Knee Injuries: Causes, Symptoms, and Treatment Options - Orthopedics

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Knee injury from a fall?


Hello, doctor.
I am a high school student, 16 years old.
At school, I slipped on a wet floor and fell, landing on my left knee.
I had a similar incident two years ago.
After the fall, my knee was completely weak at first, but after about 5 minutes, the pain subsided and I regained some strength.
However, I am having difficulty applying force when standing up from a squat position.
What could be the issue? Additionally, how should I manage this?

Mr. Li, 10~19 year old female. Ask Date: 2016/03/15

Dr. Wang Shouji reply Orthopedics


Hello: This condition requires attention to whether there is any injury to the hip joint or if it is simply a bruise causing temporary pain and weakness.
If the pain persists for more than a week, it is recommended to visit an orthopedic clinic for further evaluation.
Thank you!

Reply Date: 2016/03/15

More Info


Knee injuries, particularly in adolescents, can arise from various causes, including falls, sports injuries, or even repetitive stress. In your case, the incident of slipping on a wet floor and landing on your knee could have resulted in a range of potential injuries, including soft tissue damage, ligament sprains, or even minor fractures.

Causes of Knee Pain After a Fall
1. Soft Tissue Injury: The most common cause of knee pain after a fall is soft tissue injury, which can include damage to ligaments, tendons, or muscles surrounding the knee joint. This can lead to pain, swelling, and reduced mobility.

2. Ligament Sprains: The knee has several important ligaments, including the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL). A sudden impact or awkward landing can stretch or tear these ligaments, leading to instability and pain.

3. Meniscus Tears: The meniscus is a C-shaped cartilage that cushions the knee joint. A fall can cause a tear in the meniscus, which may result in pain, swelling, and difficulty bending or straightening the knee.

4. Bone Bruises or Fractures: Although less common, a fall can lead to bone bruises or even fractures, particularly if the impact was significant. This would typically result in more severe pain and swelling.


Symptoms to Watch For
- Pain: This can range from mild to severe and may worsen with movement.

- Swelling: Swelling around the knee joint is a common response to injury.

- Stiffness: Difficulty bending or straightening the knee can indicate injury.

- Instability: A feeling that the knee may give way or is unstable can suggest ligament damage.


Immediate Treatment Options
1. Rest: Avoid putting weight on the injured knee. Rest is crucial to allow any inflammation to subside.

2. Ice: Apply ice packs to the knee for 15-20 minutes every hour as needed. This helps reduce swelling and numb the pain.

3. Compression: Use an elastic bandage or knee brace to compress the knee, which can help control swelling.

4. Elevation: Keep the knee elevated above heart level to reduce swelling.

5. Over-the-Counter Pain Relief: If you are not allergic, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation. However, consult with a healthcare professional before taking any medication.


When to Seek Medical Attention
If your symptoms persist or worsen, it is essential to see a healthcare provider. They may perform a physical examination and possibly imaging tests like X-rays or MRI to assess for any serious injuries such as fractures or ligament tears.


Rehabilitation and Recovery
If a significant injury is diagnosed, rehabilitation may be necessary. This can include physical therapy to strengthen the muscles around the knee, improve flexibility, and restore function. The timeline for recovery can vary based on the severity of the injury, but many minor injuries heal within a few weeks with proper care.


Conclusion
In summary, your knee pain following the fall could be due to various factors, including soft tissue injuries or ligament strains. Immediate self-care measures such as rest, ice, compression, and elevation are crucial. If symptoms persist, seek medical evaluation to rule out more serious injuries. Remember, taking care of your knee now can prevent long-term issues and ensure you can return to your normal activities, including sports and physical education.

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