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Symptoms include pain, swelling, and bruising to the front of the knee. [1] A person may also be unable to walk. [1] Complications may include injury to the tibia, femur, or knee ligaments. [2] It typically results from a hard blow to the front of the knee or falling on the knee. [1] The patella can also be fractured indirectly.
A patellar dislocation is a knee injury in which the patella (kneecap) slips out of its normal position. [5] Often the knee is partly bent, painful and swollen. [1] [2] The patella is also often felt and seen out of place. [1] Complications may include a patella fracture or arthritis. [3]
Iliotibial band syndrome (ITBS) is the second most common knee injury, and is caused by inflammation located on the lateral aspect of the knee due to friction between the iliotibial band and the lateral epicondyle of the femur. [2] Pain is felt most commonly on the lateral aspect of the knee and is most intensive at 30 degrees of knee flexion. [2]
Most of the time, if the MCL or LCL are torn as an isolated injury, they can heal without surgery, providing there is a period of long leg bracing followed by a rehab program.
Often there is sudden onset of pain and walking is difficult. [1] In a complete rupture, the ability to extend that knee is decreased. [1] A pop may be felt when it occurs. [2] Injury to the patellar tendon generally requires a significant force such as falling directly on the knee or jumping from a height. [1]
The severity of the injury can vary from simple soft tissue damage to a knee joint fracture with neurovascular damage. The latter requires several weeks in hospital and intensive outpatient physiotherapy for recovery. [1] If the damage is too great, amputation may be necessary, [2] but this rarely occurs.
Caused by a valgus force on the knee; it is a low energy injury, typically seen in individuals of the 4th decade or older with osteoporotic changes in bone. Most common, and make up 75% of all tibial plateau fractures. There is a 20% risk of distraction injuries to the medial collateral ligament.
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