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Ankles and Knees

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on 30 December 2013

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Transcript of Ankles and Knees

Injuries: Ankles and Knees
Injuries to ligaments
Ankles and Knees
Injuries to muscles
& tendons
Sprain=stretch or tear to ligaments
Strain= stretch or tear to muscles

Different Grades:
Grade 1 - stretching or slight tearing
Grade II - incomplete tear
Grade III - Complete tear



Treatment:
Grade 1 treatment Grade II Treatment
least severe


most severe
R
- Rest (24-48 hr. )
I
- Ice ( 10 min. on, 20-30 min. off. do not apply directly to skin)
C
- Compression (compression sleeves or a wrap)
E
- Elevation (elevate above heart level)
The same as Grade I treatment but may require immobilization
Grade III Treatment
Require immobilization and possibly surgery
Treatment Continued:
Rehabilitation
This step is usually small exercises or physical therapy to help restore the person to full activity. They usually include exercises to prevent stiffness, improve range of motion and flexibility, etc.
Return to Activity
Usually takes anywhere from 2-3 months but may take longer depending on the location and severity of the injury. Some take as long as 8-12 months
Risks of returning to activity too soon
If you do too much activity too soon, you can re-injure the area causing greater injury and longer rehabilitation time.
Risks of not returning to activity soon enough
Scar tissue can form if you stay immobile to long that can lead to impaired mobility
"Ligament Injury." Physioworks.com. N.p., n.d. Web. 23 Dec. 2013. <http://physioworks.com.au/Injuries-Conditions/Regions/ligament-injury>.

"Light Damage & Repair." Physioroom.com. N.p., n.d. Web. 23 Dec. 2013. <http://www.physioroom.com/injuries/supplements/ligaments.php>.

"Knee Ligament Injuries: ACL, PCL, and More." WebMD. WebMD, 03 Jan. 0000. Web. 27 Dec. 2013. <http://www.webmd.com/fitness-exercise/guide/knee-ligament-injuries?page=2>.

"Medial Collateral Ligament Injury of the Knee (MCL Tear)." Healthlines RSS News. N.p., n.d. Web. 27 Dec. 2013. <http://www.healthline.com/health/medial-collateral-ligament-mcl-injury-of-the-knee>.


"Patellar Tendon Tear-OrthoInfo - AAOS." Patellar Tendon Tear-OrthoInfo - AAOS. N.p., n.d. Web. 27 Dec. 2013. <http://orthoinfo.aaos.org/topic.cfm?topic=a00512>.

"Anterior Cruciate Ligament (ACL) Injuries - Cedars-Sinai." Anterior Cruciate Ligament (ACL) Injuries - Cedars-Sinai. N.p., n.d. Web. 30 Dec. 2013. <http://www.cedars-sinai.edu/Patients/Health-Conditions/Anterior-Cruciate-Ligament-ACL-Injuries.aspx>.

"ACL Injury & Reconstruction." ACL Injury & Reconstruction. N.p., n.d. Web. 30 Dec. 2013. <http://www.universityorthopaedic.com/specialties/57.html>.

Porucznik, Mary A. "Athletes Risk Second ACL Injury after ACL Reconstruction." Www.aaos.org. American Academy of Orthopedic Surgeons, Aug. 2013. Web. 30 Dec. 2013. <http://www.aaos.org/news/aaosnow/aug13/clinical1.asp>.

"Muscle and Ligament Sprains, Strains, and Tears." WebMD. WebMD, n.d. Web. 30 Dec. 2013. <http://www.webmd.com/fitness-exercise/understanding>.

Sutton, Tony. "Sprain vs. Strain." Http://www.hughston.com/. N.p., n.d. Web. 30 Dec. 2013. <http://www.hughston.com/hha/a.strain-sprain.htm>.

"Sprains and Strains." Http://www.niams.nih.gov/. National INstitue of Arthritis and Musculoskeletal and Skin Diseases, July 2012. Web. 30 Dec. 2013. <http://www.niams.nih.gov/health_info/Sprains_Strains/default.asp>.


Websites
Restrictions to returning to activity:
Ligaments:
MCL-
Your doctor will let you do
some walking and straightening
and bending of your knee at an
early stage in returning to activity.
They may recommend/require that you
wear a knee brace for extra support so to not
make the injury worse instead of
helping.
Muscles & Tendons:
Patellar Tendon (complete tear)-
When recovery is complete, you should not have any restrictions after a patellar tendon injury. Stiffness may be present post-recovery. When you first start to do any type of weight bearing, it will be slowly and most likely with crutches (toe-touch bearing).
Injury and Re-injury: ACL tear
Often when the ACL tears, some
common things to be injured along with it are the menisci and the MCL. If the injury isn't treated right away, these things can be injured later on.


For teens: Within the first 12 months after reconstruction, the chance that you will re injure your ACL in 15 times greater than another who is without the previous injury.
For up to two years after your injury,
as a teen you're susceptible to acquiring
a second ACL injury....
in the same or opposite knee.
Full transcript