Knee Injuries

Introduction

Fact - injuries to the lowest leg have been always a problem for skiers alpine. In the years of the sport, the fractures of the lowest bones of the leg (the tibia and peroné) were common because the forces that twisted generated by a fall were transmitted in the savage of the ski. The subsequent development of the obstacles to send very has been conjectured to the right in the reduction of the incidence of such fractures, but it has unfortunately not produced as much protection to the knee. This joint, with its ligaments, menisci and structures associated of the huesudas, at the moment explains approximately 30-40% of all the alpine injuries of the ski. Although this page is specifically centered in those seen injuries of the knee of the alpine ski, to discover me that many of people find their way to this page that by itself looks for the Info in injuries of the knee. I hope that you find this page useful and have added some specific connections to other pages in injuries of the knee that you will find here. They always sharpen to me to receive regeneration in my site that I satisfy the email so if you have any suggestions in which she made this more useful page to you.

In Scotland, injuries of the knee happen in an approximated index of 0,82 injuries by 1000 days to skier more - that is to say, for every 1000 skiers in the mountain in nobody a day, an average of hardly under one more an injury skier of the will their knee. Watching it another way, injury of the knee happens once ski of every 1218 days (for an explanation of the injury tariffs and how they derive, to see this page). Introduction to carve (“sidecut wonderful”) skis, which they have improved characteristics that give return compared to the traditional skis, was bound initially to an increase in tariffs of injury of the knee. This was Vista in fact in some of the equipment that competed with alpine when first they began to use carving the skis in early years 90. This risk of injury with carving the skis now looks like to have diminished and in fact the last demonstration of stats of injury that carving the skis is protective now against injury - the established hypothesis is that skiers which they changed of traditional “the skinny” skis they have now obtained used to carve the skis and their characteristics that carve improved. Skiers of the nascent one has skied only always in carvers and therefore (not experiencing any other class of ski) it did not need to adapt. Whereas most of injuries of the knee it has a good prognosis, something can lead to significant the functional weakening and can even disable the individual always of the ski again. The exact diagnosis, joined with appropriate investigations and the treatment, are essential in helping to the recovery of damaged skier of injuries such as quickly and successfully as it is possible. The extensive majority of injuries of the knee considered in skiers alpine implies the damage to the ligaments of the knee, particularly the intermediate collateral ligament. Like with others esguinces of the ligament, these are described to divide the one for three depending on the degree on damage and laxity associated on the ligament. Laxity is proven trying to stretch the open ligament - for obvious reasons, this often cannot be done initially because the doctor would finish upon obtaining a black eye of the patient. Once the pain has placed nevertheless (generally approximately 5-7 days) the joint can again be valued.

* Degree 1 - None laxity (“elasticity”) in the ligament when he is tensionado. Little, ace no torn fibers of the ligament. * Degree 2 - Some laxity in the ligament, but full stop defined he is present. Some, but not all, torn fibers of the ligament. * Degree 3 - To finish the elasticity in the ligament. All the torn fibers of the ligament. The following ones are all potentially indicative of serious injury of the knee - to obtain to a doctor a.s.a.p.! * Deformity obvious to the knee * the incapacity to load refers the affected leg * great Degree to swell within a pair of hours of injury * Incapacity to straighten the knee (“it united the knee”) * severe Dulzura completely when you press in a located area

A degree of smaller importance of swelling is generally inevitable with all but injuries more of smaller importance of the knee, becoming generally the term of twenty-four hours of injury. The aspect of the significant swelling (that is to say, the knee seems a globe) in the term of the first two hours of injury it strongly suggests the presence of a haemarthrosis (drain within the joint of the knee) that, in approximately 75% of cases, it means damage to the previous ligament of cruciate. All the cases of the haemarthrosis are due to refer ignition to a ortopédico surgeon for the additional burden and the possible aspiration of the blood within the joint. This needs to be done under sterile conditions. One not to try in the country…. An exact description of the accident joined with an honest burden of the level of the individual of the capacity in the skis will suggest the diagnosis in most of cases. The direction in which the lowest leg moves in the fall will dictate what structures es/son implied and the speed of skier will influence the severity of maintained injury. Skiers of the nascent one is initially taught to assume the position supposed of “snowplough”. This puts the particular tension in the intermediate collateral ligament and requires force of the quadriceps to give return and to maintain to stability, particularly when - more unstable - a ampler position is adopted one more (the right of the photo is seen). With the maintained skis as wide as this, its difficult one to apply to complete muscular control under each leg and therefore control of one or more ski can easily be lost and the ski finishes generally upon twisting the lowest leg towards outside concerning the thigh - the doctors must have names of daft for the things and this movement is called “valgus”. The opposite, where the lowest leg gives return concerning the thigh inwards is called “varus” but this as often does not consider us as injuries of valgus of the ski. With the increase of the capacity, skiers can maintain both legs parallel that it improves the effectiveness to give return and allow so that higher speeds are reached. Whereas this is distant more diversion than fighting with snowplough, one more a higher speed can lead to injuries more severe than they are maintained in case of an accident simply because the forces applied through joint are higher. In center they are are the supposed returns of the “piston rod” - piece snowplough, returned from the parallel of the part - the curse of many a desperate one to skier more intermediate sharpened to progress parallel return to the maximum. If you are in this stage, the danger is trying to ski too fast so that your capacity stops and/or down it inclines beyond your capacities. [Only all we have done he, author including ..... in a certain stage in our races of the ski] In skis, one of the most important things that you can be able in the habit to do is one autoprueba daily to make sure that your obligatory adjustments are appropriate for your individual necessities.

0Protection, rest, ice, compression (it is seen down) and elevation 0Wool + the bandage of compression of crepe (Robert) applied the first 24 hours at least - then replaced by the small board of the extension of zimmer severe injuries 0Less can require few degrees of aid (e.g elasticated the bandage only) 0Crutches if it comes. The bearing of the weight (even partially) can happen generally once the level of the pain allows antiinflammatory drugs 0Non-steroidal unless it is against-indicated [check with a phamacist if] occurs to the case. These are due to continue by near 5 days in a minimum (although the knee feels better) 0Guidance in regular exercises of the quadriceps. The quadriceps is the muscles of the thigh and is essential after any injury of the knee that are maintained adjustment. They would surprise to you how they lose its force quickly when it is not used and this is bad for the joint of the knee. burden 0Physiotherapy and treatment the sooner - the part of this aims to maintain muscles of the intoned quadrangles. 0Assessment of the stability of the ligament once the acute pain has placed, using the unharmed side for the comparison in case of necessity

INTERMEDIATE COLLATERAL ESGUINCES OF the LIGAMENT Incidence: Alpine injury commonest of ski, explaining 20-25% of all the injuries. It more commonly affects possible nascent and skiers under-intermediate. Cause: The affected individuals are generally in the position of “snowplough” with the joint of the knee in a position of valgus (one more a leg lower than inclines outside towards the way concerning the thigh). Injury is from the excessive force of valgus that is applied to the joint of the knee, like result a fall, the skis that are crossed, or to be high and mighty of the position of snowplough. In skiers more experts, it happens generally like unexpected result “to take an edge” that sends unexpected the ski (and thus the lowest leg together with her) towards outside. Presentation/diagnosis: The diagnosis is suggested generally by the description of the fall. The examinations reveals dulzura on the intermediate collateral ligament and pain in the bearing of the weight. The presence of a arthroscopes suggests third rasgón of the degree, a damage associated to the ACL and/or injury to the Judases structures of the knee. Burden: In the acute phase, to hurt disables generally the exact burden of the stability of the ligament. When it is possible, this must be made applying to the tension of valgus with the knee in 30o of the flexion and the foot in the internal rotation (the diagram underneath left is seen). Investigation: Often nonnecessary, but the x-rays will identify associate huesudas injuries whereas MRI detects the other smooth damage of the fine weave (e.g to the ACL/meniscus) Treatment: Esguinces of degree one and two is due to put in a small board of the extension until the pain and the swelling collapse. Rasgones of degree three can require the surgical repair or the use of a cylinder of plaster. Prevention: Pre to ripen the quadrangles that condition, correct obligatory maintenance and the adjustments of the launching and the execution of autoprueba can all the aid reduce the occasions of collateral injury of the ligament. Avoiding the ample positions of snowplough that are intrinsically unstable. They advise the nascent ones to allow that a fall happens rather that trying to be against to which alternadamente they can lead to more damage.

PREVIOUS ESGUINCES OF the CRUCIATE LIGAMENT Incidence: It explains 10-15% of all the injuries of the ski (in some studies even above). Diagnosed often behind schedule if in all. Associated often to injuries to other structures within the knee (e.g. MCL and/or menisco) Cause: The intensive American investigation has identified two main mechanisms that prearrange to the damage of the alpine ACL in skiers. These have been called the ““the shipper-induced” ghost-foot” and panoramas. The first mechanism happens when the tail of the ski in declivity (the “ghost foot”), jointly with the stiff posteriora part of a boot to ski, acts like handle to apply a unique combination of the force that twists and flexion through joint of the knee. The analysis video of more than 14,000 injuries of ski has identified a typical profile that characterizes east mechanism of injury. The ghost profile of the foot 1) ascending posteriora Part of the arm 2) Skier of the balance to the later part 3) Hips underneath 4 knees) ascending Ski a-loaded 5) Weight in the inner edge of the tail in declivity of ski 6) Ski in declivity of the superior coatings of the body

When the six elements of the ghost profile of the foot are present, injury to the ACL of the leg in declivity is extremely probable. The situations that can prearrange to this becoming of the panorama are: - a) Trying to rise whereas still it moves after a fall b) To try a recovery of an unbalanced position c) trying to seat down after perdidoso control to the induced mechanism shipper happens when more to skier it becomes of balance to the later part whereas it tries a jump. By instinct, the leg of skiers extends completely. Consequently the earth to skier more in the tails of the ski that force the posteriora part of the boot to ski against the yearling calf that the tibia towards outside underneath fémur leads and rasgones of the ACL. A third mechanism now recognizes by which to skier more immovable is struck of behind in the lowest leg (often by snowboarder) - this one again applies the sudden extreme pressure in the posteriora part of the yearling calf, forcing the tibia sends with resulting damage of the ACL.

Presentation/diagnosis: The individual often describes feeling or hearing of “exploding” or a clasp of pressure of “”, with the one “of the knee taking” underneath. A haemarthrosis becomes the term of one hour of injury generally. Once the acute swelling has placed, it can have positive a previous sample of the drainage and shows of the change of the pivot in the test. Investigation: The exploration of MRI/las level x-rays to detect huesudo damage, smooth associate of the fine weave and to improve of diagnosis takes. Treatment: Controversial! In the United Kingdom, the general tendency is to inhale the haemarthrosis and to deal initially preservative with the fisioterapia that entablilla and intensive that aims to accumulate muscular force to help to stabilize the joint. In the E.E.U.U and Europe, one pleads the early repair and mobility arthroscopy of the ligament. Agreed generally that if you wish to above continue skiing in the level of a good interval or, you will probably need to have surgery reconstructive to your ACL. If nevertheless, your knee feels stable with the preservative treatment, this can be avoided. Others plead a support of the knee for the additional protection (it is seen down). Prevention: Education to recognize to happen potentially dangerous of the situations. Generally always the aim to maintain the together arms, feet front and gives the skis. The program of the knowledge of the ACL devised by Ettlinger ET has been demonstrated to reduce the incidence of injuries of the ACL by 62% (the reference is seen down). Chascar here for the Web site of Carl Ettlinger. The new obligatory progresses with the double also turn my help to reduce the incidence of injuries of the ACL. More detail in the alpine page of the ski.

FRACTURES OF the TIBIAL PLATEAU Incidence: Approximately 1% of all the injuries of the ski. To affect skiers generally older, more experimented. Cause: Severe tension of valgus often with the compresivas forces e.g as result badly a landing after a jump. Presentation: Haemarthrosis generally. There it can contusionar and/or the abrasions on the lateral aspect of the joint and a deformity associated of valgus of the knee. Investigation: Generally evident in the level x-rays. The exploration of CT could be required to determine the exact degree of breakup and the area of the surface to articulate implied. Treatment: If the fracture moves or it is pressed by the surgery more of of then 4m m is advised to recover the anatomical alignment. These injuries happen frequently in the speed and are damages severe associate to other smooth structures of the fine weave - particularly the ACL and the MCL - that will require the operation. Prevention: To avoid high jumps and the high consequent compresivas forces. it covers MENISCAL INJURIES Incidence: To happen in approximately 5 - 10% of all the injuries of the ski, often in association with damage to another structure. It affects generally the lateral menisco due to a twist of valgus in a knee of the bearing of the weight. Cause: The rotatory tension was applied to a doubled salary, rolls of the bearing of the weight. Generally the turn out to take an edge to the speed. Presentation/diagnosis: The considerable bearing of the weight of the pain and the difficulty but can have little swelling. The position commune dulzura is generally evident, specially the last degrees of the complete extension of the knee. May presents/displays with “united the knee”, where a torn meniscal fragment physically prevents the complete extension with the joint. The tests for rasgones meniscal include the test of the test of McMurray (is seen to the left) and of compression of Apley. Investigation: The image projection can be necessary to exclude associate injuries. Treatment: A blocked knee requires arthroscopy early and the repair. Isolated others rasgones can be handled expectant with the preservative treatment. The severe injuries chondral can be dealt with procedures for example microfracture, the transplants of the cartilage and biotechnology.

The PAPER OF the SUPPORTS OF the KNEE potential the protective paper of supports of the knee, specially in skiers that have had surgery reconstructive of the ACL, has been an controversial subject by absolutely awhile. In September of 2006, Sterett and others of the foundation extensively respected in Vail, Colorado of the investigation of Steadman Hawkins given effect published the results of a study of cohorte in the American newspaper straight medicine of the sports of the one “of supporting functional in injury of the knee in Skiers with the previous reconstruction of the ligament of Cruciate - an advance study of cohorte”. In this study, 257 skier-using with the previous reconstruction of the ligament of cruciate used supports and 563 skier-using with the previous reconstruction of the ligament of cruciate no. Subsequent injuries of the knee of Sixty-one were identified, 51 (8,9 knees injuries/100/estación of the ski) in group nonsupported and 10 (4,0 knees injuries/100/estación of the ski) in the supported group (P =,009). They were not supported skiers were 2,74 times more probable to suffer subsequent injury that skiers supported (quotient of the probabilities, 2,74 [the interval of the confidence, 1.2-4.9]). Logistic modeling of the regression identified not to support as factor of significant risk multivariate independent for subsequent injury of the knee in skiers of much demand with the previous reconstruction of the ligament of cruciate. The authors concluded that due to the increasing risk of subsequent injury of the knee in skiers not supported, functional supporting for skiers with the previous reconstruction of the ligament of cruciate must be recommended. Also they comment, “if the protective effect to support functional can be extrapolated other patients of much demand must still be determined.” A very interesting study that provides evidence to the aid what many of us have long felt that the supports of the knee can protect the knee against subsequent injury.



Glucosamine and Chondroitin Notes

Meniscus Tear and Torn Knee Cartilage

The tear of meniscus is other common damage which affects the joint of knee. The meniscus are the formed discs of “C”, facts of hard cartilage called the fibrocartilage. They help to improve the adjustment between the femur (bone of thigh) and the tibia (bone of tibia) and are important for the load of distribution and the shock absorbing with the joint of knee.

There is the meniscus two located in the joint of knee between the femur (bone of thigh) and the tibia (bone of tibia). The image on the right side has before-on the sight of the bones, tend and ligaments which make the right knee. In the middle of the image there are two round structures called “the side meniscus” and “the meniscus médial.” It is this structure which is nuie in damage of meniscus.

How the meniscus are wounded?

A tear of meniscus is usually the result of a traumatic incident or degeneration. The traumatic tears are most common in the physically active people under the age of 45, whereas the degenerative tears are more common in the category of age finished of the Forties. The meniscus receive the very small flow of blood. In fact, the major part of the meniscus does not receive any flow of blood of the whole, which makes the re-establishment extremely difficult. The majority of the traumatic tears of meniscus are the result twisting the knee or a sudden impact with the knee. While degenerative of the tears are associated the process and the result of aging of a breakdown in the collagen fibers which make the meniscus.

Which are the signs and the symptoms of a meniscus they tear? The most common symptoms joined a tear of meniscus are pain and swelling around the joint of knee. Tenderness with the site of damage is also communal ground. Another common problem joined a tear of meniscus is “common closing.” Common closing prevents the joint of knee being entirely rectified or from entirely yielding and is the result of a piece of the cartilage torn being placed in the joint of knee.

The treatment for damage of the meniscus of the minor damage of the meniscus are exact like any other soft fabric damage and should be treated consequently. This implies the application of the remainder of R.I.C.E.R. (R), (I) ice, (c) compression, (E) altitude and obtaining (R) a reference for the suitable medical treatment. The two following points are of the majority of importance. 1. The rest and the immobilization once damage of the meniscus is diagnosed to him are important that the affected sector is rested immediately. Any other movement or effort will worsen only the condition and will prolong the re-establishment. It is also important to also always maintain the sector rolled up like possible. 2. To freeze the greatest part by far. The application of the ice will have the greatest effect on reducing the bleeding, swelling and the pain. To apply the ice as soon as possible after the damage occurred or diagnosed. How do you apply the ice? The ice crushed in a plastic sachet is usually the best. Treatment for damage of meniscus Of the minor damage of meniscus are right like any other soft fabric damage and should be treated consequently. This implies the application of the rest of R.I.C.E.R.

How do you apply the ice? The ice crushed in a plastic sachet is usually the best. However, the blocks of ice, commercial cold packing and bags of frozen peas will do all very well. Even the cold water of a tap is better than anything the whole. By using the ice, to pay attention not to apply it directly to the skin. This can cause the “ice burns” and other damage of skin. The packing of the ice in a wet towel generally ensures best protection for the skin. How long, how much time? It is the point where few people are appropriate. To let to me give you some figures to the use, like guides approximate, and then I will give you some councils of a personal experiment. The most common recommendation is to apply the ice during 20 minutes every 2 hours for the 48 first to 72 hours. These figures are a good starting point, but remember that they are only one guide. You must hold account which some people are more sensitive cold than others are. Moreover, to realize that the children and the old people have a tolerance lower than freeze and cold. In conclusion, the people with circulatory problems are also more sensitive to the ice. To remember to maintain these things in the spirit while treating itself or someone else with ice. (R), (I) ice, (c) compression, (E) altitude and obtaining (R) a reference for the suitable medical treatment. The two following points are of the majority of importance. 1. The rest and the immobilization once damage of the meniscus is diagnosed to him are important that the affected sector is rested immediately. Any other movement or effort will worsen only the condition and will prolong the re-establishment. It is also important to also always maintain the sector rolled up like possible. 2. To freeze the greatest part by far. The application of the ice will have the greatest effect on reducing the bleeding, swelling and the pain. To apply the ice as soon as possible after the damage occurred or diagnosed.

Personally, I recommend that people employ their own judgement by applying the ice to them individual. For some, 20 minutes too is. For others, particularly the well conditioned athletes, they can leave the ice above during up to one hour at the same time. The individual should how long make the decision as for the ice should remain above. My personal recommendation is that people should apply the ice for as long as it is comfortable. Obviously, there will be light a faintness of the cold, but as soon as the Malayan pain or it excessive is tested, it is time to remove the ice. It is well better to apply the ice during 3 to 5 minutes a couple of time per hour, than at all. During the 24 first at 72 hours after damage, sure being to avoid any form of heat to the site of damage. This includes lamps of heat, heat skims, the thermal spas, the jacuzzi and the saunas. To avoid all the movement and massage of the wounded sector. Moreover, to avoid excessive alcohol. All these things will increase the bleeding, e swelling and the pain of your damage. To avoid at all costs.

Surgery of meniscus the surgery is not always necessary for a tear of meniscus and in certain cases the individual can carry out a completely normal life without any surgery of the whole. Your doctor or physical therapeutist can carry out a certain number of tests to help to determine the extent of the damage of the torn meniscus. A x-ray and one MRI are two common tests used. If the surgery is necessary there are two options: a repair of meniscus; or a meniscectomy.

* Repair of meniscus In certain cases the meniscus can be repaired with the surgery. Surgical repairs are only successful when the tear occurs in the vascular area (where there is flow of blood) meniscus. * Meniscectomy If the tear is in a part of the meniscus without the provisioning of blood, (to remember that the major part of the meniscus does not have any provisioning of blood of the whole) surgical repair will not be emotional. In this case a meniscectomy is carried out to remove the torn part of the meniscus and to reform the remaining part. After surgery, to hope to be on crutches during at least three weeks. The full re-establishment, employing a complete program of readjustment will take generally approximately three to four months and the athletes implied in sports of a high request can be of return on the field in approximately six to eight month.

5 rules: Squat without Knee Injuries

To make sure that your knees are aligned with your feet.
By that that I want to say that during a squatted posture, your knees should travel ahead in the same direction as the toes. If your toes specify at the sides, but your knees seem to go frank, you know that you ask for the trouble! To imagine an invisible line on which your feet are aligned. Very that you must is aligned subsistence your knees strictly into same.

To employ the good form
Not to be held on your toes during the last two sets, and no matter what you make - no to twist around!

Not to wrap your knees any Hour
By babying always your knees you will establish the muscular force, but you do not lay out your joint of knee and muscles of support to handle a squatted posture none packed. With time, your muscles will become more powerful, whereas your knees remains the same thing or can even become weaker. At a certain point, this will return to haunt you in a considerable way, that it is in the room of gymnastics, a play of the baseball of company or where.

To obtain the good shoes
The soles Inch-thick, freezing-filled or gas-pumped are large for the basketball, because they help to absorb the impact all to jump. You do not see jumping much in the room of gymnastics, however, thus what is a good shoe on the court is not necessarily a good shoe everywhere. With a couple of one hundred books on your shoulders, you want to be sure that you are stable. To select the shoes with the thin soles and very little “bounciness”. To try to obtain a feeling to have the full contact with the floor.

Check The Ego At The Door.
A muscular type which can pressure of leg 1.200 books for reps is sizable. A wannabe which makes hardly 3 reps sorry while cheating badly is not. To employ a significant weight with which you can make at least 6-8 reps strict, by keeping the hearth on safety and to order constantly. That will produce the fastest results and the least risk of damage to you.

Types of Knee Injuries

Damage of knee can affect the ligaments the ones of, the tendons or the bags filled with fluid (Bush) which as well as surround your joint of knee the bones, the cartilage and ligaments which forms the joint itself. Because of the complexity of the knee, the number of implied structures, quantity of use that it obtains above a life, and the range of the damage and diseases which can cause the pain of knee, the signs and symptoms of the problems of knee can change considerably.

Ligament injuries

Your knee contains four ligaments - the hard bands of fabric which connect your thighbone (femur) to your lower bones of leg (tibia and fibula). You have two collateral ligaments - one on the interior (collateral ligament medial) and one on the outside (side collateral ligament) of each knee. A tear in one of these ligaments is usually the result of a trauma of fall or contact, particularly in the sports like football, and is likely to cause the immediate pain in the wounded sector. The faintness, which can extend from soft to low register, is usually worse when you walk or fold your knee. If the collateral ligament on the interior of your distorsions of knee or tears, you can feel a feeling of tear. In certain cases, this ligament can become calcified after repeated damage (syndrome of Pellegrini-Stieda). The two other ligaments are inside your knee and cross while they extend diagonally from the bottom of your thighbone to the top of your shinbone (tibia). The posterior cruciform ligament (PCL) is connected to the back of your shinbone, and to the former cruciform ligament (ACL) connects itself close to before your shinbone. If you tear the ACL, partially or completely, you are likely to know it immediately. You can feel or hear a noise in your knee and to have the intense pain and immediate swelling. When you try to hold and put the weight on your wounded leg, your knee can “buckle” or be at least smelled as if it could carry out. In the majority of the cases, you will have to stop all the activity, one or the other because the pain is too serious or because your knee is not enough stable to support your weight. The tears of PCL are not usually like dramatic or painful. Generally, you will test the pain and swelling in space behind your knee (fall popliteal) and a feeling of instability, as if your knee could carry out.

Tendon injuries (tendinitis)

The tendinitis is irritation and ignition of one or more tendons - the thick and fibrous cords which attach muscles to the bone. The athletes - particularly runners, skiers and cyclists - are inclined develop the ignition in the tendon patellar, which connects the muscle of quadriceps on before thigh to the larger lower bone of leg (tibia). The tendinitis can occur in one or the two knees and often causes the pain and swelling in front of your knee and just below your kneecap. Faintness usually is not constant but tends to occur when you jump, run, squatted or climbs. The quadriceps or the tendons patellar can also break, partially or completely. In this case, the pain is likely to be most intense when you try to prolong your knee. If the tendon is completely broken, you will not be able to prolong or rectify your knee of the whole.

Meniscus injuries

The meniscus is A.C. - cartilage formed it of the curves in your joint of knee. The damage of meniscus implies tears in the cartilage, which can occur in various places and configurations. For example, the cartilage can tear longitudinally or of the interior to the rim external of the meniscus (radial tear). Although you cannot note small tears, in the majority of the cases, you will have the pain and soft to moderate the swelling which develops more than 24 to 48 hours. From time to time, a tear longitudinally shift in the joint of knee instead of remaining around the edge of the joint, of the damage called bucket-handle the tear. An aileron of the torn cartilage can interfere the movement of knee and cause your joint of knee to the lock so that you cannot rectify it completely. Damage of Meniscus which causes the closing of your knee should be surgically treated. Tears of Meniscus which do not cause closing, including those in degenerative matter, can usually be controlled in a nonsurgical way.

Bursitis

Some damage of knee causes the ignition in the bursae, the small bags of the fluid which deaden the outside of your joint of knee so that the tendons and the ligaments slip without jolt above the joint. Bursitis can lead to heat, the surplus of swelling and redness the inflame sector, hurt or rigidity when you walk, and the considerable pain when you put yourselves at knees. Sometimes bursa located above your bone of kneecap (Bush prepatellar) can become infected, makes suffer and inflate. When the bursa of potential seat of explosion on the lower interior side of your knee is affected, you are likely to have the pain when you go down to the top or from the staircases.

Loose body

Sometimes the damage or the degeneration of the bone or the cartilage can make stop and float a piece of bone or cartilage in common space. This can not create any problems unless the loose body interferes the movement of joint of knee - the effect is something as a pencil caught in a hinge of door - driving to the pain and a locked joint.

Dislocated kneecap

This occurs when the triangular bone which covers before your knee (kneecap) escapes from the place, usually outside your knee. You will be able to see dislocation, and your kneecap is likely to excessively move from one side to another. You are likely also to have the intense pain and swelling in the affected sector and the difficulty walking or rectifying your knee. Unfortunately, once you had a dislocated kneecap, you are with the greatest risk to have it you still produce. Although you cannot test as much swelling or faintness with following episodes, repeated dislocations can lead to the chronic pain of knee. But the good readjustment, with a hearth on the formation of force of the muscles which order your kneecap, can help to prevent dislocation.

Osgood-Schlatter disease

Mainly affecting sporting years of adolescence, this syndrome of abuse causes the pain, swelling and tenderness with osseous prominence (tuberosity tibial) just below the kneecap. The pain, which can extend from soft to debilitate, is usually worse with the activity, particularly functioning and jumping, and improves with the rest. The disease of Osgood-Schlatter affects frequently just a knee, but develops sometimes in the two knees. Faintness can last of the weeks in the months and can continue to reproduce until your child ceases the growth.

Iliotibial band syndrome

This occurs when the ligament which extends from the outside of your pelvic bone outside your tibia (band iliotibial) becomes so tight that it rubs against the external part of your femur. The runners of distance are particularly likely syndrome iliotibial of band, which generally causes a pointed and extreme pain in the knee which often begins 10 to 15 minutes in a race. At the beginning, the pain far is matched at rest, but in time it can persist when you walk or go through staircases.

Hyperextended knee

In this damage, your knee is prolonged beyond its normally rectified position so that it yields behind on itself. Sometimes the damage is relatively minors, with the pain and swelling when you try to prolong your knee. But hyperextended the knee has can also lead to a tear partial or complete of ligament, particularly in your ACL.

Septic arthritis

Sometimes your joint of knee can become infected, driving with swelling, the pain and redness. Septic arthritis often occurs with a fever.

Rheumatoid arthritis

To debilitate the most 100 types of arthritis, rheumatoid arthritis can almost affect any joint in your body, including your knees. In addition to the pain and swelling, you are likely to have to hurt and rigidity, particularly when you rise the morning or after idle periods; the loss of movement in your knees and thereafter defect of form of the knee joint; and sometimes a fever of lower quality and a direction general of not feeling well (Malayan). The rheumatoid arthritis affects usually the two knees at the same time. And although it is a chronic disease, it tends to change in severity and can even come and go. The working lives increased of the disease - sudden blazes called or rockets - often alternate with periods of handing-over.

Osteoarthritis

Degenerative arthritis sometimes called, this is the most common type of arthritis. It east carry-and-tear the condition which occurs when the cartilage in your knee deteriorates with the use and the age. The ostéoarthrite develops usually gradually and tends to cause variable degrees of pain and to inflate when you are held or walked and before a change of weather. It can also lead to rigidity, particularly the morning and after you were in activity, and with a loss of flexibility in your knee joint.

Gout

With this type of arthritis, you are suitable for test redness, swelling and the intense pain in your knee which advances suddenly - often the night - and without warning. The pain lasts five to 10 days typically and then stops. Faintness drops gradually more than one or two weeks, leaving your normal and pain-free joints of apparent knee. Another condition, pseudogout (chondrocalcinosis), which occurs mainly in older adults, can cause the serious ignition and the intermittent attacks of the pain and swelling in large joints, particularly the knees.

Chondromalacia of the patella, or patellofemoral pain

It is a general limit which refers to the pain emerging between your kneecap and the fundamental thighbone (femur). It is common in young women, particularly those which have a light deviation of the kneecap, in the athletes, and older adults, who develop usually the condition because of the arthritis of the kneecap. Chondromalacia of the kneecap causes the pain and tenderness in before your knee which is worse when you sit down for long periods, when you rise of a chair and when you climb. You can also note a râpage or a feeling of grinding when you prolong your knee.

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