What Causes Flat Feet

The knee is a complex joint that plays a vital role in our mobility. It consists of bones, ligaments, tendons, and cartilage, all working together to provide stability and movement. However, due to its complexity and the forces it experiences, the knee is prone to various injuries. Among the most common are ligament injuries, specifically the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), and lateral collateral ligament (LCL).

At The Orthopedic Practice (TOP) MD, we bring unparalleled expertise and care in handling these common yet complex injuries. Dr. Cervieri and her team are committed to not only treating your injury but also educating you about your condition, empowering you to be an active participant in your recovery.

Let's explore each of these injuries to gain a better understanding.

Anterior Cruciate Ligament (ACL) Injury

The Anterior Cruciate Ligament, commonly known as the ACL, connects the thigh bone (femur) to the shinbone (tibia) in the knee. Its main job is stabilizing the knee, especially during sudden stops, changes in direction, jumping, and landing.

  • Symptoms of an ACL Injury

    • You might hear a 'pop' or feel it in your knee.
    • Your knee may hurt a lot, swell quickly, and not move as it should.
    • It might feel weak or like it can't hold you up.
    • Swelling can get worse because of bleeding inside the knee.
  • Causes

    • Stress on the knee from activities like:
      • Slowing down suddenly
      • Changing direction quickly
      • Jumping and landing awkwardly
      • Receiving a direct hit to the knee
  • Who Is at Risk?

    • Women tend to be at a higher risk than men.
    • People who play sports like soccer, football, basketball, gymnastics, or downhill skiing are at risk.
    • Having excess weight, not stretching or warming up before exercising, moving in a way that's not natural, or wearing shoes that don’t fit right can also put you at risk.
  • Types of ACL Injuries

    • Grade 1 Sprain: The ligament gets stretched but doesn't tear.
    • Grade 2 Sprain: The ligament loosens up because it's been stretched too much, partially tearing.
    • Grade 3 Sprain: The ligament tears completely, making the knee unsteady. This can mean the ligament is torn in half or even comes off the bone.
  • Treatment

    • Rest & Rehab: Some ACL injuries can heal with rest and exercises that help regain strength and stability in the knee.
    • Surgery: In severe cases, like a complete tear, you might need surgery followed by rehabilitation.
    • Sprains: If it’s a minor ACL sprain, it can heal in a week or two with rest, ice, and over-the-counter pain medicine.

It’s important to note that preventing an injury is always better than treating it. Proper training, as advised by orthopedic specialist Dr. Cervieri, can help reduce the risk of hurting your ACL. Always consult with a specialist for advice.

Posterior Cruciate Ligament (PCL) Injury

The Posterior Cruciate Ligament often referred to as the PCL, connects the thigh bone (femur) to the shin bone (tibia) in the knee. Although it's larger and more robust than the ACL, it's still vulnerable to injuries. Its primary role is to prevent the shin bone from moving excessively backward, particularly when the knee is bent.

  • Symptoms of a PCL Injury

    • No prominent “popping” sensation, unlike ACL injuries.
    • Initial perception may be that of a minor knee issue.
    • Swelling can range from mild to severe.
    • Pain in the knee.
    • A feeling of instability or wobbliness.
    • Difficulty walking or bearing weight on the injured knee.
  • Causes

    PCL injuries typically result from a direct impact on the bent knee. Common scenarios leading to PCL injuries include:

    • Rapid backward force on the knee, such as in a car accident.
    • Direct impact to the shin, like hitting the dashboard in a crash.
    • Sudden twisting or overextension of the knee.
    • Falling on a bent knee with the foot pointed downward, is often seen in sports like football or soccer.
  • Who Is at Risk?

    Athletes, especially those in football, soccer, baseball, and skiing, are at higher risk.

  • Types of PCL Injuries

    Doctors classify PCL injuries in these groups:

    • Grade I: Partial tear of the PCL.
    • Grade II: More significant partial tear, resulting in a looser ligament than in Grade I.
    • Grade III: Complete tear of the PCL leading to an unstable knee.
    • Grade IV: Injury to the PCL and damage to another knee ligament.
  • Treatment

    The approach for managing a PCL injury, as recommended by Dr. Cervieri, varies depending on its severity. For mild cases, rest, physical therapy, PRP (Platelet-Rich Plasma) therapy, and bracing can be effective treatment options. However, in more severe cases, surgical intervention may be necessary. It's important to note that a PCL tear if left untreated, can contribute to osteoarthritis in the knee over time. Therefore, seeking appropriate and timely medical attention is crucial for optimal recovery and long-term joint health.

Lateral Collateral Ligament (LCL) Injury

The lateral collateral ligament, often referred to as the LCL, is situated on the outer side of the knee. This tissue binds the thigh bone to the bones in the lower leg, ensuring the knee doesn't bend outward abnormally.

  • Symptoms of an LCL Injury

    When the LCL is injured, it generally results in pain, swelling, and bruising on the knee's exterior. Following an acute LCL injury, individuals typically recount a specific incident leading to the injury, often a blow to the inner knee or extreme bending without contact. Swelling, ecchymosis, and pain are usually concentrated around the lateral joint line, with individuals experiencing difficulty bearing full weight.

  • Causes

    The LCL can get torn during sports activities that require:

    • Quick directional changes
    • Jumping
    • Bending
    • Twisting
    • Hard impacts
    • Sports like football, skiing, and soccer carry higher risks. Footballers facing direct knee hits, basketball players jumping, and soccer players changing directions frequently are among those at greater risk.
  • Who Is at Risk?

    While athletes in contact sports are especially susceptible, any activity involving a lot of bending, twisting, or sudden movements can increase the risk of LCL tears. Football players, basketball players, and soccer players represent some high-risk groups.

  • Types of LCL Injuries

    LCL injuries are typically categorized as:

    • Grade I: Represents a slight tear in the LCL.
    • Grade II: The ligament is more loosely torn than in Grade I.
    • Grade III: Denotes a full tear, causing knee instability.
  • Treatment

    Lateral Collateral Ligament (LCL) injuries can be treated based on their severity:

    • Mild or Grade 1 Injuries: These injuries can often be treated at home. Rest, apply ice or a cold pack, wrap the knee with an elastic bandage, elevate it, and take anti-inflammatory medicine. Your doctor may recommend crutches and a brace for support while allowing some movement. Most people can resume activity within 3 to 4 weeks.
    • Moderate or Grade 2 Injuries: These may require crutches and a hinged knee brace. Most people can resume activity within 8 to 12 weeks.
    • Severe or Grade 3 Injuries: Some may need a hinged brace for a few months and limited weight bearing for at least 6 weeks. In certain cases, surgery may be required. Most individuals can resume activity within 8 to 12 weeks.

    Your doctor may recommend physical therapy to improve your range of motion and enhance muscle strength. It's important to address an LCL tear promptly, as prolonged damage can potentially result in knee osteoarthritis. Seeking appropriate treatment and rehabilitation can help prevent long-term complications.

Visit Your Expert Knee Specialist in Rockville, MD

Injuries to the vital ligaments of the knee - the ACL, PCL, and LCL - can have a profound impact on your mobility and overall quality of life. Such injuries often require comprehensive treatment and an extended period of rehabilitation. If you suspect any damage to these crucial ligaments, it is of utmost importance to seek medical attention without delay.

At The Orthopedic Practice (TOP) MD, Dr. Cervieri is dedicated to helping you navigate this challenging journey towards recovery. Don't let knee pain hold you back from living your life to the fullest. Contact us today to schedule a consultation with our expert orthopedic team. Your path to healing begins here.