Pain that is often described as a dull pain that is felt over the affected area.
  • Increased pain when moving the affected limb or joint.
  • Tenderness and swelling over the affected area.
  • Decreased range of motion of the affected limb which is restricted due to pain.

Management

Tendonitis is managed conservatively with the following therapies:

  • Resting the affected limb and not performing movements that cause pain.
  • Using pain medication such as acetaminophen and anti-inflammatory medications such as ibuprofen or naproxen.
  • Applying ice packs or cold compresses over the affected areas to help reduce swelling and inflammation.
  • Physical therapy to help incorporate exercises and to learn correct techniques that will help prevent inflammation of the tendons.
  • Steroid and local anesthetic medications can be injected into an affected joint or around an involved tendon to also help reduce inflammation and pain.
  • Regenerative medicine in the form of platelet-rich plasma (PRP) can be administered where the platelet cells help to repair damage to a tendon caused by chronic inflammation.

If these therapies are ineffective, then surgical intervention may be warranted. Procedures may include:

  • Focused aspiration of scar tissue (FAST) which is performed to remove scar tissue on tendons caused by chronic inflammation of the tissue.
  • Arthroscopic tendon repair using small instruments if the inflamed tendon has torn or ruptured.

Overview of Common Knee Sports Injuries

In 2014, there were 10.4 million visits to a doctor’s office because of knee injuries. The knee is a complex joint with multiple components. This complexity makes it vulnerable to a variety of injuries. Knee injuries can be successfully treated using simple measures, such as physical therapy rehabilitation exercises and bracing.

Knee Components

The structures and components of the knee joint include:

  • Bones – Three bones meet to form the knee joint: femur (thighbone), tibia (shinbone), and patella (kneecap).Knee anatomy picture
  • Articular cartilage – The ends of the tibia and fibula, and back portion of the patella, are covered with a slippery articular cartilage. This allows the bones to glide smoothly across each other as you bend or extend the leg.
  • Meniscus – Two wedge-shaped pieces of cartilage that act as shock absorbers are the menisci (singular – meniscus). This tough, rubbery material stabilizes the joint.
  • Ligaments – Bones are connected to other bones via ligaments, and the knee contains four main ligament structures.
  • Tendons – These fibrous structures connect bones to muscles.

Knee Sprains and Strains

A sprain is a tear or stretch of a ligament, which holds bone to bone. A strain is injury of a tendon and/or muscle. You are at increased risk for knee injury if you have a history of strains and sprains, are overweight, or are in poor physical condition. Sprains and strains are categorized according to severity:

  • Mild – Tendon or ligament is stretched slightly, but there is no joint loosening.
  • Moderate – There are partial tears of the tendon or ligament, producing joint instability and some swelling.
  • Severe – Produces excruciating pain during movement, and the tear is complete.

Fractures

The most common knee bone that is broken is the patella. Many patellar fractures are caused by high energy trauma, such as in a motor vehicle collision or a fall from a high structure. The patella is injured during sports by falling directly on it, or when there is a high impact collision with another player.

canstockphoto44316765Dislocation

During sports play, a dislocation can occur when the bones of the knee go out of place. Dislocations are either partial or complete. The tibia and femur can be forced out of alignment, or the patella can slip out of position. A dislocation occurs as a result of sports-related contact.

Anterior Cruciate Ligament (ACL) Tears

The anterior cruciate ligament is often injured with sports play, such as football, basketball, and soccer. This ligament is torn when the athlete changes direction rapidly, or when he/she lands from a jump incorrectly. About 50% of ACL tears occur along with damage to another knee structure, such as meniscus, other ligaments, or articular cartilage.

Posterior Cruciate Ligament (PCL) Injuries

Tearing of the posterior cruciate ligament occurs from a direct blow to the front of the knee when the knee is in a bent position. PCL tears are usually partial tears and can heal without surgery.

Collateral Ligament Injuries

The collateral ligaments are torn or injured by a force that pushes the knee sideways, as with contact sports. Injury to the medial collateral ligament (MCL) often occurs from a direct blow outside of the knee, whereas the lateral collateral ligament (LCL) is injured from a blow to the inside of the knee.

Meniscal Tears

Tears to the meniscus occur when cutting, twisting, pivoting, or being tackled. These injuries also occur from arthritis or aging. A meniscal tear to a weakened meniscus can occur from an awkward twist when rising from a chair.

Tendon Tears

The patellar and quadriceps tendons can be torn or stretched easily during sports activities. These occur from falls, landing awkwardly from a jump, or from a direct force to the front aspect of the knee.

OSPI offers the top sports medicine specialists in Arizona serving Gilbert, Chandler, Mesa, Queen Creek and Maricopa AZ. All types of tendon and ligament injuries are treated with regenerative medicine procedures, bracing, physical therapy and operative procedures when necessary.

Most insurance is accepted, and the Board Certified orthopedic surgeons in Gilbert are experts at getting athletes back to activity quickly, call today!

canstockphoto14794616

What Exactly is a Sports Hernia?

Hernia (Athletic Pubalgia)

A sports hernia is a soft tissue injury of the groin region. This painful hernia is also called athletic pubalgia. It occurs most often in athletes who play sports requiring sudden direction changes and intense twisting movements.

Is a sports hernia the same as an abdominal hernia?

A sports hernia can lead to a traditional abdominal hernia, but it is a different type of injury. Athletic pubalgia is a strain or tear of a ligament, tendon, canstockphoto31482997and/or muscle in the groin or lower abdomen area.

What body structures are affected from sports hernia?

The soft tissues most often affected by sports hernia are the lower abdomen oblique muscles and the tendons that attach the obliques to the pubic bone. For many people, the abductor tendons (attach thigh muscles to the pubic bone) can be torn or stretched.

What is the cause of sports hernia?

Sports hernia occurs from vigorous sports, such as soccer, football, ice hockey, and wrestling. Any activity that involves planting the feet and twisting the body with maximum exertion can cause stretching or tearing of the groin area.

What are the symptoms of a sports hernia?

A sports hernia causes severe pain of the groin or lower abdomen at the time of the injury. The pain is relieved with rest, but can return with activity, particularly twisting movements. This type of hernia does not cause a visible groin bulge as seen with an inguinal hernia. However, over time, a sports hernia can lead to an inguinal hernia, with abdominal organs pressing against the weak soft tissues to form a noticeable bulge.

How is a sports hernia diagnosed?

If you or your trainer suspects you have a sports hernia, you should see a doctor. The doctor will ask questions about your symptoms, inquire about how the injury occurred, and perform a physical examination. The doctor will look for tenderness of the groin region. In addition, the doctor will examine you for an inguinal hernia.

Will I need testing?

The doctor may choose to perform radiographs (x-rays) and/or a magnetic resonance imaging (MRI) scan to help determine if or not you have a hernia.

How is sports hernia treated?

Treatment for sports hernia includes:

  • Nonsurgical treatment – This involves resting the area for 7-10 days and using ice packs periodically to take down swelling. If you have a bulge of[ File # csp4036800, License # 2145984 ] Licensed through http://www.canstockphoto.com in accordance with the End User License Agreement (http://www.canstockphoto.com/legal.php) (c) Can Stock Photo Inc. / 4774344sean

    the groin, the doctor will show you how to use a compression wrap (Ace bandage) to relieve pain.

  • Physical therapy – After 10-14 days, the doctor may recommend physical therapy exercises to improve flexibility and strength of the inner thigh and abdominal muscles.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) – These include naproxen, ibuprofen, and ketoprofen, which are used to reduce pain and swelling.
  • Surgery – The surgical procedure to repair torn groin tissues involves making one incision (open procedure), or a few tiny incisions (endoscopic procedure). With endoscopy, the surgeon uses a small tube and camera to make necessary repairs inside the abdomen region.

Is treatment effective?

According to statistics, more than 90% of patients who have surgery or use nonsurgical treatment are able to return to sports activity. For some patients, however, the tissues tear again requiring surgical repair.

How common is sports hernia?

The incidence of groin injuries is around 15% for the general population. However, many athletes report groin pain but never see a healthcare professional for treatment.

Orthopedic and Sports Performance Institute is the top sports medicine practice in Arizona, with a location in the East Valley serving Mesa, Gilbert, Chandler, Tempe, Queen Creek, Maricopa and surrounding areas. Call us today for comprehensive options!

Resources

Holmich P & Thorborg K (2014). Epidemiology of Groin Injuries in Athletes. In D.R. Diduch and L.M. Brunt (eds.), Sports Hernia and Athletic Pubalgia: Diagnosis and Treatment, 13. DOI 10.1007/978-1-4899-7421-1_2, © Springer Science+Business Media New York.

Overview of Muscle Contusions and Cramps from a top East Valley Orthopedic

Muscle Contusions and Cramps

What are bruises?

Also called contusions, bruises occur when small blood vessels under the skin’s surface are broken. When blunt trauma occurs, it causes tissue and cell damage as well as bleeding within the muscle. Blood escapes from damaged capillaries and seeps into the tissues. Inflammation initiates canstockphoto23422208macrophage action and phagocytosis of debris, which helps with muscle regeneration.

What causes bruises?

Bruising can occur to the skin, muscle, and bone. Bruises result from vigorous exercise, trauma to the body, or from medications. A nutritional deficiency of iron or vitamin B12 can lead to anemia, which makes bruising more likely.

How common are bruises?

Contusions comprise around 65% of all sports-related injuries. Most bruises go unreported and untreated. The gastrocnemius (calf) muscles and the quadriceps (thigh) muscles are most often bruised. Direct blows are less frequent than indirect ones (strain), and many athletes can return to full activity soon after a strain.

Which muscles are more susceptible to bruising?

Skeletal muscle comprises 45% of the total body weight. Muscles that cross a single joint are close to the bone, and are at most risk for contusions. The larger muscles that go between two joints are more susceptible to stretch-induced strains.

How are contusions treated?

Following the initial bruising, the goal of therapy is to decrease hemorrhage, reduce inflammation, and control pain. This involves the “RICE” formula: limb immobilization and rest (R), use of ice packs (I), wearing a compression (C) bandage (Ace wrap), and elevating (E) the extremity. RICE is done for the first 24 hours for minor bruises, and for 48 hours for more severe contusions.

Once the bruise is stable, heat is used to break up the blood from the tissue and to get it back into circulation. For serious thigh contusions, the client may use crutches, as weight-bearing can be extremely painful. A contusion will generally stabilize after 2-3 days.

What are muscle spasms?

Muscle spasms (cramps) are involuntary contracting of the muscle. Spasms can be mildly annoying or excruciatingly painful. They can only last a few seconds, or they may persist for hours. Some muscle cramps are so severe that they cause tissue bruising of the surrounding area.

What causes muscle cramps?

During exercise, the muscles require the proper amounts of hydration, nutrients, and electrolytes to function. Without these elements, cramping can occur. The causes of muscle cramps include:

  • Nutritional deficiencycanstockphoto10163991
  • Dehydration
  • Strenuous exercise
  • Electrolyte depletion

What does a muscle cramp feel like?

Often called a “charley horse,” a muscle cramp is a sudden intense pain causes by spasming muscle tissue. The cramp results from a forcibly contracted muscle that will not relax.

What muscles are prone to cramps?

Cramps affect any muscle that is under voluntary control (the skeletal muscles). The muscles that lie between two joints are most prone to cramps. Muscle spasms can involve a group of muscles or only a portion of the muscle. The most commonly affected muscle groups include:

  • Back of the thigh (the hamstrings)
  • Back of the lower leg (the gastrocnemius)
  • Front of the thigh (the quadriceps)
  • Foot muscles
  • Abdominal region

Who is at risk for muscle cramps?

Just about everyone has muscle cramps at some point during life. Sometimes, the slightest movement will trigger a muscle cramp. They also can happen during exercise, such as playing tennis or golf, bowling, or swimming. Those at most risk for muscle cramps include:

  • People over the age of 65 years
  • Young children
  • Overweight individuals
  • People on diuretics (water pills)
  • Endurance athletes (runners and triathletes)

How are muscle cramps treated?

The first thing to do is stop what activity you are doing that triggered the cramping. Gently massage and stretch the cramping muscle, holding it in a stretched position until the pain eases. Apply heat to a tight, tense muscle, and apply ice packs to a sore muscle. Whirlpool therapy can be used to recover from cramps and contusions.

OSPI offers top sports medicine treatment for all types of contusions, sprains, strains and full ligament tears. Options include stem cell therapy, orthopedic surgery, pain management, physical therapy and more. Most insurance is accepted, call us today!

Overview of Knee Collateral Ligament Injuries and Treatment

The lateral collateral ligament (LCL) and medial collateral ligament (MCL) are important for avoiding rotational instability of the knee joint, as well as preventing cartilage damage. A collateral ligament injury often requires reconstruction using the patient’s own tissue or donor tissue.

What is the purpose of the collateral ligaments?

The LCL is on the outer portion of the knee, and it connects the thigh bone (femur) to the leg bone (fibula). This

[ File # csp11032144, License # 2179054 ] Licensed through http://www.canstockphoto.com in accordance with the End User License Agreement (http://www.canstockphoto.com/legal.php) (c) Can Stock Photo Inc. / pixologic

ligament’s purpose is to avoid stress across the knee where it buckles outward. Along with other ligaments, the LCL forms a complex that provides external rotation stability. The MCL connects the thigh bone (femur) to the shin bone (tibia). It keeps the knee from buckling inward.

What are the symptoms of lateral collateral ligament injuries?

Injury to the LCL can lead to buckling of the knee. A direct blow on the inside of the knee can cause hyperextension stress on the LCL. This ligament often is torn along with the anterior cruciate ligament, which occurs from high-force sporting injuries. Symptoms include instability of the knee joint, mild knee pain, tenderness and swelling on the outer region of the knee, as well as weakness and/or numbness of the foot.

What are the symptoms of medial collateral ligament injuries?

With MCL injuries, you can have pain, tenderness, and swelling. Several hours after the initial injury, the pain may increase. You may also notice some bruising on the inner aspect of the knee.

How are collateral ligament injuries diagnosed?

The doctor diagnoses collateral ligament injuries based on symptoms, history of injury, physical examination, and magnetic resonance imaging (MRI) scans. X-rays can be normal, but MRI has a 90% accuracy rate for showing ligament tears. Ligament injuries are graded using a scale as follows:

  • Grade 1 injuries – Mild and usually gets better within 1-3 weeks. Only requires non-surgical treatment and use of crutches for a short while.
  • Grade 2 injuries – Moderate and usually gets better in 4-6 weeks. May require wearing a hinged knee brace and limited weight-bearing.
  • Grade 3 injuries – Severe and require wearing a hinged brace for several months. Weight-bearing is limited for 4-6 weeks. Often requires surgery.

What is the treatment for collateral ligament injuries?canstockphoto7107950

The LCL does not heal as well as the MCL. For minor tears, the doctor will recommend rest for a few weeks, use of ice to decrease swelling, elevation of the leg, and a compression bandage (ACE wrap). Physical therapy is used to restore strength and range of knee motion.

For high-grade tears, surgery is necessary. The doctor will reattach the ligament using large stitches or a suture anchor. If the ligament is torn into two pieces, the pieces can be sewed together. When a graft is used, the new structure is attached to replace the torn ligament.

How common are collateral ligament injuries?

According to statistics, the incidence of acute knee injury in the U.S. is 300 cases per 100,000 persons per year. Collateral ligament injuries make up 25% of all acute knee emergency room visits. These injuries are more common in adults aged 20 to 34 years. The NCAA reports 2 collateral injuries per 1,000 player exposures in a year.

OSPI has been the top sports medicine orthopedic doctors in the East Valley for years, with sports medicine physicians providing comprehensive operative and nonoperative care for all types of knee injuries. Call us today!

Resources

National Collegiate Athletic Association. NCAA Injury Surveillance System. 1999-2000.

Yawn BP, Amadio P, Harmsen WS, et al. Isolated acute knee injuries in the general population. J Trauma. 2000 Apr. 48(4):716-23.

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