Contact us

Make an appointment

our specialists

 

  01 40 79 40 36

 

secretariat

@chirurgiedusport.com

 

SOS KNEE

 

Sports Clinic

36 bd St Marcel

75005 PARIS

Sports clinic Paris

Metro: Saint Marcel

Parking 6 rue test


sur

'Pages chirurgiedusport :

HONCode

Ce site respecte les principes de la charte HONcode de HON Ce site respecte les principes de la charte HONcode.
Site certifié en partenariat avec la Haute Autorité de Sant├ę (HAS).
Check here

QRCode

Youtube video

13:54
Docteur GEROMETTA Antoine - Retour au sp ...
415 views


14:12
Monsieur Olivier HOMAGE - Chaussage et s ...
280 views


09:05
Docteur Nicolas LEFEVRE - LCA de lÔÇÖenf ...
238 views


10:55
Docteur BOHU Yoann - 1├Ęre luxation dÔÇÖ ...
97 views


41:09
Surgical management 's knee osteoar ...
2143 views


10:06
Ligamentoplastie du ligament crois├ę an ...
21431 views


09:53
TKA MyKnee PTG Dr. Nicolas Lefevre
698113 views


00:41
Cracked meniscus bucket handle dislocate ...
27942 views


09:33
Arthroscopic knee surgery for fracture o ...
94257 views


07:39
Total knee replacement (TKR), descriptio ...
53505 views


11:04
DIDT TLS: surgery of the anterior crucia ...
391133 views


10:21
Surgery sport, hamstring: surgery of the ...
459569 views


05:12
Zapping meniscus
17443 views


03:37
Combing the patellar tendon under arthro ...
28867 views


05:10
Surgery sport, PIP Prevention of knee in ...
12968 views


00:08
bucket handle meniscal 3D movie
18145 views


05:44
Suture of the lateral meniscus injury ra ...
16817 views


05:18
partial tear of the anterior cruciate li ...
10462 views


02:01
Levy for the hamstring ACL reconstructio ...
30835 views


06:25
partial ACL tear, technical anatomical r ...
11678 views


10:02
Complete rupture hamstring tendon repair ...
19468 views


04:09
Surgery sport, endoscopic treatment of c ...
5458 views


06:18
compartment syndrome 's efforts
42545 views


09:01
Rupture du tendon d'achille chirurgie du ...
9563 views


03:23
greffe de me?nisque Dr Alain myer Dr Yoa ...
1848 views


09:05
Docteur Nicolas LEFEVRE - LCA de lÔÇÖenf ...
238 views


14:12
Monsieur Olivier HOMAGE - Chaussage et s ...
280 views


13:54
Docteur GEROMETTA Antoine - Retour au sp ...
415 views


Sprained knee (anterior cruciate ligament and posterior). ACL: severe knee sprain.

Print Article

What is a sprain?

A sprain is a traumatic affection of one or more ligaments. This traumatic injury can be a simple stretching of the ligament (mild sprain), a partial tear of some ligament fibers (moderately severe sprain), or total rupture of the ligament (severe sprain).
Ligaments are structures constituting tensioned stay cables on either side of a joint. They allow the articular surfaces to remain in contact during the movements and thus ensure the stabilization of the joint.
After trauma, the joint may undergo excessive torque resulting ligament injury.

What are knee ligaments?

There are four main ligaments in the knee, two lateral ligaments (internal and external) on each side of the knee, two in the center of the knee ligaments called cruciate ligaments (anterior cruciate ligament and posterior cruciate ligament)

What is a knee sprain?



A knee sprain injury is of one or more ligaments of the knee joint. When certain sports such as football or skiing, trauma torsional and / or rotating on a blocked foot will lead to ligament injuries. In most cases, the sprain is partial and it is a mild sprain of the medial collateral ligament (MCL). However before this type of accident should always be considered a ruptured cruciate ligaments which requires specific therapeutic management. For the achievement of one of two ligaments defines a severe knee sprain because of knee stability is compromised

What if sprain?

In the immediate aftermath of a sprained must stop all activities, apply ice if possible, set up a simple bandage or splint. It is necessary to consult in an emergency service in case of severe discomfort, to eliminate a serious pathology (fracture, dislocation ...) In any case, it is advisable to consult a knee specialist in the days following the 'accident.

What is the treatment?

Medical treatment consists of immobilization in a splint for varying periods depending on the injury, a analgesics and anti-inflammatory, daily icing the knee to reduce pain and hematoma , a rehabilitation through physical therapy; to start quickly to prevent joint stiffness and muscle atrophy. The judgment of the sport depends on the severity of the injury. Except in exceptional cases, there is no rush to make a knee sprain. In severe sprain with ACL lesion surgical intervention may be necessary secondarily.

What are the additional tests to do?

Knee radiograph can urgently to eliminate a fracture.
An MRI of the knee can be requested without emergency within days or weeks trauma to take stock of the damage.

What are the consequences of a severe knee sprain?

The rupture of the anterior cruciate ligament increases the risk of recurrent instability of the knee. This instability causes cartilage and meniscal lesions leading to medium term to osteoarthritis. The goal of treatment is to restore knee stability in daily life, professional and sports.

What treatment: surgical or functional?

Functional treatment is to compensate for the absence of the anterior cruciate ligament of the knee by muscle and proprioceptive rehabilitation. It is in this case not necessary to operate.
However pivot practice of sports (football, skiing etc ...) or if the knee becomes unstable whatever the sport, recreational or professional, surgical treatment will be offered.
Surgical treatment is to reconstruct the anterior cruciate ligament with a graft by a neighborhood tendon. The tendon that is used is either the patella tendon (KJ) or tendons of the half tendon domestic law goose leg (hamstring). This surgical technique is called a ligament. It allows an anatomical reconstruction of the anterior cruciate ligament and is performed arthroscopically.

Conclusion:

In conclusion, the knee sprain is a relatively common injury. The lesion of the anterior cruciate ligament is a serious breach and requires specialized care.
Ligamentoplasty, if necessary, is rarely urgent, gives excellent results and allows a resumption of all sports.

Doctor Nicolas LEFEVRE, Doctor Serge HERMAN, Doctor Yoann BOHU. - 3 janvier 2015.

Conflicts of interest: the author or authors have no conflicts of interest concerning the data published in this article.

News

Shoulder instability of sports

Doctor Yoann BOHU.

Read also ...

The most read articles

Technical cruciate ligament

By Dr. Nicolas Lefevre

More videos

Last publications

Feature: knee prosthesis

total knee replacement

Feature: knee ligaments

Dossier: Ambulatory Surgery ACL

Dossier: meniscus

MENISCUS 3D CRACK MENISCUS TEAR SURGERY SPORTS

Feature: Shoulder sportsman

Folder: hip prosthesis

Dossier: break hamstring

Dr. Lefevre proximal anatomie_ischio_jambier_rupture chirurgiedusport

Dossier: prosthetic and sports

hip replacement and knee and sports

Dossier: PRP

Chirurgiedusport - Who are we - Contact us - Legal Notice - Web design Digitaline - EMC2 Studio development - Clinique du Sport