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This complex is the major stabilizer of the medial knee. Injuries to the medial side of the knee are most commonly isolated to these ligaments. [1] [3] A thorough understanding of the anatomy and function of the medial knee structures, along with a detailed history and physical exam, are imperative to diagnosing and treating these injuries.
Next, repeat the test with the patient's knees flexed at 90°. Increased rotation at 90° indicates a combined PCL and posterolateral knee injury. If the rotation decreases compared to 30°, then an isolated PLC injury has occurred. [7] [8] Beware of a possible medial knee injury in the face of a positive dial test.
Depending on the grade of the injury, the lowest grade (grade 1) can take between 2 and 10 weeks for the injury to fully heal. Recovery times for grades 2 and 3 can take several weeks to several months. Treatment of a partial tear or stretch injury is usually conservative. Most injuries that are partial and isolated can be treated without ...
Symptoms of a sprain or tear of the LCL includes pain to the lateral aspect of the knee, instability of the knee when walking, swelling and ecchymosis (bruising) at the site of trauma. Direct trauma to the medial aspect of the knee may also affect the peroneal nerve, which could result in a foot drop or paresthesias below the knee which could ...
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]
The vastus medialis oblique muscle is described to have an important role in functional stabilization of the patella against lateral vector force. [5] Proprioceptive exercises and strengthening of the hip abductors and positioning of the foot are crucial, especially indicated in patient with miserable malalignment syndrome or medial collapse.
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.
Complaints of locking sensation in the knee joint can be divided into true locking and pseudo locking. True locking happens when the intra-articular structure (e.g. ligaments) [1] is damaged, or a loose body is present inside the joint, or there is a meniscal tear. The knee can be unlocked by rotating the leg and full movement can be restored.
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