Sports injuries

January/February 2010

FocusSports injuries

Sports knee injuries

Assessment and management

Volume 39, No.1, January/February 2010 Pages 30-34

Bianca Scotney

Background

Sports knee injuries present commonly in the general practice setting. A good understanding of the anatomy and biomechanics of the knee assists accurate diagnosis of acute knee injuries.

Objective/s

This article describes the assessment and management of sports knee injuries in the general practice setting.

Discussion

When a patient presents with a sporting knee injury, a detailed history can help narrow down the nature of the injury. Examination can be difficult in the acute setting and may need to be repeated 3 or more days after the injury. Fractures can usually be excluded with plain X-rays; where indicated MRI or CT scan will usually confirm the diagnosis. Management aims are to manage pain, minimise knee swelling, maintain range of movement and quadriceps activation, and arrange appropriate referral. Medial collateral ligament, posterior cruciate ligament and some small meniscal injuries can usually be managed conservatively. Most meniscal injuries, anterior cruciate ligament and lateral collateral ligament injuries require surgical management. Physiotherapy is an integral part of the management of knee injuries in both the conservative and surgical settings.

Knee pain presents commonly in the general practice setting.1 More than 1 million sports related injuries occur in Australia each year; 12% of these injuries involve the knee.2 A good understanding of the anatomy and biomechanics of the knee assists accurate diagnosis of acute knee injuries. Injuries can involve ligaments (cruciate, collateral or joint capsule), cartilage (articular or meniscal), bone (avulsion and compression fractures or bone bruising), muscle and tendon. The goal of assessment and management in acute knee injuries is to exclude fracture, manage pain, minimise knee swelling, maintain range of movement and quadriceps activation, and arrange appropriate referral.

Download the PDF for the full article.

Correspondence afp@racgp.org.au

Yes     No

Declaration of competing interests *

Yes No

Additional Author (remove)

Yes No

    

 

 

 

 

Competing Interests: 

Your comment is being submitted, please wait

Download citation in RIS format (EndNote, Zotero, RefMan, RefWorks)

Download citation in BIBTEX format (RefMan)

Download citation in REFER format (EndNote, Zotero, RefMan, RefWorks)

For more information see Wikipedia: Comparison of reference management software