A ligament is made up of specific fibres, like an elastic rubber band which connects a bone and a cartilage, a bone to a meniscus or a bone to a bone. Ligaments are very strong and hold the joints in place. When a ligament is stretched or torn it is called a sprain.
Location And Common Causes Of Ligament Tear And Sprain:
Any movement which causes extreme or unnatural turning and twisting can cause the ligament to undergo extreme stress and leads to sprain or a tear. The most common ligaments affected are:
Knee: The main ligaments of knee are anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament and lateral collateral ligament. The ACL is the most commonly injured ligament in knee and mostly injured during sports activities.
Ankle: In ankle the inversion injuries that is ankle bending inwards are more common. It causes injury to the lateral ligament complex which includes anterior talofibular (ATFL), calcenofibular and posterior talofibular (PTFL) ligaments. The medial deltoid ligament injury is lesser common. A high ankle sprain is more common in athletes and involves the distal tibiofibular ligaments
Wrist: The most common ligament injuries in wrist is the triangular fibrocartilage complex (TFCC) and the scapho-lunate ligament incurred during direct impact on the hand
Shoulder: Shoulder joint is kept stable with different ligaments and any dislocation of the joint can cause injuries to these ligaments. The common ligaments are superior gleno-humeral ligament and inferior glenohumeral ligament which gets injured.
Along with these, ligaments of back- the illio-lumbar ligament, the inter-spinous ligament of spine and cervical spine ligaments are common to undergo sprain as a result of whiplash injuries caused due to road traffic accidents.
Diagnosis and treatment of ligament injuries
Usually clinical examination history and using imaging modalities like real time musculoskeletal examination using ultrasound gives a good picture of the grade of tear and sprain. MRI can be ordered to have even more accurate diagnosis.
The grading of sprains/tears are done as follows:
Grade 1; mild sprain with some changes in fibre structure but no tear
Grade 2: swelling some fluid collection with partial tear with no joint instability
Grade 3: complete sprain and tear with joint instability
How ligament injuries are treated?
For any acute and mild to moderate grade 1 and 2 tears first line of treatment is conservative using RICE approach (REST, ICE, Compression and elevation). Once the swelling has subsided over some days advanced management can be planned which includes minimally invasive interventions.
Mild to moderate ligament injuries (grade 1 and 2 and sometimes grade 3) can be done using the best and most advanced treatment modality in regenerative medicine using orthobiologics. The procedure is done under image guidance with precision and specific blood products are implanted at the tear site which helps in healing and getting the strength of the ligaments back. This ligament tear treatment using your own cells has advantages of less down time, faster recovery no scar and less complications which are associated with surgery.
Surgery is only required in very complex cases of ligament tear where the ligament has totally torn and no fibre connection is seen on MRI and has retracted more than 5 to 6 mm, even then if you want can avoid surgery unless there is instability in the joint as surgeries come with their own risk and also aggravate arthritis development in longer stages.
Regenerative Medicine is a science of nature where we are focused on ‘healing’ rather than symptomatic treatment or surgeries. We Give our body proper care,time, environment and training to achieve results beyond imagination.
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We at our clinic work on the principle of accurate diagnosis, precise delivery of medicine at site and utmost safety. Being highly equipped and trained in respective fields we always find the root cause of your disease / injury and treat them in a holistic way.Also as stated our entire treatment is based on regenerative medicine in which we use your own body fluids (Plasma therapy, platelet plasma and marrow )to treat you which has no side effect and results last longer than any artificial modes of treatment like steroids or pain killers.
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