Knee

High Failure Rate for Repair of Meniscal Tears

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Meniscus (plural: menisci) in the knee depend on an intact and healthy anterior cruciate ligament (ACL). Without the ACL, forces on the meniscus increase up to 200 per cent. Protecting the meniscus is one reason why ACL tears are repaired.




What's the best way to recover after a knee replacement? Is there a limit on how much exercise I can do?

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Right after your surgery, you will be seen by a physical therapist at least once (and often twice) a day. Exercises and movement to reduce swelling and pain and improve circulation and motion are often prescribed. When you go home, you'll be given a home program to follow. The home exercise program will build on what you started in the hospital in terms of range-of-motion, strength, coordination, and endurance.




My brother and I are having an ongoing argument about the difference between boys and girls in sports. I maintain that girls who injure their ACL (like I did) get back to sports just as quickly as boys with the same injury. Of course, he is sure that if he had the same injury, he would have already gotten back into the game while I'm still in rehab.

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It's a fact that knee injuries (and especially anterior cruciate ligament (ACL) tears) are common among athletes. Basketball, volleyball, and soccer players seem to be at increased risk. This is probably because the actions that predispose them to injury (pivoting, cutting, twisting) are used so often in these sports activities.




Two Main Reasons for Knee Injuries in Runners

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Why is it that most running injuries occur at the knee or in the lower leg? Is there some common factor that might be involved? The authors of this study set out to look for some answers to these questions. They didn't do a study themselves of runners. Instead they turned to the literature and did a search of all the published articles on running injuries.




Return to Sports After ACL Surgery: Is There a Difference Between Boys and Girls?

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Myth or Fact: Women take longer to heal and return to sports after knee (ACL) surgery later when compared with men.
Myth or Fact: No one should go back to full-activity or sports for at least six months after ACL surgery.
Myth or Fact: If you've had one ACL injury, you're likely to have another knee injury.




Years ago I was told I had chondromalacia of the knee. I eventually had to give up competitive sports because of it. It went away over time, but now I notice a lot of creaking sounds from that knee. Is my chondromalacia coming back?

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The patella, or kneecap, can be a source of knee pain when it fails to function properly. Alignment or overuse problems of the patella can lead to wear and tear of the cartilage behind the patella. This produces pain, weakness, and swelling of the knee joint.




I have a severe case of patellofemoral arthritis in one knee. The surgeons have hemmed and hawed over the years about what to do for me. As the pain increases, I've become more disabled. I'm ready to do just about anything. What are my options?

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Treatment for this problem has not been very successful in the past. But new understanding of the biomechanics (anatomy and function) of the joint have opened up new management techniques. The first step is to see a physical therapist. The therapist will design a therapy program to restore full, balanced strength and function of the hip and knee muscles.




I'm not sure what happened, but my leg gave out from underneath me and I think my kneecap dislocated. It was way off to one side. When I pushed on it, it snapped back in place. Except that it's terribly sore, it seems okay. Do I need to go see a doctor or will it heal on its own?

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It sounds like you may have experienced a patellofemoral joint dislocation. The patellofemoral joint is formed by the patella (kneecap) as it glides up and down over the front of the knee. Since the injury occurred suddenly and without previous injury, we refer to this as an acute episode. Symptoms of swelling, bleeding under the patella or bruising around the patella, and tenderness along the edge are signs that a dislocation occurred.





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