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Knee Injuries

Knee injuries are common, especially when taking part in sporting activities.


If you have a knee injury, and it is followed by pain and swelling in your knee, then it is extremely likely that you have damaged one of the important internal structures within the knee.

 

Most commonly injured are:

  • the menisci or shock-absorber cartilages
  • the knee ligaments - especially the medial collateral ligament (MCL) & Anterior Cruciate Ligament (ACL)
  • the lining (articular) cartilage of the knee joint

 

With high energy injuries, it is also possible to damage the bones that make up the joint - the kneecap (patella), the shin bone (tibia) and the thigh bone (femur)

 

Symptoms of knee injury include:

  • Pain – this can be localised or general
  • Swelling
  • Clicking
  • Instability / knee giving way - patients don't trust their knee
  • Locking - this is an inability to fully straighten the knee
  • Catching
  • Stiffness
  • Inability to bear weight or walk

 

Bone Bruises from ACL Rupture

Bone Bruises in Tibia and Femur following ACL Rupture

Seeking early diagnosis and treatment may enable patients to improve their level of activity and also improve their long-term outcome. In order to identify the cause of the knee problem, it may be necessary to carry out a variety of different tests including : X-rays, MRI, CT and ultrasound scans. It may also be necessary to look inside the knee with a key-hole procedure (arthroscopy), in order to identify exactly what the source of the problem is. The image to the right shows a bone bruise (seen in white on the scan) on both the tibia and femur - this is a common appearance following an ACL rupture.

Treatment options following knee injury :

 

  • Anti-inflammatory tablets and simple painkillers
  • Rest, ice, compression and elevation (RICE)
  • Activity and life-style modification
  • Physiotherapy (including muscle strengthening exercises)
  • Podiatry (including gait analysis)
  • Bracing (to stabilise the knee and restrict movement)
  • Injections (steroid, local anaesthetic, PRP - platelet-rich plasma and whole blood injection)
  • Shock wave therapy (for tendon problems)
  • Surgery

 

OVERVIEW

Orthopaedic consultation

Orthopaedic consultation

Key-hole  knee surgery

Key-hole knee surgery

Mr Wilson carrying out knee arthroscopy surgery

Mr Wilson carrying out knee arthroscopy surgery

Anaesthetist - Dr Nick J looking over the drapes

Anaesthetist - Dr Nick J looking over the drapes

Scrub team before ACL surgery

Scrub team before ACL surgery

Mr Wilson examining a patient's knee

Mr Wilson examining a patient's knee

Arthroscopic knee surgery

Arthroscopic knee surgery