The difference between ligament damage and tears.

Written by Wang Jing
Pediatric Orthopedics
Updated on March 12, 2025
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For doctors, the damage or tearing of ligaments actually means more or less the same thing, but for ordinary people, there always seems to be a difference between the two, feeling that the range covered by ligament damage is broader than that of ligament tearing. From a medical perspective, ligament damage is divided into four grades. The first grade is a sprain, which is a partial fiber break. The second type is a partial ligament rupture, the third type is a complete ligament rupture, and the fourth type involves a complete rupture of the ligament with damage to other parts as well. This is the four-category classification of ligament damage. Ordinary people might think that ligament tearing refers to either a partial or complete rupture of the ligament, which is the more serious kind. Therefore, though these two concepts are relatively similar in meaning, ordinary people might feel that ligament tearing is relatively more severe, consisting of either a partial or complete rupture of the ligament.

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Written by Wang Jing
Pediatric Orthopedics
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Can ligament damage be treated with a block injection?

After ligament injury, the acute phase management mainly involves protection, elevation, avoiding the use of non-steroidal anti-inflammatory and pain-relieving drugs, compression, and patient education, and, of course, appropriate use of cold compresses. In the subacute phase, when there is no pain, some load can be added appropriately, maintaining an optimistic attitude, engaging in aerobic exercise to improve local blood circulation, and early activity should focus on practice as well as exercise in muscle strength and proprioception. Of course, in severe cases where the ligament injury is completely ruptured, affecting stability, consideration must be given to ligament repair or reconstruction. But for acute cases, there is definitely no need for cortisone injections. For chronic ligament injuries, with long-term chronic pain around the joint, conservative treatment and other methods are ineffective, local injections may be considered. However, it is advisable not to inject the injured ligament itself but rather the synovial sheath or other soft tissues surrounding the ligament, as this can reduce the damage of the injection drugs to the ligament. (Use of specific medications should be under the guidance of a physician.)

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Written by Lv Yao
Orthopedics
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What should I do if the ligaments in the knee joint are injured?

Knee ligament injuries first require us to determine which ligament is damaged. The injury mechanism can help determine which ligament is affected, such as an inversion or eversion injury of the knee, which could cause damage to the medial or lateral collateral ligaments of the knee. Sometimes, knee flexion and rotation injuries may damage the cruciate ligaments of the knee. Once the specific ligament is identified, the extent of the injury must be determined. If the injury is minor, such as a contusion, rest may allow the ligament to gradually recover. If there is a tear, but the knee joint is still stable, conservative treatment can be pursued; however, if there is a tear and the knee joint is unstable, or if the ligament is completely ruptured, we recommend surgical repair to restore the stability of the knee joint.

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Written by Wang Jing
Pediatric Orthopedics
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Ligament injuries should be seen by the orthopedics department.

Ligament injuries are often a type of sports injury; therefore, when a ligament injury occurs, the first choice is usually a department of sports medicine. However, many hospitals do not have a sports medicine department. In such cases, ligament injuries are generally treated under orthopedic surgery. If the hospital does not have a sports medicine department, you can visit the orthopedic surgery department. If there is no orthopedic surgery department either, and it is just a general orthopedics clinic, you can go to the orthopedics clinic. Of course, if it is a smaller hospital without a specialized orthopedics clinic, you can visit the surgery department or the emergency surgery department. After some initial treatment, you may need to visit a more specialized hospital for further medical attention.

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Written by Guan Yu Hua
Orthopedic Surgery
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Symptoms of knee ligament injury

The ligaments in the knee joint are quite complex, often resulting from trauma, strain injuries, or lateral impacts. Symptoms such as reluctance to move the knee, pain, and worsened pain after movement usually necessitate a hospital examination. Lateral stress tests examine the medial and lateral collateral ligaments, drawer tests check the anterior and posterior cruciate ligaments, and pivot shift tests or squat walking tests assess the meniscus. If necessary, an MRI is performed for diagnosis. Early detection and treatment are crucial. If trauma is frequent, or instability after injury occurs, one should seek hospital examination. Ligament damage often heals slowly, typically taking around a month to fully recover.

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Written by Li Jin
Orthopedics
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Can I walk if the ligament injury has been a month old?

If you can walk with a ligament rupture, it generally takes about four to six weeks. Ligament rupture usually requires surgical treatment because it can cause dysfunction of joint mobility, so it is mainly treated through surgical repair. Post-surgery, it generally requires immobilization and rest for about four to six weeks. During this time, under the guidance of a physician or physiotherapist, appropriate functional exercises should be performed. Normally, it takes more than four to six weeks to resume regular activities. Beginning functional rehabilitation exercises as soon as possible can help prevent complications such as joint stiffness and tendon adhesion, and promote recovery of function.