Knee Ligament Injuries (2024)

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What are knee ligament injuries?

Knee ligaments are the short bands of tough, flexible connective tissue that hold the knee together. Knee ligament injuries can be caused by trauma, such as a car accident. Or they can be caused by sports injuries. An example is a twisting knee injury in basketball or skiing.

The knee has 4 major ligaments. Ligaments connect bones to each other. They give the joint stability and strength. The 4 knee ligaments connect the thighbone (femur) to the shin bone (tibia). They are:

What causes knee ligament injuries?

Cruciate ligaments

The ACL is one of the most common ligaments to be injured. The ACL is often stretched or torn during a sudden twisting motion. This is when the feet stay planted one way, but the knees turn the other way. Slowing down while running or landing from a jump incorrectly can cause ACL injuries.Skiing, basketball, and football are sports that have a higher risk for ACL injuries.

The PCL is also a common ligament to become injured in the knee. But a PCL injury often occurs with a sudden, direct hit, such as in a car accident or during a football tackle.

Collateral ligaments

The MCL is injured more often than the LCL. Stretch and tear injuries to the collateral ligaments are often caused by a blow to the outer side of the knee. This can happen when playing hockey or football.

What are the symptoms of knee ligament injuries?

Cruciate injury

A cruciate ligament injury often causes pain. Often you may hear a popping sound when the injury happens. Then your leg buckles when you try to stand on it. The knee also swells. You also aren't able to move your knee as you normally would. You may also feel pain along the joint and pain when walking.

The symptoms of a cruciate ligament injury may seem like other health conditions. Always see your healthcare provider for a diagnosis.

Collateral ligament injury

An injury to the collateral ligament also causes the knee to pop and buckle. It also causes pain and swelling. Often you will have pain at the sides of the knee and swelling over the injury site. If it is an MCL injury, the pain is on the inside of the knee. An LCL injury may cause pain on the outside of the knee. The knee will also feel unstable, like it is going to give way.

How are knee ligament injuries diagnosed?

Your healthcare provider will ask about your health history and do a physical exam. You may also need 1 or both of these tests:

  • X-ray. This imaging test can rule out an injury to bone instead of a ligament injury. It uses energy beams to make images of internal tissues, bones, and organs on film.

  • MRI. This test uses large magnets, radio waves, and a computer to make detailed images of organs and structures in the body. It can often find damage or disease in bones and a surrounding ligament, tendon, or muscle.

How are knee ligament injuries treated?

Treatment will depend on your symptoms, age, and general health. It will also depend on how severe the condition is. Treatment may include:

  • Pain medicine, such as ibuprofen

  • Muscle-strengthening exercises

  • Protective knee brace

  • Ice pack to ease swelling

  • Surgery

Key points about knee ligament injuries

  • Knee ligaments are the short bands of elastic tissue that holds the knee together. There are 4 main ligaments in each knee.

  • Knee ligament injuries can be cause by trauma, such as a car accident. Or they can by caused by sports injuries.

  • The anterior cruciate ligament (ACL) is one of the most common ligaments to be injured.

  • Treatment may include medicine, muscle-strengthening exercises, a knee brace, or surgery.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

  • Know the reason for your visit and what you want to happen.

  • Before your visit, write down questions you want answered.

  • Bring someone with you to help you ask questions and remember what your provider tells you.

  • At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new directions your provider gives you.

  • Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.

  • Ask if your condition can be treated in other ways.

  • Know why a test or procedure is recommended and what the results could mean.

  • Know what to expect if you do not take the medicine or have the test or procedure.

  • If you have a follow-up appointment, write down the date, time, and purpose for that visit.

  • Know how you can contact your healthcare provider if you have questions.

Online Medical Reviewer:Rahul Banerjee MD
Online Medical Reviewer:Raymond Turley Jr PA-C
Online Medical Reviewer:Stacey Wojcik MBA BSN RN

Date Last Reviewed:5/1/2023

© 2000-2024 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Knee Ligament Injuries (2024)

FAQs

Can you still walk with a torn ligament in your knee? ›

The short answer is yes. After the pain and swelling subsides and if there is no other injury to your knee, you may be able to walk in straight lines, go up and down stairs and even potentially jog in a straight line. The ACL (anterior cruciate ligament) is an important ligament that provides stability to the knee.

How serious is a knee ligament injury? ›

A torn ligament severely limits correct knee movement. This results in the inability to pivot, turn, or twist the leg. Surgery is a choice to fix a torn ligament if other treatment does not work. The ligaments in the knee connect the femur (thighbone) to the tibia (shin bone).

How long does a ligament injury in the knee take to heal? ›

A grade 1 (mild) MCL tear usually heals within one to three weeks. A grade 2 (moderate) MCL tear generally takes four to six weeks to heal with treatment. A grade 3 (severe) MCL tear can take six weeks or more to heal with treatment. If you undergo surgery to fix your MCL tear, it could take longer.

What happens if you tear all 4 ligaments in your knee? ›

The treatment of these very severe knee ligament injuries almost universally requires surgery. Rarely, in the most sedentary and low demand patients, bracing and rehabilitation will diminish the instability complaints. For most other patients, a very involved surgical reconstruction is required.

Can you bend your knee with a torn ligament? ›

Grade 3: A grade 3 injury is a complete tear or rupture of the knee ligament. Grade 3 injuries often involve more than one knee ligament. With this level of injury, you will experience severe bruising, swelling and pain. You won't be able to put weight on the leg or bend the knee.

Is walking good for knee ligament injuries? ›

Early weight bearing (putting weight through your injured leg) helps increase the speed of healing. Try to walk as normally as possible. This will help your recovery.

How do you tell if a ligament is stretched or torn? ›

A ligament injury is sometimes indicated by a “popping” sound and can be very painful, often accompanied by swelling and bruising. This popping sound is usually heard when an ACL (anterior cruciate ligament) is torn. A tear to the ACL in the knee is one of the most common ligament injuries in sports.

Does a knee brace help with a torn ligament? ›

Healthcare providers use knee braces to treat common knee injuries, including: Knee sprains. Knee ligament injuries. Patellofemoral pain syndrome (PFPS, or runner's knee).

What helps ligaments heal faster? ›

The generally accepted wisdom on how to initially treat a ligament injury can be summed up in one acronym: RICE, which stands for Rest, Ice, Compression, and Elevation.

Is it better to rest or walk with knee pain? ›

Treating the pain when it happens can help manage it. Follow the “RICE” procedure — rest, ice, compression, elevation — to calm your knee pain. If your knee hurts, stop what you're doing and rest. Apply ice to reduce inflammation, consider wearing a compression bandage, and elevate your knee when resting.

Does a torn ligament hurt all the time? ›

A fully torn ligament, or grade 3 tear, can cause chronic pain and joint instability. Complete tears rarely heal naturally. Since there's a disconnect between the tissue and any chance of blood supply, surgery is needed. Surgery also helps the joint heal correctly and reduces the chances of re-injury.

What is the hardest knee injury to recover from? ›

Torn ACLs usually occur from sudden stops or changes in direction, but they can also occur from awkward landings or contact. A torn ACL can take up to 12 months to recover from, but some athletes have returned within eight or nine months in recent years.

What is the hardest knee ligament to tear? ›

While not always the case, an ACL tear is in most cases going to be the more severe injury. It is considered worse than tearing the MCL because ACL tears are in general more complex to treat and require a longer recovery time after surgery.

What is the most painful ligament to tear in your knee? ›

The quick answer is that the ACL (Anterior Cruciate Ligament) is most likely to be considered the worst ligament in the knee to tear.

Can walking on a torn ligament make it worse? ›

Some people can walk with a torn ACL. But don't force yourself to move or use your knee if it hurts. Visit a healthcare provider if you feel pain or have other knee injury symptoms. Putting more stress on your injured ACL can make a small tear worse.

How do you tell if your knee is sprained or torn? ›

Signs and symptoms of a knee sprain, strain or tear may include:
  1. A popping sound at the time of injury.
  2. Discomfort when walking.
  3. Inability to use your knee in a normal manner.
  4. Pain, especially when attempting to bear weight on the affected area.
  5. Swelling and irritation of the knee.

What does it feel like when you tear a knee ligament? ›

What are the symptoms of a torn knee ligament? Symptoms may vary, however a popping sound, followed by limited knee movement and swelling is common. Pain, if it occurs, is often sudden and severe. The knee may feel loose, and you may be unable to put any weight on it.

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