Cruciate ligament injury
Rehab for the injury

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You should give attention to training the rest of the body, so you do not lose your current mobility, stability and strength. Then find out what you can do from workout programs and work out according to the level you have. Exercise of the rest of the body accelerates healing of your injury, among other things due to increased nerve activity and circuits.

Description of cruciate ligament injury

The two ligaments make up the cruciate ligament are an advanced system seen from an architectural and functional point of view. They greatly influence the rotational axis of the knee and are the main stabilizers in the forward and backward directions. Both ligaments are relaxed at a 20 ° bend of the knee. Inside the knee joint where they can be found, they are almost completely enclosed by a membrane, making it difficult for surgeons to get a proper and complete overview of the two ligaments. Therefore, it is not unusual for a patient to undergo arthroscopy more than once if the problem has not been identified the first time.

The frontal (anterior) cruciate ligament (ACL) has a damage rate of 72% in knee lesions where localized bleeding occurs inside the joint. This ligament accounts for 87% of the stability of the forward gliding of the tibia (calf bone) relative to the femur (thigh bone), while the muscles retain the rest. The ligament also permits an outward rotation of the lower leg at 90 ° knee bending

The back (posterior) cruciate ligament (PCL) is thicker and more than one and a half times stronger than the anterior ligament. It consists of two inseparable parts, which give it reasonable contact and stability throughout the movement the knee. The most relaxed position of the ligament is found at a knee bend of 20-40 ° and at 90 °, where it also allows for an inward rotation.

Examination of cruciate ligament injury

Most importantly before embarking on an examination of knee stability is to rule out swelling and internal bleeding, which could give a false negative to any of the tests. Lack of doing so is often times the biggest mistake made by clinics and hospitals when examining an acute knee trauma or a fluid-filled knee. Remember therefore, stability can’t be investigated in case of acute injury.

  • Analysis / Inspection / Palpation / ROM, visual and physical comparison to opposite side.
  • Stability test.
  • Measurement of atrophy.
  • Inspection of the joint through arthroscopy provides the final diagnosis.

If the tests are positive, it is recommended that an orthopedic surgeon examines the patient to assess the extent of the injury, and may also, if necessary, operate and reconstruct.

Treatment of cruciate ligament injury
  • Rehab.
  • Using a splint.
  • Active rest.
  • Ultrasound (pulsating), 3 Mhz, 2 W cm2.
  • TNS.
  • Cryotherapy (ice massage).
  • Thermal treatment (heat).
  • Traumeel (2tabl. 3 g. daily for 9 days).
  • Kinesiology taping (stability).
Rehab for the injury

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