Knee Ligament Injuries: Impact and Recovery After Trauma - Orthopedics

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Anterior cruciate ligament (ACL) injury?


Hello, I would like to ask about a previous car accident.
The other party suffered from two knee lacerations, which were sutured and subsequently treated with traditional Chinese medicine rehabilitation.
After 2-3 months, the doctor diagnosed them with anterior cruciate ligament (ACL) and lateral collateral ligament (LCL) injuries (one person underwent an MRI).
Prior to this, they were able to ride a motorcycle and work normally, so were the ACL and LCL injuries sustained during the incident (such as the car accident or impact) injuries that did not cause immediate pain? Did these injuries have no impact on their daily activities? I would like to understand the effects of knee ligament injuries on an individual.
Thank you.

Lao Pi, 40~49 year old female. Ask Date: 2016/04/24

Dr. Chen Yongxue reply Orthopedics


Hello, there are four main ligaments in the knee.
Ligament injuries can vary in symptoms depending on the location and severity.
The cruciate ligaments are divided into the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL), which are primarily responsible for the stability of the knee joint during movement.
Typically, in motorcycle accidents (not mentioned in the inquiry), the PCL is more prone to rupture.
After a cruciate ligament tear, surgical treatment is recommended; otherwise, there may be future instability and limitations in physical activity.
Over time, even the articular cartilage can be damaged.
Most injuries to the lateral collateral ligament can heal on their own, unless there is a complete rupture due to severe trauma.
This is a general overview, and I hope it helps.

Reply Date: 2016/04/24

More Info


Knee ligament injuries, particularly those involving the anterior cruciate ligament (ACL) and the lateral collateral ligament (LCL), can have significant impacts on an individual's mobility and quality of life, especially following trauma such as a car accident. Understanding the nature of these injuries, their symptoms, and the recovery process is crucial for effective management and rehabilitation.

When a person experiences a knee injury, especially in the context of a traumatic event like a car accident, the immediate symptoms may not always reflect the full extent of the damage. Ligaments, which are tough bands of connective tissue that stabilize joints, can be injured in ways that are not immediately apparent. For instance, a person may feel fine right after an accident but later develop symptoms such as swelling, instability, or pain, particularly during activities that put stress on the knee.

In the case of your inquiry regarding the two individuals who sustained knee injuries from a car accident, it is indeed possible that the damage to their ACL and LCL was not immediately felt. This delayed onset of symptoms can occur due to several factors:
1. Inflammation and Edema: After an injury, the body responds with inflammation, which can mask pain initially. As swelling increases, it may take time for the individual to recognize the extent of their injury.

2. Compensatory Mechanisms: The body often compensates for pain or instability in one area by altering movement patterns. This can lead to a temporary sense of normalcy, even when underlying injuries exist.

3. Severity of Injury: Some ligament injuries may be partial tears, which can allow for some degree of function. However, as the individual resumes normal activities, the stress on the knee can exacerbate the injury, leading to more pronounced symptoms.

4. Psychological Factors: The adrenaline rush during and immediately after a traumatic event can dull pain perception, leading individuals to underestimate their injuries.

Regarding the impact of knee ligament injuries on daily life, these injuries can significantly affect an individual's ability to perform routine activities. The ACL is crucial for stabilizing the knee during movements such as running, jumping, and pivoting. An injury to this ligament can lead to instability, making it difficult to engage in sports or even simple activities like walking or climbing stairs. Similarly, injuries to the LCL can affect lateral stability, leading to difficulties in movements that require side-to-side motion.

Recovery from knee ligament injuries typically involves a combination of rest, physical therapy, and possibly surgical intervention, depending on the severity of the injury. Rehabilitation is essential for restoring strength, flexibility, and stability to the knee. Physical therapy often focuses on:
- Strengthening Exercises: Targeting the muscles around the knee to provide better support and stability.

- Range of Motion Exercises: Ensuring that the knee can move freely without pain.

- Balance and Proprioception Training: Helping the individual regain confidence in their knee's stability.

In some cases, surgical intervention may be necessary, especially for complete tears of the ACL or significant damage to the LCL. Post-surgery, a structured rehabilitation program is crucial for optimal recovery.

In conclusion, knee ligament injuries can have a profound impact on an individual's life, particularly following trauma. While some injuries may not present immediate symptoms, they can lead to long-term complications if not properly addressed. Understanding the nature of these injuries and the importance of rehabilitation is key to ensuring a successful recovery and return to normal activities. If you or someone you know is dealing with such injuries, it is advisable to consult with an orthopedic specialist for a comprehensive evaluation and tailored treatment plan.

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