Internal ligament tear on the knee – How dangerous is that?

Synonyms

Innenbandruptur
Injury to the ligamentum collaterale mediale

English: rupture / injury of collateral ligament

Definition of inner band

The Ligamentum collaterale mediale (sweatband) runs from thighbone (femur) to the shin (tibia). It runs diagonally, so a little forward down. The band is relatively wide and fused with the joint capsule and stabilizes it thus.
Moreover, it is stuck to the medial over some fiber tracts meniscus connected. The inner band is stretched when the knee is stretched and rotated outwards. When the knee is extended, it is used together with the outer band of the stabilization, in the flexion in the knee limit the two bands the external rotation.

definition

Internal ligament injuries are usually a tear of the same. Usually the crack is complete – there are hardly any incomplete band breaks.

Appointment with a knee specialist?

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who am I?
My name is Dr. Nicolas Gumpert. I am Specialist in Orthopaedics and founder of Dr-Gumpert.de.
Various TV programs and print media report regularly about my work. You will see me live on HR TV every 6 weeks "Hello Hesse".
But now is enough stated

The knee is one of the joints with the highest load.

Therefore, treatment of the knee joint (e.g., meniscal tear, cartilage damage, cruciate ligament damage, runner’s knee, etc.) requires much experience.
I treat the most diverse Diseases of the knee in a conservative way.
The goal of any treatment is treatment without surgery.

Which therapy sustainably achieves the best results can only be achieved afterExamination, x-ray, ultrasound, MRI, etc.) be assessed.

You will find me in:

Lumedis – your orthopedist
Kaiserstrasse 14
60311 Frankfurt on the Main

Direct to online appointment
Unfortunately, an appointment is currently only possible with private health insurance. I hope for your understanding!
For more information about me, see Dr. Nicolas Gumpert

Test internal ligament tear on the knee

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causes

The sweatband usually tears only as a result of trauma. This can be a kinking, a rotation trauma or a knee joint displacement, as for example in the To ski or at Soccer occurrence.

symptoms

Symptoms of an inner band tear include:

Painful restriction of movement
Possibly. Instability of the knee joint
Pressure pain on the tape
Possibly. Joint molding, too bruise in the joint
feeling of instability

Pain

The Pain typically occur at the Inside of the knee, so directly over the affected inner band on. They usually let themselves in there strengthen by pressure. Often they are of one Swelling in this area accompanied. However, pain can also occur throughout the knee joint, especially when this is burdened by the unstable band. This will be this Pain is often more pronounced when flexing. Likewise, if you press the knee with the leg extended inwards. Even with most movements, the pain is intensified, which together with the most felt instability in the knee makes any movement difficult. However, the pain can often be badly located right after the injury. This is because of that often already an articular effusion or a swelling has formed that irritates the entire knee. As part of the treatment, it is important to do something about this pain, because otherwise they can delay the healing and lead to restraint. As a simple measure often helps Cool and high-altitude of the knee. In addition, it is possible to use analgesics from the group of NSAIDs, e.g. Ibuprofen or Diclofenac, the pain usually get a good grip. All in all, it is better to take painkillers for a few weeks and to make good progress in the therapy than to endure the pain and therefore not be able to train properly.

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How dangerous is an internal ligament tear?

An internal ligament tear on the knee can usually handled well be and have one good prognosis. Usually one is enough conservative treatment in the form of immobilization and physiotherapy to build muscle.

one surgery is usually only at more complex injuries, if other structures are involved in the knee, needed

diagnosis

Both sidebands it is important to assess the diagnosis especially the hingedness. This should be judged by both the knee being stretched and the knee being bent at 30 °. If the inner band is injured, so torn, so can knee be “unfolded” from the inside. The examiner presses with fixed thigh laterally from the inside against the lower leg. You can feel that the joint gap opens slightly.

For a more detailed diagnosis in outer ligament ruptures in Knee joint MRI images prepared.
roentgen allows only an assessment of bony involvement, but can not directly prove the ligament injury. Theoretically, there is also a knee reflexology, the so-called Arthroscopy from the knee, possible, but which MRI examination of the knee has given way.
Besides, she is more likely to join Cruciate ligament tears For use, since then an arthroscopic surgery is possible.

Illustration of an inner band tear

sweatband
(= inner sideband
of the knee joint) –
Ligamentum collateral tibiale
Inner meniscus –
Meniscus medialis
joint capsule –
Capsula articularis
thighbone – femur
kneecap – patella
outer band
(= outer sideband
of the knee joint) –
Ligamentum collateral fibular
Outer meniscus –
Lateral meniscus
Anterior cruciate ligament –
Ligamentum cruciatum anterius
fibula – fibula
shin – tibia

An overview of all illustrations by Dr-Gumpert can be found at: medical pictures

therapy

The Therapy of the inner band tear depends on the extent of the injury. If the tape is only dragged or overstretched, a short-term immobilization is sufficient (some days) of the joint, followed by Body Building Exercises.
At a Rupture of the inner band It depends on whether this injury has complex concomitants. Lack of bony involvement (ie, the thigh – and the lower leg bone in his structure is uninjured) and instability of the knee joint is missing, so there is also a conservative treatment in the form of a splint for about 6 weeks instead. Complex ligament ruptures with bony involvement and / or instability of the knee joint have to be operational be supplied.
The torn tape is refixed by means of a seam. If bone fractures break, they are fixed with screws.

rail

Depending on the extent of the inner band break, it may be necessary to use a first rail to stabilize. This Rail systems restrict the range of motion of the joint from the outside and thus prevent too much stress. At the same time they have one important support function. In this case, the possible mobility can be adjusted so that it allows a movement appropriate to the respective state of healing. The main purpose of the rail is one to prevent excessive flexion. Although the knee should not be fully stretched in the initial phase. For the diffraction should be in the Start time only about 60 ° allowed his. After a few weeks, the rail is then adjusted so that they have a Diffraction of 90 ° allowed. However, there is also a whole range of other concepts, some of which specify significant larger or smaller angles, as indicated by this attitude of the diffraction measure. Most of these have to Rails worn for about 6 weeks become. In this time will be anyway physiotherapeutic exercises carried out. Afterwards, the splint can be removed and the knee can now be trained without the additional securing.

(Kinesio) -Tapen

The Tapen should on the one hand to a relief of the knee joint lead and the other Relieve muscles, which otherwise stabilize the joint. In this respect, an application in a crack of the inner band at the knee is possible in principle. It can do that Tape, however, not as a substitute for a proper splinting be used in the initial phase. Similarly, taping can not replace the often tedious and strenuous workout. However, if an instability in the knee joint continues after completion of the actual therapy, tapes can remedy the situation in the short term. But in this case bandages are probably the easier solution. Generally, one should keep in mind that any support of the muscles from the outside As a result, they have to pay less and thus become weaker in the long term. Insofar, a Tape or a bandage here reinforce the actual problem even more.

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OP with an internal ligament tear

Unlike one Tear of the outer band, heals Internal ligament tear mostly very good under a conservative therapy. A Surgery is only for very severe tears or with a strong instability necessary after completion of conservative therapy. Even if more knee parts, like the Meniskus or that cruciate ligament are affected, surgery is performed. Even with a complete rupture of the inner band, a splint can usually achieve similarly good results as with the operation, which is why the conservative treatment seems advisable. Especially as well After a surgery a long rehabilitation and training phase followed. If, however, after completion of the physiotherapeutic and conservative treatment, the knee joint is still not stable, the Use of a ligament replacement be necessary.

Appointment with a knee specialist?

I like to advise you!

The knee is one of the joints with the highest load.

Which therapy sustainably achieves the best results can only be achieved afterExamination, x-ray, ultrasound, MRI, etc.) be assessed.

You will find me in:

Lumedis – your orthopedist
Kaiserstrasse 14
60311 Frankfurt on the Main

sick leave

How long to stay at one Internal ligament tear of the knee is not only dependent on the profession exercised. One week in the conservation phase But it is always necessary to let the knee rest. Of course, the ability to work with a rail depends on what you need to do there. Also the possibility to reach the workplace, because you can not drive a car, plays a role. So it is in each case by a case-by-case assessment. The Disability can last between one and several weeks lie.

Test internal ligament tear on the knee

forecast

In general, that is forecast for sideband injuries (Inner ligament tear / outer ligament tear) Well. Depending on the type of injury (overextension, (more complex) CrackHowever, the rehabilitation of the knee joint takes time. The worse the initial situation, the longer it will take to recover the ligaments with all their muscles.

Healing / duration of an inner band tear

As with all diseases, the healing time is very much dependent on individual factors. In addition to the physical conditions, this also belongs to the Comply with the accompanying measures. These include, for example Cooling, protection and a partial load appropriate to the respective situation. Also a good one physical therapy and Accompanying treatment with painkillers and if necessary splinting influences the healing process. In general, a tear of the inner band usually heals very well under conservative treatment, so that a OP very rare is necessary. It is important to protect the knee first for a few days, so that the situation can calm down and a possible Swelling goes back. Only then should the training measures for rehabilitation and further stress be started.

As with many diseases, this is especially true consistent implementation of the physiotherapeutic measures important. This can also be done independently at home. The healing can progress faster and above all the later load capacity can be increased. However, you should not overdo it. The time frame up to full recovery of the resilience of the knee is very good differently. Depending on the severity of the crack, it may take a period of about 2 – 10 weeks act. But also a lengthy course is possible. With less severe cracks, it is often possible after 2-3 weeks to resume a light sports program. at sheavier cracks is a longer immobilization with rails required. Since the load capacity can be built only much slower, a full load as in sports usually only after about 2-3 months again possible.

If, after completion of the actual healing phase, instability remains in the knee, it may be necessary surgery perform. Furthermore, the time to healing also depends on whether other structures of the knee are affected. That’s how it happens with one Crack of the inner band often in addition to one Torn ACL and or meniscus tear and the joint capsule, whose healing then additionally influences the course. Also the circulation The inner band plays an important role and can delay the healing process. In any case, it is important not to strain the knee too early, otherwise risk of tearing again. At very severe inner band tears The duration of the cure can also be up to 9 months last.

prophylaxis

The endangered sports, like To ski, Play soccer should be done with care. Also important for a stable knee joint are trained, strong muscles. These give the knee joint great stability and thus minimize the risk of ligament rupture.

Summary

The Inner band of the knee joint is one of the sidebands and runs – as the name implies – on the inside of the knee from top to bottom along.
It serves, as well as that outer band, the stabilization of the knee joint. The sidebands play with all the other ligaments of the joint and the surrounding ones muscles together. Is the inner band traveling as a result of an accident (trauma) (mostly during sports) as well as pain and instability of the joint. In addition to the test of expandability, gives especially the MRI– Investigation into the nature and severity of the injury.
Thereafter, the therapy is also directed: is only conservative with rail (Days or weeks) or is one operating room necessary (with involvement of the bone). The prognosis also depends on the nature and severity of the injury, but is usually good.
Such an injury can be avoided by exercising caution in the endangered sports and, above all, a strong, well-trained muscular skeleton makes a major contribution to Stability of the knee joint. The more stability such a knee joint experiences, the less easily it is traumatized.

Test internal ligament tear on the knee

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