This is an overview of the assessment and treatment of common knee injuries encountered in both primary and secondary care

1. .
KNEE INJURY
UPDATE…
www.mykneedoc.co.uk
Sports Knee
Injuries
03/17
Mr Gareth Stables
Specialist Knee Surgeon

2. CONTENT
OUTLINE
Introduction
Section One: Taking part
Section Two: Injuries
Section Three: Diagnosis
Section Four: Treatments

3. SPORT
PARTICIPATION
There are obvious benefits to regular
participation in sports and exercise.
Injury can counter these benefits if an
athlete is unable to participate because
of the residual effects of injury.

4. 43%
Over a third of adults take part in sport at least once a week
15.8 million adults now play sport at least once a
week. That’s 1.7 million more than in 2005-6. –
Active People Survey, Sport England 2016
Increasing participation rates may correlate with
increasing sports injury rates

5. Sport England data 2015-16
The majority of people participating in
sport and exercise in the UK do so once
a week or less frequently, the so called
“weekend warrior”

6. SPORT:
RUNNING
In the UK the estimated
running population is 10.5
million. Globally there has
been a 13% increase in
marathon participation , with
a 12 % increase in women
competing in marathons
SPORT :
CYCLING
Cycling has seen a significant
increase in popularity over the
last decade. In the UK 4.7
million people cycle at least 3
times a week. 2 million cycle
every day.

7. SPORT :
FOOTBALL
In the UK 1 in 5 adults (8.2
million people) play
football. 30% of adults in
the 30-45 year age group
take part in some form of
the game regularly.
SPORT :
GOLF
Although golf participation has
plateaued in the UK there is still
an estimated 4 million golfers
playing on full length (18 hole)
golf courses.

8. 73%
Sports injuries presenting to a UK hospital were soft-tissue
injuries
The number of sports injuries in the UK is largely unknown.
An estimated 85,000 fractures due to sporting activities
occur each year, muscle, tendon and joint injuries are
common.
Injuries are caused by trauma and also from repetitive use
or “overuse” of muscles, tendons and ligaments.

9. Knee injury can lead to…
Cartilage tears
Osteoarthritis
Articular cartilage
lesions
Tendinopathy
Ligament injuries

10. KNEE INJURY
www.mykneedoc.com
ASSESSMENT
INVESTIGATION
MANAGEMENT
YOUR CHANCE TO ASK QUESTIONS / OPEN DISCUSSION

11. ACUTE
KNEE INJURY
Mechanism of injury
Immediate symptoms
70% of patients suffering an ACL tear
report hearing or feeling a “popping”
sensation at the time of injury.
HISTORY

12. ACL TEAR:
HISTORY
Pivoting injury
Forced deceleration injury
Twisting valgus strain
Immediate pain, “pop” or
“crack” followed by
acute swelling
Unable to complete game.
ACL TEAR:
EXAMINATION
Swelling
Restricted ROM
Anterior draw, Lachman’s test
and pivot-shift test.
Assess MCL , LCL and PLC

13. MENISCAL TEAR:
HISTORY
Twisting injury / No specific
injury recalled
Immediate pain
Minimal swelling.
Able to complete game
Symptoms in following days
“Mechanical” symptoms
MENISCAL TEAR:
EXAMINATION
Minimal swelling
ROM
Joint line tenderness most sensitive
test.
Mc Murray’s
Thesally’s test

14. TENDINOPATHY:
HISTORY
No specific injury recalled.
Chronic pain, not always
accompanied by swelling.
Often able to complete
activities but notice
worsening symptoms
following increased exertion
or change in activity levels.
TENDINOPATHY:
EXAMINATION
Can be difficult to diagnose. Rule
out meniscal pathology. Tenderness
over tendon and tendon insertions.
Patients are often able to “pin-point”
painful area.
Stress tests such as Ober’s test for
ITB

15. CHONDRAL
INJURY:
HISTORY
Often associated with
sudden injury , direct trauma
or forced flexion. Acute pain
accompanied by swelling.
Often able to complete
activities but notice
worsening symptoms
Complain of catching and
grinding in joint, recurrent
effusion
CHONDRAL
INJURY:
EXAMINATION
Can be difficult to diagnose.
Symptoms can be similar to
meniscal pathology and often
concurrent with tears. Tenderness
over lesion.Patients are often able
to “pin-point” painful area.
MRI scan is often needed to confirm
diagnosis

16. CASE STUDIES
www.mykneedoc.com
Sports Knee
Injuries
06/16
Mr Gareth Stables

17. THANK YOU
www.mykneedoc.com
03/17
Mr Gareth Stables
T : 0161 464 6399 E: info@mykneedoc.co.uk