Ligament Tears

Description

The transcript features a discussion on sports-related knee injuries, particularly focusing on meniscal and anterior cruciate ligament (ACL) injuries. Sam Oussedik outlines the commonality of these injuries in athletes and emphasizes the importance of understanding the history and symptoms associated with meniscal injuries.



He explains that meniscal tears can lead to various symptoms, such as locking of the knee, which is a result of a bucket handle tear that obstructs full extension. Different meniscal tears can present differently, shifting from acute injuries in younger patients to chronic pain in older individuals. The discussion covers the implications of various tear types, including degenerative tears that may require non-surgical management.



The importance of imaging, particularly MRI, is highlighted in diagnosing locked meniscal tears and ensuring the integrity of the cruciate ligaments. Oussedik advocates for ACL reconstruction as the most evidence-based treatment, mentioning that repair techniques currently do not yield the same outcomes. He discusses graft options, particularly the bone-patellar tendon-bone graft, noting that it may be especially effective for younger, more active patients.



Overall, the description provides a clinical overview of knee injuries in sports medicine, detailing mechanisms of injury, diagnostic considerations, and treatment options.

DOI: 10.1302/3114-251113

Specialties