- Symptoms of Ligament injuries
- Reasons of Ligament injuries
- Treatment of Ligament injuries
The closed mechanical injuries of ligaments, most often gaps, stretchings (distortion). It is most often observed among ligament injuries - sprain of an ankle or knee joint which consists in an anguish of separate fibers of sheaves with hemorrhage in their thickness or a rupture of a meniscus (in a knee joint).
Symptoms of Ligament injuries:
Victims note joint pain at the movement, a swelling. At inspection reveal local morbidity at a palpation, bruises which can arise in 2-3 days after an injury. At ruptures of sheaves reveal more megalgia, difficulty of movements of the affected extremity, it is frequent - a hemarthrosis. The phenomena of stretching abate in 5 - 10 days, and at a gap proceed during 3 - 4 weeks.
Main syndromes: painful, edematous, hemodynamic disturbances (disturbances of blood supply or circulator frustration), functional disturbances, hemorrhage (hematoma).
Reasons of Ligament injuries:
Sprain arises when one or several sheaves in a knee are exposed to excessive loading, pererastyagivatsya or broken off.
Injury of side knee ligaments results from a tension at a shin deviation. If the shin deviates knaruzh (when walking on an uneven surface, a leg podvorachivaniya on a heel etc.) sheaves are exposed to a strong tension and broken off or overstrain. At a deviation of a shin of a knaruzha there is a rupture of an internal sheaf and if the shin deviates knutr – there is an injury of an outside side ligament a knee joint.
Treatment of Ligament injuries:
Treatment of gaps can be conservative or operational depending on the nature of damages. At any option of treatment hold anesthetics and styptic events, provide rest of the struck part of a body by means of an immobilization. Also depending on the place and the nature of an injury the immobilization can be different by the form (soft bandages, removable splints, circular plaster bandages) and on terms (1-6 weeks). Conservative treatment - hard bandaging of a joint, rest, cold within 2 days, then thermal procedures. At operational treatment after removal of a plaster splint carry out remedial gymnastics, massage and physical therapy.
Physical methods of treatment of ligament injuries are directed to recovery of functions of sheaves (fibromoduliruyushchy methods) for what it is necessary to stop a pain syndrome (analgetic methods), to recover broken krovo-and a lymphokinesis of the damaged fabrics (vasodilating and limfodreniruyushchy methods), to stimulate reparative and regenerator processes (reparative and regenerative methods). The physical therapy is begun in 1-2 days after an injury, including after operational treatment. In the presence of a removable splint for the period of holding procedures it can be removed.