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Sports Related Knee Injuries
Knee pain and knee injuries are extremely common in
athletes. In order to treat the cause of the knee pain it's
important to have an evaluation and proper diagnosis. Common
reasons for knee pain in athletes include the following:
Knee Pain from Ligament Injuries
Ligament injuries to the knee are very common in sports
that require stopping and starting or quickly changing
directions. These extreme forces on the knee can result in
torn ligaments. The anterior cruciate ligament (ACL) and the
medial collateral ligament (MCL) are the most often injured,
but the posterior cruciate ligament (PCL) and the lateral
collateral ligament (LCL)can also be injured.
Cruciate ligament injuries don't always cause pain, but
typically cause a loud "pop." Most of these injuries are
confirmed with an MRI. Arthroscopic surgery is sometimes the
best way to find a partial tear.
Sprains
A sprain means you've stretched or torn a ligament.
Common knee sprains usually involve damage to the ACL and/or
MCL. The most serious sprains involve complete tears of one
or more of the knee ligaments. Symptoms of knee sprains
include:
- a popping or snapping sound in the knee at the time
of injury
- pain that seems to come from within the knee,
especially with movement
- not being able to put any weight on that leg
- swelling
- fluid behind the kneecap
- the knee feels loose or unstable or gives way
Strains
A strain means you've partially or completely torn a
muscle or tendon. With knee strains, you may feel symptoms
similar to a sprain and may see bruises around the injured
area.
Tendinitis
Tendinitis happens when a tendon gets irritated or
inflamed. It is often caused by overuse. A person with
tendinitis might have pain or tenderness when walking, or
when bending, extending, or lifting a leg.
Meniscal Tears
Damage to the menisci is a really common sports injury,
especially in sports where sudden changes in speed or
side-to-side movements can cause them to tear. Meniscal
injuries often occur together with severe sprains,
especially those involving the ACL.
Meniscal injuries can cause tenderness, tightness, and
swelling around the front of the knee. Sometimes fluid
collects around the knee (this is called effusion).
Fractures and Dislocations
A fracture is a cracked, broken, or shattered bone and is
usually diagnosed by an X-ray. You may have trouble moving
that bone and it's likely there's a lot of pain. Patellar
dislocation happens when the patella (the kneecap) is
knocked off to the side of the knee joint by twisting or
some kind of impact. Sometimes it will go back to its normal
position by itself, but usually it will need to be put back
into place by a doctor.
Symptoms include swelling and a lot of pain at the front
of your knee. There will usually be an abnormal bulge on the
side of your knee, and you may be unable to walk.
Cartilage Injuries
Sometimes a small piece of bone or cartilage softens or
breaks off from the end of a bone, causing long-term knee
pain. This is called osteochondritis dessicans
(OCD). Symptoms of OCD include pain,
swelling, an inability to extend the leg, and stiffness,
catching, or popping sensations with knee movement.
Treatment can include resting the knee, wearing a cast for a
couple of months, and sometimes surgery in older teens.
Chondromalacia happens when the
cartilage in the knee joint softens because of injury,
muscle weakness, or overuse, and the patella and the
thighbone may rub together. This causes pain and aching,
especially when a person walks up stairs or hills. Treatment
may involve surgery.
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