制程 眼泪
Overview
内侧副韧带, 或制程, 是宽广的, thick band that runs down the inner part of the knee, from the femur (thighbone) to a point 1.5 to 2 inches from the top of the tibia (shinbone). 制程的功能主要是防止腿部向内伸展得太远, 但它也是稳定膝盖并使其旋转的机制的一部分.
制程损伤通常发生在一个强大的力量撞击膝盖外部，导致制程损伤——也可能是其他膝盖韧带损伤, such as the anterior cruciate ligament (ACL) – to stretch or tear.
This happens to people playing certain sports – in football, 例如, when one player collides with another from the side. 在需要快速停止和转弯的运动中，制程损伤也很常见, 比如足球, 篮球和滑雪. 然而, not everyone who damages this ligament is an athlete. 只是在冰上滑倒, 如果小腿伸开, 会损伤制程吗, 重复的小损伤也会逐渐导致制程失去正常的弹性，变得柔软, 就像一个破旧的橡皮筋.
我们治疗制程撕裂的方法
加州大学旧金山分校致力于帮助制程撕裂患者尽可能恢复最高水平的活动, 无论是每天散步还是报道NFL的训练. 我们的团队包括整形外科十大赌博平台排行榜, 初级保健运动医学十大赌博平台排行榜, physical therapists and athletic trainers. 这些专家一起工作，为每个病人的需要和目标量身定制治疗计划.
Most 制程 injuries can be healed through physical therapy. We offer the full range of these treatments, 包括锻炼方案, 功能性活动训练和神经肌肉再教育(使该区域恢复正常活动的技术). 我们的专家指导每位患者通过个性化的方案，旨在促进愈合, recover function and improve physical performance.
奖 & 识别
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One of the nation's best for orthopedic care
迹象 & 症状
制程撕裂沿着膝盖内侧(向身体中线方向)产生症状。. 最初，你可能会经历:
- 腿内侧砰的一声
- Tenderness or pain that ranges from mild to severe
- 刚度
- 肿胀
- Unsteadiness, locking or catching in the joint
诊断
Your doctor will likely ask how you injured your knee, how it has felt since the injury and whether you've injured it before. 检查包括检查膝关节内侧的疼痛或压痛，并在腿弯曲和伸直时通过对膝关节外侧施加压力来检查制程的完整性.
Depending on the degree of pain or looseness of your knee joint, the injury will be classified as one of three grades:
- 1级. There's some tenderness and minor pain at the point of injury.
- 2级. 膝关节明显松动(操作时“开口”约5毫米), major pain and tenderness at the inside of the knee, 并且(在某些情况下)肿胀.
- 三年级. There's considerable pain and tenderness at the inside of the knee, 伴有肿胀和明显的关节不稳定(操作时，膝关节张开约10毫米)。. A grade 3 制程 tear often occurs in conjunction with an ACL tear or, 更很少, with a tear in the posterior cruciate ligament (PCL).
- x射线. This can show other damage and bone injury.
- 磁共振成像(MRI). 这项检查诊断制程损伤的准确率为90%，如果体检结果不明确或十大赌博平台排行榜怀疑有其他损伤，可以要求进行这项检查.
- 压力x射线. This test is similar to a regular x射线, 除非十大赌博平台排行榜或技术人员从侧面打开膝盖，以便在图像上明显显示关节间隙的任何扩大.
在某些情况下, 即时的疼痛和肿胀妨碍了十大赌博平台排行榜准确判断损伤严重程度的能力. 如果这是你的情况, you may be asked to wear a light brace, apply ice and elevate your knee; in time, the swelling and pain will lessen enough to allow diagnosis.
In addition, your doctor may order the following tests:
治疗
非手术方法
Recovery time for an 制程 injury depends on the severity of the damage. On average, these injuries take six weeks to heal. 不管眼泪的等级, 最初的治疗重点是固定膝盖，减轻疼痛和炎症. 措施包括:
- 休息，结冰，抬高膝盖
- 服用缓解疼痛和炎症的口服药物，如阿司匹林和布洛芬
- 戴一个支架，允许膝盖弯曲，同时限制左右运动
Some knee braces are designed to prevent bending. 在这种情况下, you'll need to modify your activities so that you don't have to squat, 跪下或弯腰. 试着抬高你的腿，即使你是坐着的，这样可以消肿.
一旦疼痛和肿胀消退, you'll begin a physical therapy program, 其中包括恢复力量和正常活动范围的锻炼. If your knee feels sore while doing these exercises, 慢慢进行，以防止进一步的刺激，并咨询你的物理治疗师.
取决于伤势的严重程度, 这些方法——休息一段时间, bracing and physical therapy – usually suffice to heal the tear. 然而, if the torn ligament doesn't heal sufficiently, you may experience instability and be more susceptible to reinjury. 在极少数情况下可能需要手术.
一旦制程完全愈合, you should have minimal long-term effects, provided your knee suffered no other damage.
As previously noted, recovery times vary widely, but in general:
- 一级(轻微)制程撕裂可能需要几天到一周半的时间才能恢复正常活动, 包括体育.
- A grade 2 tear can take from two to four weeks to heal.
- A grade 3 tear usually takes four to eight weeks to heal, 除非ACL也受损, in which case recovery may take longer.
外科手术方法
While most 制程 injuries can resolve without surgery, there are instances where surgery is the best treatment option. The surgery will either repair or reconstruct the 制程. 修复韧带, 你的外科十大赌博平台排行榜会在撕裂处切开一个切口，并使用称为缝合锚的固定装置将韧带固定在骨头上. 为了重建韧带，你的外科十大赌博平台排行榜会使用你的膝盖或尸体膝盖上的肌腱.
With either surgery, you can probably return home the same day. 手术后，你将使用拐杖和膝盖支架大约六周. At a post-op visit 手术后一到两周, your doctor will check your knee and remove the stitches. 恢复时间取决于任何相关的膝盖损伤，但通常在9到12个月之间.
常见问题
- 手术后我什么时候可以洗澡?
在你第一次术后检查之前，你应该保持敷料和膝盖干燥, at which point you'll likely be cleared to shower. 但在手术后三到四周，不要将膝盖浸入浴缸或游泳池.
- 我要缝针吗??
You'll have stitches along the inside of the knee. 它们会被绷带覆盖，在你第一次术后预约时取下, 手术后一到两周.
- When should I expect a follow-up appointment?
You'll have a scheduled visit 手术后一到两周. It will include a knee exam, suture removal and x射线s.
- 我应该什么时候开始物理治疗?
You should start as soon as possible after surgery. 病人 generally begin a program within the first one to two weeks, often right after the first post-op appointment.
- 我要拄拐杖多久?
最有可能的, you'll use crutches for about six weeks, depending on which other structures were repaired in your knee.
- Are cold therapy machines best for pain relief?
简单的结冰方法, 比如在膝盖上放一个普通的冰袋或一包冷冻蔬菜(放在绷带上面)效果很好. 冷疗单位, which work by recirculating ice water through a pad over your knee, 也很有效, 虽然有点贵.
- When can I return to school or work after 制程 surgery?
大多数病人在手术后5到7天就能回到学校或办公室工作. If you're able to work from home, your initial recovery may be easier. If you have a physically demanding job, 在重返工作岗位之前，你可能需要更多的时间来安全康复和体检.
- 制程手术后我什么时候可以开车?
那要看哪条腿动了手术. If it was your left knee and you drive an automatic car, 一旦你不再服用麻醉止痛药，感觉有能力安全驾驶，你就可以开车了. If it was your right knee, you'll probably need to wait six weeks; your surgeon can advise you.
加州大学旧金山分校健康 medical specialists have reviewed this information. 它仅用于教育目的，并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.
