Resistance to inner and outer band rupture | Physiotherapy for a rupture of the inner and outer ligament

Resistance to inner and outer band rupture

The resilience depends on the pain symptoms of the patient. In general, there is no prohibition on exercise, but it should be adapted to the pain in order to avoid further injuries. If the pain subsides, training can be carefully resumed. However, jerky movements during the load should be avoided until the pain has completely subsided. Only in the case of very severe pain are supporting walking aids prescribed.

Orthosis/splint

In the case of a 1st or 2nd degree rupture, a splint is usually not prescribed because the knee joint is stable enough. During training, either a supporting tape can be used or the patient pauses for some time with the sport. If the injury is more severe, there are knee orthoses that are elastic and are intended to support the knee. Unfortunately, the musculature deteriorates quickly, so the orthosis should not be worn all day. In the case of concomitant injuries, the knee is usually immobilized completely in a firmer knee orthosis so that the injured structures are not irritated even further.

Operation

An isolated inner or outer ligament rupture is not operated on. The conservative treatment is performed as mentioned above.In case of a bony tear of the inner or outer ligament, the pieces of the ligament are refixed to the respective areas of the tear with claw plates, small fragment screws or a simple suture. If there are larger injuries, such as a combination injury, an extensive operation is performed, which involves reconstruction of the cruciate ligament, suturing or milling off the affected meniscus and restoration of the ligament. However, the rupture of the outer or inner ligament is usually the most harmless injury. In the case of a simple ligament lesion, surgery should be considered thoroughly, since every surgery carries a risk and fixation is not absolutely necessary.

Duration

The duration of the rupture depends on the extent of the injury and the individual wound healing. If the knee is immobilized and little load is placed on it, the ligament usually heals faster than if it is constantly active. However, complete immobilization is often not possible for competitive athletes, so training is adapted to the injury. In general, physiotherapy can significantly accelerate the healing process and is often used in the field of top-class sports.