Lateral Collateral Ligament (LCL) Injury: Orthopedic Plano

by Administrator 25. October 2016 08:01

The knee joint is a major part of the body, vital for its movement and balance. The femur, tibia and the knee cap meet at this joint and these bones are connected to each other through ligaments. Lateral Collateral Ligament is a band of thick tissue that lies on the outer side of the knee joint. It connects the femur or the thigh bone to the fibula which is a small sized bone in the lower leg. This ligament along with the medial collateral ligament manages the sideways motion of the joint and prevents it from any stress. Injury to the LCL is most common among sportspersons. Ligament injuries are also referred to as sprains.

Causes

  • Direct fall onto the knee joint or the muscles during contraction can stress or tear the ligaments
  • Sudden change in directions or twisting of the knee may place undue pressure on the LCL
  • Hitting the knee from the back or sides can damage the LCL
  • Weakness in ligament structures due to internal problems
  • Sports that involve tackling or collisions
  • Improper use of technique during sports or exercise may stress the ligaments
  • Weakness of supporting thigh and leg muscles

Symptoms

  • Pain may be felt on the outer side of the joint
  • Unstable knees
  • Inability to bear body weight
  • Limited range of motion
  • Tenderness, swelling and bruising may also be seen
  • Stiffness

Diagnosis

  • A thorough clinical check may be conducted by the orthopedic doctor to assess the extent of damage
  • The patient may be questioned about his/her medical history, symptoms, mode and time of injury 
  • The range of motion intact may be tested through some physical tests
  • X-ray imaging may be required in most cases to check the exact location of ligament and severity of damage
  • MRI or CT scan may be helpful in diagnosing damage to the surrounding soft tissue structures, grade of sprain and nerve injuries if any

Treatment

  • Immobilization of the knee- a removable brace may be fixed to the joint to support it and prevent stress which aids in healing of the ligament
  • Medicines- pain relief drugs and anti inflammatory medicines may be prescribed by the doctor
  • Splinting of the injured knee may aid in recovery of low grade or minor sprains
  • Rest is important and any physical activity should be kept to the minimum
  • Ice packs may be applied for the first few days to reduce swelling
  • Physical therapy may be recommended in most cases to regain stability and movement
  • Surgery may be required in high grade or major injuries for the reconstruction of damaged ligament or the torn tissue may be stitched back and allowed to heal with time

Dr. Kouyoumjian in Plano, TX offers diagnosis and treatment for a wide range of knee injuries. To schedule an appointment with the orthopedic surgeon, you can call at (972) 985 – 1072.

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Shoulder Instability: Orthopedic Treatment In Plano

by Administrator 21. November 2014 04:24

Shoulder joint is a major joint of the human body that is responsible for the movement of arm and helps in lifting the arm, reaching over the head and rotating the arm. Shoulder Instability is the condition that arises when the upper arm bone (Humerus) moves out of the shoulder socket (Glenoid) due to a sudden force or impact. With overuse the strong tendons and muscles that hold the shoulder blade in the socket tear and loosen.

Causes

  • Trauma or severe injury
  • Tearing of the ligaments in shoulder joint
  • Repeated overhead use due to sports such as volley ball, tennis, swimming or athletic activities
  • Repeated strain
  • Multi-directional instability
  • Fall onto the top of the shoulder
  • Torn transverse humorous ligament
  • Repeated throwing activity

Symptoms

  • Pain in upper arm and shoulder
  • Repeated shoulder dislocation
  • Inflammation
  • Swelling
  • Popping or clicking sound in the shoulder
  • Shoulder weakness
  • Decreased motion
  • Sensation of shoulder feeling loose

Diagnosis

The orthopedic physician examines the shoulder by moving the arm. The doctor assesses instability in the shoulder by doing some tests that check looseness in the ligaments. The doctor also asks the patient about his medical history and suggests imaging tests to confirm the diagnosis and identify the extent of the problem. X-ray images show the bones and the extent of damage whereas other imaging tests including MRI and CT Scan can be prescribed.

Treatment

The shoulder instability is treated both non-surgically and surgically depending upon the extent of damage to the shoulder. The physician uses non-surgical methods to offer relief to the patient from pain and inflammation. The physician suggests some changes in the lifestyle and modifications in the activities but it may take a few months before the treatment starts showing results. To offer relief from inflammation, the physician prescribes some anti-inflammatory medicines. They also suggest physical therapy to strengthen the muscles and increase the stability of the shoulder. The therapist designs a specific program to suit the needs of the patient.

If the non-surgical methods do not work, then the orthopedic physician can suggest surgery, which is necessary to repair stretched and torn ligaments. The surgeon uses anchors and sutures to re-attach the ligaments to the bones. The surgeon repairs the ligaments by using small incisions and instruments by way of a minimum invasive surgery which is performed on an outpatient basis. In severe cases, the surgeon may go for an open surgery that involves making a large incision.

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