Knee

Have you heard of the miserable malalignment syndrome? Can you tell me what it is and what can be done about it?

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The miserable malalignment syndrome refers to a group of anatomical changes in the lower extremity (leg) that can lead to knee pain and instability. The most common alterations include internal rotation of the femur (thigh bone). The rotation occurs at the distal (bottom) end where the femur helps form the knee joint.




I've heard of anterior cruciate ligament tears. But what's a posterior cruciate? My favorite hockey player is out because of this kind of injury. How can they tell what kind of cruciate injury has occurred?

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Much has been written about the evaluation and treatment of anterior cruciate ligament (ACL) tears. That's because they are the most common knee injuries among athletes. Though less common, injuries to the posterior cruciate ligament are just as important.




Years ago, I had a car accident and knocked both knees into the dashboard. My knees never worked the same but I got along okay. Now my doctor tells me I damaged both my posterior cruciate ligaments with that accident. I've been told I should have surgery but I've done fine so far. Is there really any reason to do this?

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The knee has two main ligaments that criss-cross and stretch between the femur (thigh bone) and the tibia (lower leg bone). These are the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). Working together, the two cruciate ligaments control the back-and-forth motion of the knee.




I had a simple arthroscopic surgery on my knee and ended up with chronic pain, swelling, and burning of the skin around the knee. Will this go away? How long does it take?

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You should have the orthopedic surgeon who performed the arthroscopic exam determine the cause of the problem you are describing. It's possible you have a superficial skin infection. Or you may have the beginnings of a problem called complex regional pain syndrome (CRPS). Either way, early diagnosis and treatment is essential.




When the Athlete Has a Posterior Cruciate Ligament Injury

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Much has been written about the evaluation and treatment of anterior cruciate ligament (ACL) tears. That's because they are the most common knee injuries among athletes. Though less common, injuries to the posterior cruciate ligament are just as important. In this review article, surgeons from the New York University (NYU) Hospital for Joint Diseases bring us up-to-date on the important features of PCL injuries in athletes.




Treatment of Patellofemoral Arthritis Varies and Remains Controversial

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Your knee creaks and hurts and it gets worse going up or down stairs, getting up after sitting a while, and when keeping the knee bent. Don't even bother trying to squat. Sound familiar? You could be experiencing a condition called patellofemoral arthritis. Never heard of it? The authors of this article provide an in-depth review -- everything you ever wanted to know about patellofemoral arthritis.




Can A Normal Patella Dislocate?

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Can a healthy and normally aligned patella (kneecap) dislocate? Many experts have debated this question. Certainly, anatomic variations from the norm are linked with both acute (sudden) and chronic (repeated) dislocations. But there is some evidence that no amount of force will pop the patella off the knee unless there is an underlying reason.




You can imagine our heartache when I tell you our teenage son was involved in a gang-related incident that left him with a gunshot wound to the knee. The surgeon was careful to get all the bullet fragments out. Is there still a chance he could get lead poisoning?

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Bullet removal at the time of the initial surgery is accompanied by lots and lots of irrigation of the area. The surgeon uses a saline (salt) solution to flush the area thoroughly. Much time is spent making sure all debris and possible causes of contamination are removed.




I am involved in high school soccer and participate in track and field in the sprinting events. I started developing chronic buttock pain from a hamstring problem. I've tried everything I know to rehab the thing. Is it too drastic to ask them to just cut the tendon and be done with it? Would I still be able to run?

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Athletes suffer their fair share of tendon problems. Most often there's knee pain from patellar tendon disorders or ankle pain from Achilles tendinopathy. Tendinopathy is another term for any disorder affecting the tendon.




I've been diagnosed with a hamstring tendinopathy. I understand how I got it (overstretching and overuse before, during, and after running long distances). What I'm wondering is what actually happens to the tendon to cause so much pain and tightness?

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The hamstring muscle is located along the back of the thigh. It helps bend the knee and extend the hip. That's why overuse from running with its repetitive hip and knee motion can cause hamstring problems. Athletes involved in sprinting and middle- to long-distance running events seem to be affected most often.





*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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