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History and Examination of the Knee
Traditionally, examination of a joint involves the principle ‘look, feel, move’. Whilst this adage may still hold true for basic examination of the knee, the order and sequence of examination changes depending on the likely diagnosis suggested by the history. For example when examining a severely arthritic knee it is not necessary to examine for…
ACL Introduction
The anterior cruciate ligament (ACL) is one of the main restraining ligaments in the knee. It runs through the centre of the knee, from the back of the femur (thigh bone) to the front of the tibia (shin bone), and it acts as a link mechanism between the thigh and lower leg. The main function…
Recent Presentations
Recent Presentations to learned societies (Since 2007) Spalding TJW Rathinam M, Hussain F. Thompson P. Biological resurfacing of the knee.BASK Spring Meeting, Belfast March 2007 (Poster) Spalding TJW, Rathinam M, Thompson P. The 5 to 9 year results of Autologous Chondrocyte Implantation cartilage repair of the knee in active Armed Forces personnelEFORT congress Florence, Italy….
Exercises
Early physiotherapy is directed at patella mobility in addition to static quadriceps and hamstring work maintaining muscle bulk. The most important part of the initial rehabilitation is to maintain patella mobility in the medial/lateral plane as well as the superior/inferior plane. Once the wound has settled then mobilisation of the patella tendon should also start…
Indications for Reconstruction
Surgical reconstruction is indicated in individuals who wish to return to pivoting type sports, and for those who have problems with giving way during day-to-day activities. We have previously outlined how repeated giving way of the knee may lead to damage of other structures within the knee and it is this repeated giving way that…
Potential Problems
Problems can occur. Some are minor but some may need another operation to help. It is clearly important to understand these risks before undergoing surgery. The main risks include: Failure to provide enough stability in the knee to allow return to full sporting activities. Either the ligament does not heal in a tight enough position…
