Knee Ligament Injuries | OSF HealthCare (2024)

What are knee ligament injuries?

Knee ligaments are the short bands of tough, flexible connective tissue that hold the knee together. Knee ligament injuries can be caused by trauma, such as a car accident. Or they can be caused by sports injuries. An example is a twisting knee injury in basketball or skiing.

The knee has 4 major ligaments. Ligaments connect bones to each other. They give the joint stability and strength. The 4 knee ligaments connect the thighbone (femur) to the shin bone (tibia). They are:

  • Anterior cruciate ligament (ACL). This ligament is in the center of the knee. It controls rotation and forward movement of the shin bone.

  • Posterior cruciate ligament (PCL). This ligament is in the back of the knee. It controls backward movement of the shin bone.

  • Medial collateral ligament (MCL). This ligament gives stability to the inner knee.

  • Lateral collateral ligament (LCL). This ligament gives stability to the outer knee.

What causes knee ligament injuries?

Cruciate ligaments

The ACL is one of the most common ligaments to be injured. The ACL is often stretched or torn during a sudden twisting motion. This is when the feet stay planted one way, but the knees turn the other way. Slowing down while running or landing from a jump incorrectly can cause ACL injuries.Skiing, basketball, and football are sports that have a higher risk for ACL injuries.

The PCL is also a common ligament to become injured in the knee. But a PCL injury often occurs with a sudden, direct hit, such as in a car accident or during a football tackle.

Collateral ligaments

The MCL is injured more often than the LCL. Stretch and tear injuries to the collateral ligaments are often caused by a blow to the outer side of the knee. This can happen when playing hockey or football.

What are the symptoms of knee ligament injuries?

Cruciate injury

A cruciate ligament injury often causes pain. Often you may hear a popping sound when the injury happens. Then your leg buckles when you try to stand on it. The knee also swells. You also aren't able to move your knee as you normally would. You may also feel pain along the joint and pain when walking.

The symptoms of a cruciate ligament injury may seem like other health conditions. Always see your healthcare provider for a diagnosis.

Collateral ligament injury

An injury to the collateral ligament also causes the knee to pop and buckle. It also causes pain and swelling. Often you will have pain at the sides of the knee and swelling over the injury site. If it is an MCL injury, the pain is on the inside of the knee. An LCL injury may cause pain on the outside of the knee. The knee will also feel unstable, like it is going to give way.

How are knee ligament injuries diagnosed?

Your healthcare provider will ask about your health history and do a physical exam. You may also need 1 or both of these tests:

  • X-ray. This imaging test can rule out an injury to bone instead of a ligament injury. It uses energy beams to make images of internal tissues, bones, and organs on film.

  • MRI. This test uses large magnets, radio waves, and a computer to make detailed images of organs and structures in the body. It can often find damage or disease in bones and a surrounding ligament, tendon, or muscle.

How are knee ligament injuries treated?

Treatment will depend on your symptoms, age, and general health. It will also depend on how severe the condition is. Treatment may include:

  • Pain medicine, such as ibuprofen

  • Muscle-strengthening exercises

  • Protective knee brace

  • Ice pack to ease swelling

  • Surgery

Key points about knee ligament injuries

  • Knee ligaments are the short bands of elastic tissue that holds the knee together. There are 4 main ligaments in each knee.

  • Knee ligament injuries can be cause by trauma, such as a car accident. Or they can by caused by sports injuries.

  • The anterior cruciate ligament (ACL) is one of the most common ligaments to be injured.

  • Treatment may include medicine, muscle-strengthening exercises, a knee brace, or surgery.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

  • Know the reason for your visit and what you want to happen.

  • Before your visit, write down questions you want answered.

  • Bring someone with you to help you ask questions and remember what your provider tells you.

  • At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new directions your provider gives you.

  • Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.

  • Ask if your condition can be treated in other ways.

  • Know why a test or procedure is recommended and what the results could mean.

  • Know what to expect if you do not take the medicine or have the test or procedure.

  • If you have a follow-up appointment, write down the date, time, and purpose for that visit.

  • Know how you can contact your healthcare provider if you have questions.

Online Medical Reviewer:Rahul Banerjee MD
Online Medical Reviewer:Raymond Turley Jr PA-C
Online Medical Reviewer:Stacey Wojcik MBA BSN RN

Date Last Reviewed:5/1/2023

© 2000-2024 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Knee Ligament Injuries | OSF HealthCare (2024)

FAQs

What do doctors do for a torn ligament in the knee? ›

Treatment may include medicine, muscle-strengthening exercises, a knee brace, or surgery.

How long does it take for a torn ligament in your knee to heal? ›

A grade 1 (mild) MCL tear usually heals within one to three weeks. A grade 2 (moderate) MCL tear generally takes four to six weeks to heal with treatment. A grade 3 (severe) MCL tear can take six weeks or more to heal with treatment. If you undergo surgery to fix your MCL tear, it could take longer.

What is the easiest ligament to tear in your knee? ›

The anterior cruciate ligament (ACL) is one of the most common ligaments to be injured. The ACL is often stretched and/or torn during a sudden twisting motion (when the feet stay planted one way, but the knees turn the other way).

What is the most painful ligament to tear in your knee? ›

As a physical therapist, I am often asked by patients, what is the worst ligament to tear? The quick answer is that the ACL (Anterior Cruciate Ligament) is most likely to be considered the worst ligament in the knee to tear.

Is it OK to walk on knee with torn ligament? ›

The short answer is yes. After the pain and swelling subsides and if there is no other injury to your knee, you may be able to walk in straight lines, go up and down stairs and even potentially jog in a straight line. The ACL (anterior cruciate ligament) is an important ligament that provides stability to the knee.

Can you bend your knee with a torn ligament? ›

Grade 3: A grade 3 injury is a complete tear or rupture of the knee ligament. Grade 3 injuries often involve more than one knee ligament. With this level of injury, you will experience severe bruising, swelling and pain. You won't be able to put weight on the leg or bend the knee.

Is walking good for torn ligaments? ›

In case of ligament sprain or rupture, doctors generally will recommend using the knee normally. Walking should not cause any more damage. However, make sure to walk with your heel down first. In the case of recovering patients, gradually increase the activity duration.

What happens if you don t treat a torn ligament in your knee? ›

If you wait too long to treat a torn ACL, you're at risk of developing chronic knee pain and knee instability. Waiting to get treatment may mean that surgery is your only option. Or you may need to cope with ongoing instability by modifying your activities and giving up intensive sports.

Do all torn knee ligaments need surgery? ›

The decision to have knee surgery will depend on the extent of damage to your ACL, if there is other knee damage and if your quality of life is affected. If your knee feels stable and you do not have an active lifestyle, you may decide not to have ACL surgery.

How to speed up ligament healing? ›

Here are five methods they may use, depending on the severity of your injury.
  1. Rest. The generally accepted wisdom on how to initially treat a ligament injury can be summed up in one acronym: RICE, which stands for Rest, Ice, Compression, and Elevation. ...
  2. Reduce Swelling. ...
  3. Ligament Injections. ...
  4. PRP Therapy. ...
  5. Balance Training.

Which is worse ligament or meniscus tear? ›

What is Worse: A Torn Meniscus or an ACL? Both a torn meniscus and ACL are painful in their own regard. Although when it comes to recovery, it takes an ACL tear longer to heal. On the other hand, a meniscus tear can return to its original shape in three months without surgery.

How do you tell if a ligament is stretched or torn? ›

If you injure a ligament, symptoms may include:
  1. Bruising.
  2. Loose feeling in the joint.
  3. Pain.
  4. Popping or snapping sound.
  5. Swelling.
  6. Trouble bearing weight on the affected limb.
  7. Weakness in the joint.
Jul 6, 2021

What is the hardest knee injury to recover from? ›

Torn ACLs usually occur from sudden stops or changes in direction, but they can also occur from awkward landings or contact. A torn ACL can take up to 12 months to recover from, but some athletes have returned within eight or nine months in recent years.

Would a torn ligament hurt all the time? ›

A fully torn ligament, or grade 3 tear, can cause chronic pain and joint instability. Complete tears rarely heal naturally. Since there's a disconnect between the tissue and any chance of blood supply, surgery is needed.

How to tell if you tore a ligament in your knee? ›

You may have:
  1. Pain, often sudden and severe.
  2. A loud pop or snap during the injury.
  3. Swelling within the first 24 hours after the injury.
  4. A feeling of looseness in the joint.
  5. Inability to put weight on the joint without pain, or any weight at all.
Sep 9, 2023

Can a torn knee ligament heal on its own? ›

Ligaments are durable and flexible, despite the size and lack of blood supply. However, an unnatural twist or hyperextension can tear the tissue. Minor tears can heal without surgery, needing continuous support and care. However, full-thickness tears need surgical help.

What is the treatment for ligament tear in the knee? ›

Surgery is a choice to fix a torn ligament if other treatment does not work. The ligaments in the knee connect the femur (thighbone) to the tibia (shin bone). There are 4 major ligaments in the knee: Anterior cruciate ligament (ACL).

Can a torn knee ligament heal without surgery? ›

Possible Downsides of No Surgery

The knee might heal—the swelling and pain will stop. But a torn anterior cruciate ligament does not reattach or heal itself. You may still be able to live how you want by strengthening your leg and core (your hips contribute to leg strength and function) and adjusting your activities.

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