- How to diagnose and treat some ligament injuries in the knee?
- Ligament injury, specific history
- Clinical image of a ligamentous lesion
- Medial and lateral collateral ligament
- MCL clinical image acute lesion
- MCL treatment acute lesion
- MCL clinical image chronic lesion
- MCL treatment chronic lesion
- Lateral collateral ligament clinical image
- Coronary and cruciate ligaments
- Cross friction massage of the medial coronary ligament
- Cross friction massage of the medial collateral ligament
How to diagnose and treat ligament injuries in the knee
How to diagnose and treat some ligament injuries in the knee?
Ligament injury, specific history
Clinical image of a ligamentous lesion
However, there is much less swelling in comparison to a lesion of the MCL. In a chronic stage we won’t be able to detect any limitation of passive movement. The coronary ligaments react well on cross friction massage
Cross friction massage of the medial coronary ligament
The starting position is 90° flexion and lateral rotation. For the left knee, we put the left index finger onto the tibial plateau. The finger nail faces upwards ; in this way, pressure can be applied in a downward direction. The thumb should be put far down, in order to maintain this pressure. The deep friction is the normal execution.
For a lateral coronary ligament, the knee is in medial rotation.
Cross friction massage of the medial collateral ligament
The friction is given in as much extension and flexion as possible. The knee is supported by a cushion. We locate the joint line and we palpate in a posterior direction until, beyond the midline, the ligament is found (a large flat structure). The deep friction is the normal execution.
For the deep friction in flexion, we find the lesion in extension first, keep our finger on it, and bend the knee. The deep friction, again, is the normal execution. Notice that the direction in which the ligament now lies has changed, and so has the direction of our friction.