What should I do if the patellar ligament is injured?

Written by Na Hong Wei
Orthopedics
Updated on September 26, 2024
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Once a patellar ligament injury occurs, the first step is to immobilize the area; stop all activities to prevent further damage and secondary injuries. Secondly, apply ice. The initial ice application should last from half an hour to an hour, applied directly to the injured patellar ligament. Thirdly, bandage to immobilize the area, primarily using an elastic bandage and cotton padding to compress the knee joint. This can help stop bleeding and limit swelling. Fourth, elevate the injured limb to at least 30 degrees above the level of the heart. After these measures, it's necessary to go to the hospital for further examination including physical assessments by a doctor, X-rays, or an MRI to fully understand the extent of the ligament damage. If there is a partial tear of the ligament without complete discontinuity, conservative treatment such as casting or bracing can be effective, typically for three to four weeks. However, if the ligament is completely torn and surgery is clearly indicated, surgical treatment should be followed by the use of a brace for six weeks. Thus, proper early management of a patellar ligament injury is crucial, followed by hospital evaluation. Additionally, since patellar ligament injuries often coincide with fractures or damage to other structures such as the meniscus or cruciate ligaments, these factors cannot be overlooked.

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Written by Zhang Ying Peng
Orthopedics
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What supplements are good for ligament injuries?

Patients with ligament injuries are advised to consume more foods containing high-quality protein, such as beef, eggs, and milk. However, it is not recommended to eat high-calorie, high-nutrient foods, such as sea cucumber and abalone. Ligaments are important structures that connect two bones at the joint. Once a ligament is injured, it can only recover under strict rest, which may involve immobilization with plaster casts and bed rest. After a ligament rupture, a great amount of energy is consumed during the healing process. It is crucial to balance meat and vegetables in the diet and maintain nutritional balance. It is suggested to appropriately increase the intake of high-quality protein foods, such as beef, eggs, and milk, but it is not advised to consume high-calorie, high-nutrient foods, like sea cucumber and abalone.

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Written by Guan Jing Tao
Orthopedics
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Symptoms of ligament rupture

After a ligament rupture, the area will experience pain, swelling, and restricted movement, and it will not be possible to actively extend or bend. Taking the rupture of the finger extensor tendon as an example, after the rupture caused by accidental bumps or other reasons, the site exhibits pain and cannot be straightened. When passively straightened, it will flex on its own after removing the support, unable to actively extend. These are the symptoms of functional limitation after a ligament rupture. Furthermore, some patients may also experience persistent local pain and significant swelling. At this time, it is advisable to combine local hot compresses and physical therapy. For distal finger extensor tendon ruptures, hyperextension fixation can be applied. About four weeks later, if the hyperextension fixation splint or plaster is removed, some patients can heal on their own. However, if some patients cannot heal naturally, surgical anastomosis treatment is required.

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Written by Lv Yao
Orthopedics
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How to recover from collateral ligament injury of the knee joint

The knee joint has important ligaments on both the inner and outer sides, known as the medial collateral ligament and the lateral collateral ligament. In sports injuries, collateral ligament damage of the knee is very common. If there is an injury, the first step is to conduct a series of examinations to determine the stability of the knee joint. The damage to these ligaments can range from tears to complete ruptures. If there is only a contusion or a tear, the knee can recover its function through the use of supportive braces and the natural healing of the ligament. However, if the collateral ligament is completely ruptured, surgery is necessary for repair. The specific extent of the damage needs to be determined by MRI and physical examinations to decide the best treatment approach for the patient's recovery.

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Written by Wang Jing
Pediatric Orthopedics
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Are calcium tablets useful for ligament injuries?

Calcium supplements do not have a significant effect on the repair of ligament injuries. There are established principles for dealing with ligament injuries. Generally, for minor injuries, reducing movement and stabilizing the affected limb are recommended to allow the ligaments to heal on their own. In cases of severe ligament injuries, such as significant or complete tears that affect joint stability, surgical repair or reconstruction may be necessary. Of course, in the most severe cases, ligament injuries can be accompanied by fractures or other concurrent injuries. While healing fractures require calcium, and during these times the calcium from calcium supplements can serve as a source for fracture repair, typically the calcium intake from a daily diet is sufficient to meet the needs during fracture healing. Therefore, taking calcium supplements for ligament injuries does not have a significant effect.

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Written by Cheng Bin
Orthopedics
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Symptoms of femoral head ligament injury

The clinical symptoms of a femoral head ligament injury mainly manifest as significant local pain. Severe cases may affect the patient's joint mobility and normal ability to move about, which are the clinical manifestations of a femoral head ligament injury. Usually, within a recent period, it is necessary to strictly rest in bed to protect the area, reducing local stimulation, which is the best condition for patient recovery. If the patient is not allergic to plasters, topical plasters that invigorate blood and dissolve stasis can be used, along with oral non-steroidal anti-inflammatory and pain-relieving drugs, and drugs that invigorate blood and dissolve stasis for treatment. After 48 hours post-injury, local heat application should be actively performed. Most patients will gradually recover through these active treatment methods. (The use of medications should be under the guidance of a professional doctor.)