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Depending on the grade of the injury, the lowest grade (grade 1) can take between 2 and 10 weeks for the injury to fully heal. Recovery times for grades 2 and 3 can take several weeks to several months. Treatment of a partial tear or stretch injury is usually conservative. Most injuries that are partial and isolated can be treated without ...
MRI can also show associated bone bruises on the lateral side of the knee, which one study shows, happen in almost half of medial knee injuries. [19] Knee MRIs should be avoided for knee pain without mechanical symptoms or effusion, and upon non-successful results from a functional rehabilitation program. [20]
Acute injury to the medial meniscus frequently accompanies an injury to the ACL (anterior cruciate ligament) or MCL (medial collateral ligament). A person occasionally injures the medial meniscus without harming the ligaments. Healing of the medial meniscus is generally not possible unless the patient is very young, usually <15 years old.
Treatment of the unhappy triad usually requires surgery. An ACL surgery is common and the meniscus can be treated during the surgery as well. The MCL is rehabilitated through time and immobilization. Physical therapy after the surgery and the use of a knee brace help speed up the healing process. A typical surgery for a blown knee includes:
In some cases the ACL may heal without surgery during the rehabilitation process—the torn pieces re-unite to form a functional ligament. [48] The purpose of exercise treatment is to restore the normal functioning of the muscular and balance system around the knee.
[1] [2] In those who are otherwise healthy, treatment is generally by surgery. [1] Occasionally, if the bones are well aligned and the ligaments of the knee are intact, people may be treated without surgery. [2] They represent about 1% of broken bones. [2] They occur most commonly in middle aged males and older females. [3]
Arthroscopy is a surgical technique in which a joint is operated on using an endoscopic camera as opposed to open surgery on the joint. The meniscus can either be repaired or completely removed. [20] Surgery is not appropriate for a degenerative meniscus tear, absent locking or catching of the knee, recurrent effusion or persistent pain. [25]
The surgery required is governed by the type of abnormality present, but often involves a sulcoplasty, a deepening of the trochlear sulcus where the patella sits, a realignment of the attachment of the patella tendon on the tibia, and tightening or releasing of the capsule on either side of the patella, according to which side the patella is ...