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:

  • Anterior cruciate ligament (ACL). This ligament is in the center of the knee. It controls rotation and forward movement of the shin bone.

  • Posterior cruciate ligament (PCL). This ligament is in the back of the knee. It controls backward movement of the shin bone.

  • Medial collateral ligament (MCL). This ligament gives stability to the inner knee.

  • Lateral collateral ligament (LCL). This ligament gives stability to the outer knee.

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

How long do knee ligaments take to heal? ›

If a knee ligament is slightly stretched, you will probably need only home treatment. You may need a splint or brace (immobilizer) for a partly torn ligament. A complete tear may need surgery. A minor knee sprain may take up to 6 weeks to heal, while a severe sprain may take months.

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

Full tears of the ACL and MCL are serious and can affect future movement. If the MCL or ACL tears, the result is usually pain, swelling, stiffness, and instability. In most cases, the injured person can still walk with the torn knee ligament. But the movement will be severely limited, not to mention painful.

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.

Do knee ligaments heal on their own? ›

A mild to moderate knee ligament injury may heal on its own, in time. To speed the healing, you can: Rest the knee. Avoid putting much weight on your knee if it's painful to do so.

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.

What are three signs of a meniscus tear in the knee? ›

Symptoms and signs of a meniscus tear:
  • A popping sensation when the injury occurs.
  • Swelling or stiffness.
  • Pain, especially when twisting or rotating the knee.
  • Difficulty fully straightening the knee.
  • "Locked" feeling when trying to move the knee.

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.

How do I know if I tore my ACL or meniscus? ›

ACL tears are often associated with a popping sound, immediate swelling, and a feeling of instability. MCL tears commonly cause knee pain and tenderness along the inner side of the knee. Meniscus tears may produce a popping sensation, locking or catching of the knee, and difficulty straightening the leg.

How to speed up ligament healing? ›

Here are five methods they may use, depending on the severity of your injury.
  1. Rest. 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. ...
  2. Reduce Swelling. ...
  3. Ligament Injections. ...
  4. PRP Therapy. ...
  5. Balance Training.

What is the difference between a knee sprain and a torn ligament? ›

Knee sprains and knee ligament tears are similar injuries. The difference is how severely your ligaments are stretched or damaged. Grade 1 and grade 2 knee sprains mean your ligaments are stretched or partially torn, but not completely.

What does knee ligament pain feel like? ›

Collateral ligament injury

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 to test for knee ligament injury at home? ›

Try gently bending and straightening your knee. Notice if you encounter any resistance, discomfort, or pain. If you find those movements challenging, this could indicate a potential ligament injury. If you cannot move your leg in any direction, contact your doctor as soon as possible.

What is the best knee support for ligament damage? ›

SofTec Genu Knee Brace

This brace is ideal for cruciate ligament tears and collateral ligament injuries. Like our GenuTrain S and S pro, the SofTec Genu incorporates compression weave and joint splints.

How to heal knee ligaments faster? ›

Rest, Ice, Compression, and Elevation

Resting the affected ligaments, tendons, and muscles, gives the knee time to heal. Your doctor may provide a cane or crutches to help you keep weight off the affected knee for about a week. After the swelling starts to subside, most people can walk while wearing a knee brace.

Can torn knee ligaments heal naturally? ›

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.

Can a torn knee ligament heal without surgery? ›

Possible Downsides of No Surgery

The knee might heal—the swelling and pain will stop. But a torn anterior cruciate ligament does not reattach or heal itself. You may still be able to live how you want by strengthening your leg and core (your hips contribute to leg strength and function) and adjusting your activities.

Does knee ligament pain go away? ›

Knee ligament injuries can cause pain, instability, and interfere with sports and activities, but can be resolved with expert care.

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