The anterior cruciate ligament injury (which connects the tibia to the femur) is the most common knee meniscus injury, accounting for nearly half of all knee injuries, and is one of the most common injuries in athletes. What is it and what is its treatment? (1)
Causes of anterior cruciate ligament injury
An anterior cruciate ligament injury occurs when the ligament is stretched or twisted too much, and this usually happens when stopping or suddenly moving in the wrong way, or collision, as in sports injuries, fall accidents, and vehicle accidents. (2)
Factors that increase the chance of anterior cruciate ligament injury
The chance of anterior cruciate ligament injury may increase in the following cases: (3)
- Incorrect movement patterns.
- Athletes: such as football, basketball, and gymnastics players, especially if using inappropriate equipment.
- Playing on a smooth surface such as artificial turf.
- Wearing inappropriate shoes.
- Females: This may be due to body differences, muscle strength, and hormonal influences.
Symptoms of anterior cruciate ligament injury
Common symptoms of an anterior cruciate ligament injury include: (4)
- Hearing or feeling a pop in the knee.
- Swelling and puffiness of the knee during the first 24 hours.
- Feeling severe pain, especially when trying to stand or doing any activity that puts pressure on the knee.
- Weakness and unstable in the knee.
- Difficulty moving the knee.
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Diagnosis of anterior cruciate ligament injury
Most cases of anterior cruciate ligament injury are diagnosed after a medical evaluation and taking the injured person’s medical history. The doctor asks about the symptoms and whether he felt or heard a crack in the knee when the injury occurred. Then he examines the knee for signs of injury and swelling and compares it to the healthy knee. He also evaluates the injured person’s ability to move his knee. Imaging tests may sometimes be needed, such as an X-ray to reveal any fractures, and MRI to evaluate the ligament, cartilage, and structures surrounding the affected area. (5)
Treatment of anterior cruciate ligament injury
You should see a doctor immediately if you suspect a cruciate ligament injury to obtain the appropriate diagnosis and treatment. Treatment options depend on the symptoms, the severity and nature of the injury, and the extent to which it affects your life. For example, if you are an athlete or your injury is severe, you may need surgery to be able to return to your activities as soon as possible. However, minor cases can be treated with rest and non-surgical practices. (4)(6)
The initial procedures that must be taken when a knee injury occurs are: (6)
- Adequate rest and stopping activities that put pressure on the knee.
- Apply ice compresses to the affected knee. The ice should be wrapped in a clean fabric, not placed directly on the skin.
- Raise the legs above heart level.
- Use analgesics.
You may also need: (6)
- Use a knee brace to give your knee some stability.
- Physical therapy and stretching exercises to help improve joint mobility and leg strength.
- Use crutches to walk until swelling and pain improve
Our Physical Therapy and Rehabilitative Department at Al Ahli Hospital provides comprehensive rehabilitation services, including physical therapy and post-operative care, to support your complete recovery journey.
References:
1.https://www.ncbi.nlm.nih.gov/books/NBK499848/
2.https://emedicine.medscape.com/article/1252414-overview#a4
3.https://www.mayoclinic.org/diseases-conditions/acl-injury/symptoms-causes/syc-20350738
4.https://www.uptodate.com/contents/anterior-cruciate-ligament-injury-beyond-the-basics
5.https://orthoinfo.aaos.org/en/diseases--conditions/anterior-cruciate-ligament-acl-injuries/