Torn ligament diagnosis
A torn ligament in the knee is usually diagnosed quickly. At the beginning there is a questioning of the patient (anamnesis), in which the character and localization of pain and other symptoms are asked. The knee is also inspected (closely observed).
Swelling and bruising are examined. In most cases, a triggering event is called a sports accident, so that a torn ligament is suspected. This suspicion is substantiated with short, clinical tests.
One test for the integrity of the cruciate ligaments is the anterior (anterior cruciate ligament) or posterior (posterior cruciate ligament) drawer. In this test, the lower leg is moved forwards or backwards against the upper leg with force. If this is possible over 0.5cm, the test is positive and a torn ligament is present.
The Lachmann test also checks the cruciate ligaments. Similar tests exist for the lateral ligaments, where the lower leg is bent sideways against the knee. If this is possible, it indicates a tear in the outer or inner ligament.
An arthroscopy of the knee, i.e. an arthroscopy of the joint, can then be performed. An MRI can also provide information in case of doubt. These measures can also be used to assess the menisci that may be involved in a torn ligament (Unhappy Triad).
Prognosis for torn ligaments in the knee
A torn ligament at the knee can take different courses. If the collateral ligaments tear, in most cases no late consequences are to be expected. A torn cruciate ligament usually heals without any problems, but you should always ensure consistent follow-up treatment with strengthening of the muscles to prevent a recurrence.
A torn ligament usually heals well. The healing process is influenced by the extent of the injury, the condition of the patient and the measures continued after the operation. The patient himself or herself has a great influence on the healing process, since the healing process is supported by consistent attention to the therapeutic measures.
Any unnecessary stress should be avoided and physiotherapy should be performed as well as possible. Then the healing of a slight ligament rupture from grade 1 to 2 takes only 1-2 weeks and should not take longer than 6 weeks even in case of a complete rupture. The healing process can be significantly delayed due to therapy disregard and misconduct in the aftercare.
Only in rare cases do long-term impairments remain, even if healing does not always mean that the ligament is as resilient as before. Training and prophylactic measures are therefore particularly important here. Physiotherapy has an important influence on the healing process.Therefore we recommend our site to you:
- Physiotherapy for a ruptured cruciate ligament
- Exercises for a cruciate ligament rupture
- Exercises inner- and outer ligament injuries
- Physiotherapy with an Unhappy Triads
- Exercises in case of a rupture/extension of the ligament
