PCL Injury: Orthopedic Treatment In Carrollton

by Administrator 9. February 2017 13:04

Posterior cruciate ligament (PCL) is a tough tissue structure with a high tensile strength that essentially controls the positioning of the tibia and the femur. Besides connecting the bones, it stabilizes the knee joint while it rotates in different directions. Any tear or stress in this ligament is termed as PCL injury.

It is not common condition and generally occurs in combination with other ligament injuries and cartilage damages. PCL injury can vary in degree from a mild stretch to complete tear of the ligament, with a piece of the bone being dethatched along with the tissue structure. Sports person who indulge in football, soccer, skiing etc. are at a higher risk of ligament injuries.

Causes

  • Falling on a flexed knee
  • Direct injury or trauma to the shin bone (tibia)
  • Vehicular accidents in which the legs are crushed against the dashboard

Symptoms

  • Mild or sharp knee pain, depending on the grade of injury
  • Swelling and tenderness in the joint
  • Unstable knee joint
  • Inability to walk, stand or bear body weight

Diagnosis

  • The knee specialist may inquire about mode of injury, symptoms as well as the medical history
  • A device called arthrometer may be used to check ligament strength or tightness
  • The patient may be asked to lie on his back while bending the knees. The upper portion of the shin bone is examined through palpation which helps to confirm PCL injury
  • Analysis of the gait
  • X-ray imaging to check for bone damage, if any
  • MRI or CT scan to locate the exact point of tear/stress to the ligament
  • Bone scan may be required in case of chronic PCL injuries. Both the legs are compared to reach a diagnosis
  • The doctor may check for fluid retention or internal bleeding within the joint that may cause pressure to build up
  • Arthroscopy may be used to get a better view of the joint

Treatment

  • Rest the injured knee and avoid any weight bearing or activity that may cause stress
  • Use of ice packs may reduce pain and swelling
  • Slight compression may be applied
  • Keep the leg elevated at chest level while resting
  • Anti-inflammatory medicines may be prescribed for immediate relief
  • Physical therapy may be helpful in stabilizing the joint, aiding in recovery and strengthening
  •  A crutch or a knee brace may be used for supporting the affected joint
  • Surgery may be recommended in high grade injuries which do not respond to conservative methods. If a piece of bone is detached along with the ligament, it may be surgically fastened using pins and screws
  • Torn PCL ligament is surgically replaced by a part of tissue extracted from a donor or by using tissues from the patient’s body (thigh or heel)
  • Minor tissue injuries can be corrected using an arthroscope which enables correction through minor incisions

For diagnosis and treatment of PCL injury, visit the knee specialists at OrthoTexas. To request an appointment, you can call at (972) 492-1334.

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Orthopedic Treatment For Knee Pain

by Administrator 20. January 2016 10:54

The knee is the largest joint and bears a major part of the total body weight. It is made up of four bones - tibia, femur, fibula and patella. Several ligaments and tendons hold these bones together as well as maintain the stability of the knee joint. Age related degeneration, injury or excessive stress to any of these structures can cause knee pain. The condition can affect almost anyone, but is more commonly seen among the elderly, overweight people or sportspersons involved in repetitive bending and squatting.

Causes

  • Direct blow to the knee
  • Muscle overuse
  • Sprain or strain
  • Sports related injuries
  • Incorrect landing from a jump
  • Excessive twisting of the leg
  • Rapid change of direction with the foot planted on the ground
  • Certain medical conditions, such as Arthritis, Tendonitis, Bursitis etc.

Symptoms

  • Constant or intermittent pain in the knee joint
  • Inflammation and stiffness
  • Redness and warm sensation around the site of pain
  • Tenderness to touch
  • Bruises or visible deformity in the knee
  • Difficulty walking
  • Inability to straighten or bend the leg
  • Grating sensation when trying to move the knee
  • Pain may increase after physical activity or long periods of sitting and standing
  • Feeling that the knee may give out

Diagnosis

The orthopedic doctor may conduct a physical examination and inquire about the patient’s lifestyle as well as any previous knee injury. He may straighten or bend the leg to identify the exact location of pain. Certain imaging tests may be conducted to determine the cause and severity of the condition.

Treatment

  • RICE Therapy: The orthopedic doctor may ask the patient to take rest, apply ice pack to the site of pain, compress the knee with an elastic bandage and keep the leg elevated above heart level. RICE Therapy can help to reduce pain and inflammation in the knee joint.
  • Medications: Non-steroidal anti-inflammatory medications may be prescribed to offer relief from pain. 
  • Knee Braces: The patient may be advised to wear a knee brace or use crutches while walking to avoid putting stress on the joint. 
  • Physical Therapy: After the pain and swelling subside, physical therapy may be recommended to restore the mobility and strength of the knee. The therapist may suggest certain stretching and strengthening exercises to reinstate the joint’s previous functionality. 
  • Surgery: Surgical intervention may be required if knee pain is caused due to some underlying orthopedic condition.

We, at OrthoTexas, provide comprehensive treatment for knee pain and other orthopedic conditions. To schedule an appointment with our knee specialists in Carrollton, TX, call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Knock Knees: Causes, Symptoms And Treatment

by Administrator 14. September 2015 10:55

Knock Knees, also known as Genu Valgum, is an orthopedic condition that causes the knees to bend inwards and touch each other. The condition is common during a child’s developmental stage, till the age of 2 or 3 years and gets self-corrected with age. However, in rare cases when knees begin to knock after the age of 6 years, it can be an indicator of an underlying bone disorder.

Causes

  • Osteomyelitis, a bone infection
  • Rickets
  • Scurvy
  • Infection or injury to the shinbone
  • Obesity
  • Overpronation
  • Irregular bone growth
  • Genetic skeletal abnormalities

Symptoms

  • More than 10 cm of gap between both ankles
  • Changes in gait patterns
  • Excessive inward angle of knees
  • Pain at the anterior part of the knee, in severe cases

Diagnosis

Diagnosing Knock Knees involve a thorough physical examination and a review of the patient’s medical history. The orthopedic doctor may observe the positons of the patient’s lower legs, ankles and knees. He may measure the distance between the inner parts of the ankle joints to assess the severity of the condition. The doctor may also evaluate certain other factors including:

  • Height, weight and body mass index (BMI)
  • Walking pattern
  • Skeletal alignment of the lower leg
  • Range of motion of the lower leg

Treatment

If the condition does not subside after the age of 7 or 8 years, the orthopedic doctor may recommend the following treatment:

Braces

Wearing a brace during nighttime may help to straighten and restore the normal alignment of the knees. Depending upon the severity of the condition, the doctor may recommend a customized knee brace for effective results.

Exercise

Performing certain exercises, as prescribed by the physical therapist, may help to strengthen the knee muscles so that they are better able to bear the weight of the body.

Surgery

In severe cases, the patient may be recommended to undergo any of the following surgical treatment.

  • Osteotomy: This involves manipulating the knee bones to bring the joint back to their normal position. The procedure also helps in even distribution of weight through the knee.
  • Guided Growth Surgery: This surgery slows down the growth of knee bone. Guided growth surgery is usually recommended for children who are in their developmental stage. 

The surgeons at OrthoTexas specialize in the treatment of Knock Knees and other medical conditions. To schedule an appointment, you can call at (972) 492-1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Knee Cartilage Injuries & Treatments In Carrollton, TX

by Administrator 5. December 2014 14:08

Knee cartilage injuries are common sports injuries that occur due to damaging of cartilage in the knee that cushions and stabilizes the joint. The cartilage is known as meniscus and the injury is also known as a meniscus tear. Meniscus protects the bones from wear and tear. However, due to twisting or stress, the cartilage tears and exposes the bones to damage. Often the shredded cartilage breaks and blocks the knee joint, thus locking it up. Knee cartilage injuries are common in contact sports such as football and basketball.

Causes

  • Contact and non contact sports
  • Twisting of knee while running or sudden change in direction
  • Weakening of cartilages and muscles with old age
  • Falling on the knee
  • Trauma or accident

Symptoms

  • Pain in the knee
  • Swelling
  • Inflammation
  • Inability to put weight on the leg
  • A popping sensation during the injury
  • Difficulty in bending knee
  • Problem in straightening the leg
  • Locked up knee

Diagnosis

To diagnose the problem, the doctor thoroughly examines the patient and inquires about their medical history. The physician also recommends x-rays and other imaging tests such as MRI tests, which helps in evaluating knee cartilage in detail and determine the extent of the injury.

Treatment

Depending upon the size and location of the tear, the physician may offer different treatment for the knee injury. Many other factors such as age, activity level, extent of the injury and medical history also contribute in deciding the line of treatment. An injury to the outer side of meniscus usually heals on its own as it has a good supply of blood vessels. However the situation is not same when the injury is deep and affects the inner of the cartilage. Such injuries do not heal on own and require medical treatment.

The patient is often prescribed anti-inflammatory medicines to reduce swelling and inflammation. The patient can get relief by taking rest and discontinuing any activity that puts strain on the knee. If the injury does not heal with time, then surgery is the only solution. If unable to repair, the surgeons may replace the damaged portion of the knee with metal or plastic parts. In the most severe case, the patient has to undergo a total knee replacement, in which, the knee is replaced with an artificial joint.

To treat traumatic injuries, the patient may be recommended an Arthroscopic surgical treatment. It is a minimal invasive surgery, which is performed using an arthroscope. The surgeon removes or repairs the torn meniscus and the patient can recover in a few weeks to a month after the surgery. A physical therapist can help the patient regain the strength and flexibility of the muscles post surgery.

For more information, consult the knee doctors at OrthoTexas. To schedule an appointment, call at (972) 492-1334 or visit   4780 North Josey Lane, Carrollton, TX 75010.

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Orthopedic Treatment For Meniscal Tears

by Administrator 11. November 2014 11:54

The knee joint is made of Tibia, Fibula and Patella, and it has cartilages between the thighbone and the shinbone. These cartilages, Menisci, cushion the joints and protect them from injury. Menisci provide stability to the joint and help in distribution of nutrients to the tissues which prevents Degenerative Arthritis.

A Meniscal Tear is the tearing of Menisci that are located between Tibia and Femur. This knee injury is common among people who play contact sports, athletes and those who overuse the knee.

Causes

  • Squatting of knee during sports
  • Twisting of knee
  • Sudden blow to the knee
  • Degenerative Meniscal Tear due to age
  • The Menisci weakens with age and are more susceptible to tear

Symptoms

  • A popping sound when the Meniscus is torn
  • Stiffness in joint
  • Swelling
  • Pain
  • Tenderness around knee joint
  • Locking of knee
  • Difficulty in straightening the knee
  • Inability to move the knee through its full range of motion

Diagnosis

If you are feeling pain you should see an orthopedic doctor who will physically examine the tear and your medical history. He will examine the tenderness around the joint and can recommend certain tests such as McMurray test. During the test, the doctor bends, straightens and rotates the knee to confirm a Meniscal Tear. The physician may also recommend imaging tests such as x-rays, MRI to confirm the injury.

Treatment

The treatment of Meniscal Tear depends upon your age, activity level and severity of the injury. The physicians may recommend either or both non-surgical and surgical treatment, depending upon the condition.

A small tear on the outer edge of the Meniscus, may be treated non-surgically. You may be advised to rest and avoid using your knee. The physician may ask you to use support while walking so that you do not put weight on your leg. You may be required to wear an elastic compression bandage for a few days until the tear heals. The physicians also recommend ice packs, anti inflammatory medications and elevation to reduce swelling.

In case the symptoms still persists after the treatment you will be recommended to undergo Arthroscopic surgery. This is a common procedure involving the trimming of damaged Meniscal tissue. Often the Meniscal tear is repaired by stitching the torn pieces. Strengthening exercises are helpful and usually recommended by the doctor after the procedure.

The knee doctors at OrthoTexas provide treatment for Meniscal Tears and a range of other knee conditions. To schedule an appointment, call at (972) 492-1334.

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Orthopedic Treatment For Knee Ligament Injuries

by Administrator 4. September 2014 11:55

The knee is a complex structure and one of the largest joints in the body. The ligaments in the knee connect the thighbone to lower leg bones and are vital for any kind of movement like walking, running or playing. Ligaments are tough bands of connective tissue responsible for giving support to the knee joints and providing stability to them. There are four ligaments in the knee and the knee relies on them for stability and movement. These ligaments are highly susceptible to sprains and tears during sports activities, physical work or exercises or due to accidents leading to knee ligament injuries. The ligaments can be stretched, torn or ruptured. A few common knee ligament injuries are

  • ACL (Anterior Cruciate Ligament) – It is one of the two major ligaments in the body and connects the thigh one to the shinbone. 
  • PCL (Posterior Cruciate Ligament) – It is the second major ligament in the knee and connects thighbone to shinbone.
  • MCL (Medial Collateral Ligament)– This ligament connects thigh bone to fibula, which is a small bone on outside of the lower leg.
  • LCL (Lateral Collateral Ligament)– It connects the thigh bone to the inside of the shin bone.

Causes:

  • Sudden change in direction while running
  • Blunt force hit to the knee, such as during football tackle
  • Extending the knee too far
  • Suddenly stopping while running
  • Sudden shift of weight from one leg to another
  • Landing or jumping with hyperextended knee

Symptoms:

  • Pain in knee, which can be sudden and severe
  • Pop or snap felt during injury
  • Inflammation
  • A feeling of looseness in the joint
  • Inability to walk and bear weight on the knees

Diagnosis:

A knee ligament injury is diagnosed by an orthopedic doctor who will inquire about the nature of the injury, when and how it happened and the area where numbness and pain is experienced. Diagnostic tests like X-Rays, MRI scans and ultrasound scans provide images of any tears or ruptures that help in determining the injury.

Treatment

Knee ligament injuries of mild nature get resolved with time and you may be advised to follow the RICE approach which is; Rest the knee, avoid putting any weight on it, ice the knee for 15-20 minutes to reduce pain and swelling, compress the knee using elastic bandages to control swelling and elevate the knee on a pillow. The surgeon may recommend wearing braces to provide support and stability to the knee. Anti-inflammatory painkillers help in reducing pain and swelling, and stretching and strengthening exercises can also recommended by the doctor. Surgery is required if you have injured your ACL or ruptured your PCL and in cases of severe injury to the knee ligaments.

For comprehensive orthopedic treatment for knee ligament injuries, visit OrthoTexas at  4780 North Josey Lane (N. Josey Lane and FM 544/Parker Rd), Carrollton, TX 75010. To schdeule an appointment, call at (972) 492-1334

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