Definition

A knee sprain is the stretching or tearing of ligaments that support the knee. Ligaments are strong bands of tissue that connect bones to each other.

Ligaments of the Knee
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Causes

Knee sprains may be caused by:

  • Forced twisting of the knee
  • Stopping suddenly while running
  • Shifting your weight while running or skiing
  • Landing awkwardly after jumping
  • A blow to the outer or inner side of the knee
  • A blow to the front of the knee while the knee is bent and the foot is firmly planted on the ground

Risk Factors

Factors that may increase your chance of developing a knee sprain include:

  • Playing sports
  • Poor coordination
  • Poor balance
  • Inadequate flexibility and strength in muscles and ligaments
  • Loose joints

Symptoms

Symptoms include:

  • Pain in the knee
  • Swelling, warmth, or bruising around the knee
  • Decreased range of motion in the knee
  • Inability to stand on the affected leg
  • Tenderness where the injured ligament attaches to a bone in the knee
  • Swelling within the knee

Diagnosis

You will be asked about your symptoms and how the injury occurred. The knee will be checked for stability and pain.

Images may be taken of your knee. This can be done with:

A minimally invasive procedure may be done to look inside of your knee. This is called an arthroscopy.

Grades

Knee sprains are graded according to their severity.

  • Grade 1
    • Stretching and micro-tearing of ligament tissue
  • Grade 2
    • Partial tearing of ligament tissue
    • Mild instability of the joint when tested
  • Grade 3
    • Severe or complete tearing of ligament tissue
    • Significant instability of the joint
Grade 2 Sprain of Knee
Sprained ligament knee
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Treatment

Treatment includes:

Rest, Ice, Compression, and Elevation

The RICE method may help reduce discomfort and swelling:

  • Rest—Avoid putting any pressure on your knee by not walking on that leg.
  • Ice—Apply ice or a cold pack to the knee to reduce pain and swelling.
  • Compression—Wrap your knee in an elastic bandageto limit swelling.
  • Elevation—Keep the injured knee raised above the level of your heart. This will help drain fluid and reduce swelling.

Medication

Medication may help to manage discomfort. Options include:

  • Over-the-counter pain medication
  • Creams or patches that are applied over the area

Knee Support

Crutches may be needed to keep pressure off of the knee.

A brace may be recommended. Some may keep the knee from moving at all. Other braces may allow some movement and provide support when returning to activities. Braces are not advised for children.

Rehabilitation Exercises

Exercises may be advised to to help restore flexibility, range of motion, and strength. You may be referred to a physical therapist.

Surgery

Surgery may be needed if a ligament is torn completely.

Prevention

To reduce the risk of knee sprains:

  • Warm up and stretch before exercise. Cool down and stretch after exercise.
  • Take a break from sports and exercise when you feel tired.
  • Do exercises that strengthen the leg muscles.
  • Learn the proper technique for sports and exercise. This will decrease stress on all muscles, ligaments, and tendons, including those around the knee. Also, wear the proper equipment.
  • Ask your doctor if you should use a brace.

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