制程 眼泪
Overview
内侧副韧带, 或制程, 是宽广的, thick band that runs down the inner part of the knee, from the femur (thighbone) to a point 1.5 to 2 inches from the top of the tibia (shinbone). The 制程 functions primarily to prevent the leg from extending too far inward, but it's also part of the mechanism that stabilizes the knee and allows it to rotate.
制程 injuries commonly occur when such a strong force hits the outside of the knee that it causes the 制程 – and possibly other knee ligaments, such as the anterior cruciate ligament (ACL) – to stretch or tear.
This happens to people playing certain sports – in football, 例如, when one player collides with another from the side. 制程 injuries are also common in sports that require quick stops and turns, 比如足球, 篮球和滑雪. 然而, not everyone who damages this ligament is an athlete. 只是在冰上滑倒, 如果小腿伸开, 会损伤制程吗, as can repetitive smaller injuries that gradually cause the 制程 to lose its normal elasticity and become limp, 就像一个破旧的橡皮筋.
我们治疗制程撕裂的方法
UCSF is committed to helping patients with 制程 tears return to the highest level of activity possible, whether that means a daily walk or reporting for practice with the NFL. 我们的团队包括整形外科十大赌博平台排行榜, 初级保健运动医学十大赌博平台排行榜, physical therapists and athletic trainers. These specialists work together to tailor a treatment plan to each patient's needs and goals.
Most 制程 injuries can be healed through physical therapy. We offer the full range of these treatments, 包括锻炼方案, functional activity training and neuromuscular reeducation (techniques that condition the area to move normally again). Our specialists guide each patient through a personalized program designed to facilitate healing, recover function and improve physical performance.
奖 & 识别
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是全国顶尖的十大赌博平台排行榜之一
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One of the nation's best for orthopedic care
迹象 & 症状
An 制程 tear produces 症状 along the inner side of the knee (toward the midline of the body). 最初，你可能会经历:
- 腿内侧砰的一声
- Tenderness or pain that ranges from mild to severe
- 刚度
- 肿胀
- Unsteadiness, locking or catching in the joint
诊断
Your doctor will likely ask how you injured your knee, how it has felt since the injury and whether you've injured it before. An exam will include checking for pain or tenderness along the inside of the knee and checking the integrity of your 制程 by exerting pressure on the outside of your knee while your leg is both bent and straight.
Depending on the degree of pain or looseness of your knee joint, the injury will be classified as one of three grades:
- 1级. There's some tenderness and minor pain at the point of injury.
- 2级. There's noticeable looseness in the knee ("opening up" approximately 5 millimeters when manipulated), major pain and tenderness at the inside of the knee, 并且(在某些情况下)肿胀.
- 三年级. There's considerable pain and tenderness at the inside of the knee, along with some swelling and marked joint instability (the knee opens up approximately 10 millimeters when manipulated). A grade 3 制程 tear often occurs in conjunction with an ACL tear or, 更很少, with a tear in the posterior cruciate ligament (PCL).
- x射线. This can show other damage and bone injury.
- 磁共振成像(MRI). This test is 90 percent accurate for diagnosing 制程 injuries and may be ordered if the physical exam findings are unclear or if your doctor suspects other injuries.
- 压力x射线. This test is similar to a regular x射线, except the doctor or technician holds the knee open from the side so that any widening of the joint space will be evident on the image.
在某些情况下, the immediate pain and swelling interfere with the doctor's ability to accurately gauge the injury's severity. 如果这是你的情况, you may be asked to wear a light brace, apply ice and elevate your knee; in time, the swelling and pain will lessen enough to allow diagnosis.
In addition, your doctor may order the following tests:
治疗
非手术方法
Recovery time for an 制程 injury depends on the severity of the damage. On average, these injuries take six weeks to heal. 不管眼泪的等级, initial treatment focuses on immobilizing the knee and reducing pain and inflammation. 措施包括:
- 休息，结冰，抬高膝盖
- Taking oral medications that relieve pain and inflammation, such as aspirin and ibuprofen
- Wearing a brace that allows the knee to bend while restricting side-to-side movement
Some knee braces are designed to prevent bending. 在这种情况下, you'll need to modify your activities so that you don't have to squat, 跪下或弯腰. Try to keep your leg elevated, even when you're sitting, to bring down the swelling.
一旦疼痛和肿胀消退, you'll begin a physical therapy program, which will include exercises to restore strength and normal range of motion. If your knee feels sore while doing these exercises, proceed slowly to prevent further irritation and consult your physical therapist.
取决于伤势的严重程度, 这些方法——休息一段时间, bracing and physical therapy – usually suffice to heal the tear. 然而, if the torn ligament doesn't heal sufficiently, you may experience instability and be more susceptible to reinjury. 在极少数情况下可能需要手术.
一旦制程完全愈合, you should have minimal long-term effects, provided your knee suffered no other damage.
As previously noted, recovery times vary widely, but in general:
- A grade 1 (minor) 制程 tear can take from a few days to a week and a half to heal enough for a return to normal activities, 包括体育.
- A grade 2 tear can take from two to four weeks to heal.
- A grade 3 tear usually takes four to eight weeks to heal, 除非ACL也受损, in which case recovery may take longer.
外科手术方法
While most 制程 injuries can resolve without surgery, there are instances where surgery is the best treatment option. The surgery will either repair or reconstruct the 制程. 修复韧带, your surgeon will make an incision at the torn area and use fixation devices called suture anchors to secure the ligament back to the bone. To reconstruct the ligament, your surgeon will use tendons from either your knee or a cadaver knee.
With either surgery, you can probably return home the same day. After surgery, you'll use crutches and a knee brace for about six weeks. At a post-op visit 手术后一到两周, your doctor will check your knee and remove the stitches. Recovery time depends on any related knee injuries but is generally between nine and 12 months.
常见问题
- 手术后我什么时候可以洗澡?
You should keep your dressing on and knee dry until your first post-op visit, at which point you'll likely be cleared to shower. But don't submerge your knee in a bathtub or swimming pool until three to four weeks have passed since your surgery.
- 我要缝针吗??
You'll have stitches along the inside of the knee. They'll be covered by a bandage and removed at your first post-op appointment, 手术后一到两周.
- When should I expect a follow-up appointment?
You'll have a scheduled visit 手术后一到两周. It will include a knee exam, suture removal and x射线s.
- 我应该什么时候开始物理治疗?
You should start as soon as possible after surgery. 病人 generally begin a program within the first one to two weeks, often right after the first post-op appointment.
- 我要拄拐杖多久?
最有可能的, you'll use crutches for about six weeks, depending on which other structures were repaired in your knee.
- Are cold therapy machines best for pain relief?
简单的结冰方法, such as placing a regular ice pack or a package of frozen vegetables on your knee (on top of the bandages) work well. 冷疗单位, which work by recirculating ice water through a pad over your knee, 也很有效, 虽然有点贵.
- When can I return to school or work after 制程 surgery?
Most patients return to school or desk work five to seven days after surgery. If you're able to work from home, your initial recovery may be easier. If you have a physically demanding job, you may need more time for a safe recovery and medical clearance before returning to work.
- 制程手术后我什么时候可以开车?
That depends on which leg had surgery. If it was your left knee and you drive an automatic car, you can get behind the wheel once you're no longer taking narcotic pain medication and feel capable of driving safely. If it was your right knee, you'll probably need to wait six weeks; your surgeon can advise you.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
