At Shoreline Orthopaedics, our orthopaedic surgeons use a truly collaborative approach so our patients have the benefit of multiple expert opinions, without having to go elsewhere to obtain them.
Shoreline Orthopaedics provides more comprehensive services, state-of-the-art options, technologies and techniques than anyone else in the area.
The following information is provided to help you understand what you can expect from us regarding policies and procedures, and also what is expected of you before and after treatment or procedures.
The knee is the largest joint in your body and one of the most complex. Three bones meet to form the knee joint: the thighbone (femur), shinbone (tibia), and kneecap (patella). The kneecap sits in front of the joint to provide some protection. Knee ligaments connect the thighbone to the lower leg. The four primary ligaments in the knee act like strong ropes, holding the bones together and keeping the knee stable.
The knee joint relies only on ligaments and surrounding muscles for stability, so it is easily injured.sprains or tears are a common sports injury, and the MCL is injured more often than the LCL. In fact, the MCL is the most commonly injured ligament in the knee. However, due to the complex anatomy of the outside of the knee, an injury to the LCL usually includes injury to other structures in the joint, as well. Athletes who participate in direct contact sports like football or soccer are more likely to injure their collateral ligaments.
An injured ligament is considered a sprain, and is graded on following severity scale:
Common symptoms of collateral ligament injuries include: pain on the inside of the knee with an MCL injury; pain on the outside of the knee with an LCL injury; swelling over the site of the injury; and a feeling of instability, as if the knee may give out from under you.
Because the knee joint relies just on ligaments and surrounding muscles for stability, it is easily injured. Direct contact to the knee or hard muscle contraction, such as changing direction rapidly while running, can injure a knee ligament. Injuries to the collateral ligaments are usually caused by a force that pushes the knee sideways. These are often contact injuries, but not always. Medial collateral ligament tears often occur as a result of a direct blow to the outside of the knee, which pushes the knee inwards (toward the other knee). Blows to the inside of the knee that push the knee outwards may injure the lateral collateral ligament.
Your physician will examine all the structures of your injured knee and compare them to your uninjured knee. Most ligament injuries can be diagnosed with a thorough physical examination. Other tests which may help confirm your diagnosis include magnetic resonance imaging (MRI), and X-rays, which can reveal any injury to the bone. It is possible, however, for these images to appear normal, especially if the injury occurred more than three months prior to testing.
Injuries to the MCL rarely require surgery. If only your LCL is injured, treatment may be similar to that of an MCL sprain. If your LCL injury also involves other structures in your knee, treatment will address those, as well.
Most isolated collateral ligament injuries can be successfully treated without surgery. If the collateral ligament is torn in such a way that it cannot heal or is associated with other ligament injuries, your doctor may suggest surgery to repair it.
Once your range of motion returns and you can walk without a limp, your doctor may allow functional progression. This is a gradual, progressive return to sports activities. For example, if you play soccer, your functional progression may start as a light jog. Then you progress to a sprint, and eventually to full running and kicking the ball. Your doctor may suggest a knee brace during sports activities, depending on the severity of your sprain.
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