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15 February 2025

The Knee: Anatomy, Sprains, and Treatments

The knee joint is one of the most complex and important joints in the human body. Its unique anatomical structure allows a wide range of movements but also makes it susceptible to various types of injuries, including sprains. This article will explore in detail the anatomy of the knee, the causes and symptoms of sprains, as well as the available treatment options.

Mechanism of Action: How the Knee Works

The knee is a synovial joint that connects the thigh to the lower leg. Its main function is to allow movement of the leg while supporting the body's weight. The knee's function relies on the harmonious interaction between bones, ligaments, muscles, and cartilage.

The main bones that make up the knee joint are:

  1. Femur: the thigh bone
  2. Tibia: the main bone of the lower leg
  3. Fibula: a thin bone parallel to the tibia
  4. Patella: a flat bone located at the front of the knee

These bony elements are held together by a network of strong ligaments:

  • Anterior Cruciate Ligament (ACL) and Posterior Cruciate Ligament (PCL): provide anteroposterior stability
  • Medial Collateral Ligament (MCL) and Lateral Collateral Ligament (LCL): ensure lateral stability

Surrounding muscles and tendons, such as the quadriceps and hamstrings, provide the necessary strength for movement. The articular cartilage and menisci act as shock absorbers, reducing friction and evenly distributing loads.

Treated Conditions: Knee Sprains

One of the most common knee injuries is a sprain, which occurs when one or more ligaments are stretched or torn beyond their normal range of motion. Sprains can vary from mild to severe depending on the extent of ligament damage.

The most frequent causes of knee sprains include:

  1. Direct physical trauma
  2. Sudden or abrupt movements
  3. Excessive knee rotation
  4. High-impact sports activities
  5. Inadequate training or lack of warm-up

Symptoms of a knee sprain may include:

  • Pain, which can range from mild to severe
  • Swelling around the knee area
  • Limited joint movement
  • Sensation of instability
  • Unusual noises during movement

Therapeutic Benefits and Expected Outcomes

Timely and appropriate treatment of knee sprains is essential to prevent long-term complications and restore joint functionality. The main goals of treatment are:

  1. Reduction of pain and inflammation
  2. Restoration of joint stability
  3. Recovery of range of motion
  4. Prevention of future injuries

With adequate treatment, most mild to moderate sprains fully heal within 2-4 weeks. More severe sprains may require longer recovery times and, in some cases, surgical intervention.

Practical Guidelines for Treatment

Treatment of knee sprains generally follows a conservative approach known as the PRICE protocol:

  1. Protection: avoid further joint damage by stabilizing with appropriate braces
  2. Rest: limit physical activity to allow healing
  3. Ice: apply ice packs to reduce swelling
  4. Compression: use elastic bandages to drain swelling
  5. Elevation: keep the limb raised to reduce fluid accumulation

In addition to the PRICE protocol, treatment may include:

  • Use of braces or crutches to reduce joint load and aid in walking
  • Non-steroidal anti-inflammatory drugs (NSAIDs) to control pain and inflammation
  • Physical therapy to restore strength and flexibility
  • In severe cases, surgery to repair or reconstruct damaged ligaments

It is important to emphasize that treatment should be personalized based on the severity of the sprain and the patient's specific conditions, and should therefore be prescribed by an orthopedic specialist.

Prevention of Knee Sprains

Prevention plays a fundamental role in knee health. Effective strategies to reduce the risk of sprains include:

  1. Performing an adequate warm-up before physical activity
  2. Maintaining good muscle flexibility through regular stretching
  3. Strengthening the muscles that support the knee, particularly the quadriceps and hamstrings
  4. Using correct techniques during sports activities
  5. Wearing appropriate footwear and, if necessary, support devices
  6. Avoiding sudden or abrupt movements that can overload the joint

Furthermore, post-trauma, it is advisable to use knee braces to increase stability and proprioception to prevent further injuries.

Conclusions and Recommendations

The knee is a complex and vital joint for human mobility. Understanding its anatomy and function is essential to effectively prevent and manage sprains and other injuries. While many mild sprains can be successfully treated at home by following the PRICE protocol, it is always advisable to consult an orthopedic specialist in cases of persistent pain, significant swelling, or joint instability.

An orthopedic doctor can provide an accurate diagnosis, rule out more serious injuries, and develop a personalized treatment plan. Moreover, they can offer advice on how to prevent future injuries and maintain long-term knee joint health.

For more information, visit us at Ortopedia in Via Taramelli 21/23 in Bergamo or Contact Us!

We are available at phone number 035/212110 from Monday to Saturday, from 9:00 to 12:30 and

from 15:00 to 19:00, or at our email address: info@ortopediazambelli.it

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