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Rupture of the medial collateral ligament of the knee

  The ligament is an important static stability factor of the knee joint, mainly functioning as a guide for limiting action. When the stress on the ligament exceeds its yield point, which is the landmark for complete rupture, it often results in a tear injury, which may still maintain the general continuity of shape, but its tension for maintaining joint stability is lost, leading to direct instability. If the violence is severe and there is a significant displacement of the knee joint, the continuity of the ligament shape may be lost, resulting in complete rupture, mostly manifested as complex instability. During the acute stage, the patient's knee joint may swell and ache, with protective muscle tension, and positive signs are difficult to detect, making early diagnosis challenging. In the late stage, patients often show varying degrees of knee instability, and unstable knees are prone to repeated injuries. The increased shearing stress on the meniscus and joint cartilage causes meniscus injury and exacerbates the degeneration of joint cartilage, leading to secondary traumatic arthritis. Although there are many late-stage ligament reconstruction methods, their long-term efficacy varies, and none can completely restore the anatomical and physiological functions of the original ligament. Therefore, early correct diagnosis and treatment are very important for knee ligament injuries.

 

Table of Contents

1. What are the causes of medial collateral ligament (MCL) tear in the knee joint?
2. What complications are likely to result from medial collateral ligament (MCL) tear in the knee joint?
3. What are the typical symptoms of medial collateral ligament (MCL) tear in the knee joint?
4. How to prevent medial collateral ligament (MCL) tears in the knee joint?
5. What laboratory tests are needed for a diagnosis of medial collateral ligament (MCL) tear in the knee joint?
6. Dietary taboos for patients with medial collateral ligament (MCL) tear
7. Conventional methods of Western medicine for the treatment of medial collateral ligament (MCL) tear

1. What are the causes of medial collateral ligament (MCL) tear in the knee joint?

  Among knee ligament injuries, the most common is the injury to the medial collateral ligament. The injury often occurs when the knee joint is slightly flexed, and the lower leg is abruptly abducted, causing the injury. For example, football, basketball sports, or a heavy blow to the lateral side of the knee joint can lead to an injury to the medial collateral ligament. In cases of lighter external force, ligament strain or partial fiber rupture may occur. In severe cases, complete rupture or concurrent anterior cruciate ligament rupture or meniscus tear may occur. When the knee joint is slightly flexed, if the lateral side of the joint is subjected to gravity or a severe injury, it can cause injury to this ligament.

2. What complications are likely to result from medial collateral ligament (MCL) tear in the knee joint?

  When the medial collateral ligament (MCL) tear occurs and the human body is subjected to weight-bearing activities or changes in position, the muscles, ligaments, fascia, synovium, etc., of the waist are strained. When the waist twists or the muscles contract abruptly, some fibers may be torn and small joints may micro-misalign, leading to functional disorders of movement.

3. What are the typical symptoms of medial collateral ligament (MCL) tear in the knee joint?

  Most patients with medial collateral ligament (MCL) tears have a history of sudden external varus or rotational external force injury to the knee joint. After the ligament tears, the knee joint is usually significantly swollen, and there is severe local pain, subcutaneous ecchymosis, and purpura. The accumulation of blood within the joint is the main cause of pain. Patients often walk on the tips of their feet, and when the knee joint is strongly abducted, there is significant pain at the site of the ligament tear. Due to reflexive muscle tension, joint movement is restricted, and there is resistance and pain when the joint is passively extended. If the accumulated blood is drained, the joint movement can be restored. The positive sign is mainly that there is marked tenderness at the local site of the medial collateral ligament.

 

4. How to prevent medial collateral ligament (MCL) tears in the knee joint?

  Medial collateral ligament (MCL) tears in the knee joint are usually caused by intense exercise or by being subjected to gravity. Appropriate protective measures should be taken during exercise, and one should also pay attention to personal safety during the exercise process to effectively prevent the occurrence of this condition.

5. What laboratory tests are needed for a diagnosis of medial collateral ligament (MCL) tear in the knee joint?

  X-ray examination is of great value in diagnosing medial collateral ligament (MCL) tears in the knee joint, and avulsion fractures can be shown. Under pressure, the anteroposterior X-ray films of the knees in abduction show more diagnostic significance. After injecting 1% procaine into the pain point, the patient lies flat, a soft pillow is placed between the two ankles, and the lower ends of the two thighs are tightly wrapped with an elastic bandage to the upper edge of the knee joint, and then a frontal X-ray film of the knee joint is taken. When the medial joint space of the knee joint is widened by no more than 5-10mm, it indicates a partial tear of the medial collateral ligament, while a significant widening of the medial joint space indicates a complete tear of the MCL. When accompanied by cruciate ligament tear, there is slight subluxation of the knee joint.

6. Dietary taboos for patients with knee joint medial collateral ligament rupture

   Patients with medial collateral ligament rupture of the knee joint should eat light and pay attention to reasonable dietary matching. Patients should eat foods rich in sulfur, histidine, and vitamins. It is forbidden to eat cold, spicy, and stimulating foods. It is also forbidden to eat seafood, iron, or iron-containing multivitamins.

7. Conventional methods for treating medial collateral ligament rupture of the knee joint in Western medicine

  After the medial collateral ligament of the knee joint is ruptured, local severe pain, subcutaneous ecchymosis, and purpura may occur. Depending on the condition of the injury, the corresponding treatment measures are different. The specific treatment situation is as follows.

  Firstly, non-surgical treatment

  1. Partial rupture (I-degree, II-degree sprain)

  Place the knee at 30°-45° of flexion, fix it with a knee anterior and posterior plaster splint, exercise the quadriceps muscle, and walk with the plaster on after about a week. It is allowed to use a full-range protective activity brace, or a cast splint, a controlled brace for 4-6 weeks, and then practice knee extension and flexion activities, and the function can gradually recover.

  2. Complete rupture (III-degree sprain)

  Simple III-degree injuries can be successfully treated with non-surgical methods, and the use of plaster cast splints has good efficacy.

  Secondly, surgical treatment

  1. Static repair method

  Utilize the soft tissues around the knee joint to repair the damaged ligaments and defects. Common materials include the semitendinosus tendon, vastus lateralis tendon, or fascia lata, etc., to restore the tension of the medial collateral ligament. This method has satisfactory short-term effects, but the elasticity of the reconstructed ligament decreases and gradually relaxes over time, so the long-term effects are often not very ideal.

  2. Dynamic repair method

  The normal muscle tendon is transposed, and the muscle pull force is utilized to achieve the purpose of stabilizing the knee joint. Common methods include the gizzard tendon transposition technique. It is suitable for patients with medial collateral ligament rupture and anterior cruciate ligament injury, with positive anterior drawer test, and those who experience unstable knee joint sway or weakness of the knee during vigorous knee joint movement.

 

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