Laces
It is a dense bundle of fibrous connective tissue, which connects bone or cartilage. Its function is to give the stent and strength to the joints and determine the area of movement. It is mainly composed of collagen, but the ligaments are found all over the body, such as the wrist, hand, knee, neck and pelvis.
Tearing ligaments
When you move a joint in the body in the wrong way or in a direction that does not move the joint during running or walking or when the fall of the person, there are two possible medical cases; the first is the tear of some fibers of the ligament and not the entire ligament, in this case can not see the rupture of the naked eye, But the patient comes with pain, swelling and discoloration around the joint, and any tightening in the torsion area leads to severe pain.
The other condition, such as the first, is by moving the joint in a wrong direction and not in the area of movement but more strongly. During the torsion, the patient may hear a bang sound. The joint moves from its place and does not remain constant, especially in the case of ligaments Such as the knee, ankle and thumb. This causes a rupture of each ligament and the joint is free and immobile in the area of movement.
Most injuries caused tear ligaments
The ligaments may be torn when the ligament, joint or fall is twisted. The most common injuries to the joint are:
- Acromular joint injury.
- Front cruciate ligament injury.
- Torsion of muscles.
- Sprained ankle.
- Occurrence of shoulder dislocation.
- Knee ligament injuries.
- Rheumatism.
- Injuries resulting from the excessive use of joint or muscle surrounding the joint and ligaments infected, and in this case can occur several tics and ignored by the injured and usually in athletes.
- Torsion of the thumb.
Signs of ligament rupture
There are symptoms when the joint sprain appears around the twisted joint, and the more severe it is that the entire ligament has been torn, of these signs:
- Pain in the area of the joint and around it, the more severe the tear was complete.
- Swelling around the joint, and if the joint spurs itself, this indicates the destruction of the joint (English: Hemarthrosis).
- The appearance of bruising around the joint area and bleeding under the skin.
- The joint moves from its place under the clinical examination in case the ligament is completely torn.
- Inability to move the joint.
Diagnosis of ligament rupture
Often the diagnosis of ligament rupture is diagnosed by clinical diagnosis only, and the doctor is looking for a bulge around the joint and pain, and move the joint from its place beyond the scope of movement, but the doctor sometimes in some cases may need to conduct a scan to detect the presence of fractured bone linked But the X-ray can not detect ligaments and tendons except in the case of osteoarthritis of a part of the ligament. The MRI image can detect tendon rupture or ultrasound, which can reveal ligaments, ligaments or muscles.
Treatment of ligament rupture
- first aid: The casualty or the patient can provide first aid to the patient at home that can relieve the pain and swelling by taking the following steps:
- Comforts: Resting the patient and the injured member and not moving or walking if the ligament in the foot.
- Application as snow material: To reduce swelling and swelling, apply as a snowmilk at least every two hours for 20 minutes.
- Pressure: By applying a compressive bandage to the affected area to relieve swelling and reduce joint movement.
- Upload: The injured member must be removed and can be placed under the affected organ, for example.
In general, the body is treated in the case of rupture of the ligament through the process of fibrosis within four to six weeks of injury when tying the joint, and the treatment is encouraged by this natural process, and most cases of ligament rupture is done in non-surgical ways, and the articulation of the joint, and apply compresses Snow on the place of swelling ; It helps to relieve swelling, and the use of NSAIDs also to relieve bulge around the joint, relieve pain. In the case of destruction of the joint, which means bleeding in the place of the joint is withdrawn blood collected, and after a week to two weeks of orthosis, the replacement of the mass of a functional pillar to allow the joint to move slightly so as not to Tetbes, and then comes the role of physical therapy to strengthen the muscles and help to restore Functional function of the joint as best as possible. If there is instability in the joint can be a restoration, but non-surgical methods remain best in the case of joint rupture because the ligament formed naturally is stronger than the ligament that is installed in the process, and the nature of natural fibrosis is better, but there are exceptions A restoration must be carried out in the following cases:
- If a part of the ligament is pulled or removed with a bone attached to it, this part must be returned to the ligament.
- When dealing with a joint, its movement and stability depend entirely on the connection of the ligament, such as the ligaments in the thumb.
- Also, there are other cases where the doctor can perform a restoration of the ligament, including:
- If the victim is a player and wants a quick action to follow his sport which depends heavily on the ligament of the injured joint.
- If the injury is more than a ligament in the joint itself, in addition to the incidence of cartilage near the ligament, such as cartilage located in the knee.
Things to avoid after torn ligaments
Several things should be avoided after two to three days of injury. These things can make the infection worse:
- Heat; as taking a hot bath after injury, because it increases the blood flow which leads to worse.
- Drink alcohol, because alcoholic beverages delay the healing process and increase bleeding and swelling.
- Jogging or moving the affected organ significantly because this may increase the injury worse.
- Massage the infected member; because this may increase bleeding under the skin and swelling, can massage but after seventy-two hours of injury.