Loud pop in knee followed by pain
Why do you get knee pain after hearing a loud noise from your knees? Pain following a loud noise heard from the knee can be due to rupture of the ligaments around the knee joint, if you want to know the cause of pain after a loud knee, If you want to know what are the symptoms of knee ligament rupture and what are the solutions to treat them, read more.
Introduction
Hearing a very loud sound from the knees, followed by severe pain, is one of the hallmarks and signs of a ruptured ligament in the knee joint.
These tears can occur during sports competitions, injuries and traumas to the knee. Often, small, limited tears in the knee ligaments can heal on their own. In general, 4 ligaments in the knee joint participate in the structure of the knee joint and cause stability and stability of the joint.
What happens when we hear a loud noise in the knee that is followed by severe pain?
If you have recently experienced severe pain in your knee following a loud knee injury, it could be a sign of a problem with your knee ligaments, meaning that a small part of your knee ligament may need to be surgically removed.
It could be due to a sudden rupture of the ligaments involved in the construction of the knee joint, or it could be due to a rupture and rupture of the knee meniscus.
Knee ligament is one of the hallmarks of knee pain when loud noise from the knee and subsequent severe knee pain follows. It can also be said that tearing the menisci of the knee can be accompanied by noise and pain and locking.
Knee locking is much more pronounced following a ruptured meniscus. When a meniscus ruptures, a piece of cartilage is broken and can get stuck in the joint space.
Familiarity with knee anatomy
It is better to study the functional anatomy of the knee to better understand the cause of hearing loud noise, which leads to severe knee pain.
The largest and most functional joint in the human body is the knee. This joint is composed of different structures.
Tendons and ligaments, the bursae and menisci and other components of the lower thigh and upper leg, as well as the patella, are the bones that make up the knee joint.
In general, there is an important point in the structure of the knee, and that is that in the lower part of the femur on the tibia, there should be hinged movements, and the location of the patella in the groove located in the lower and anterior part of the femur is very important, The patella moves up and down in the groove-like sunken mentioned above in the lower front of the femur.
Both the patella post and the outer surface of the lower sheath have cartilage
There are very strong ligaments in the knee joint that connect the bones. They prevent the bones involved in the structure of the knee joint from moving in any direction. The function of the ligaments is to facilitate and correct bone movement.
Knee ligaments will prevent the bones that make up the knee joint from moving abnormally.
What are knee ligaments?
The knee ligaments are:
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ACL anterior cruciate ligament
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Posterior cruciate ligament PCL
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Internal MCL internal ligament
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LCl external collateral ligament
The most important position that the knee ligaments allow the knee to move is in the direction of bending and straightening the knee. Of course, the knee may move slightly in other directions, but the main range of motion of the knee and the main type of knee movement is bending and straightening.
The collateral ligaments of the knee are located on either side of your knee joint. In fact, the external collateral ligament is located on the outside of the knee, causing the femurs and the tibia to connect.
The internal collateral ligament is located inside the knee, causing the bones in the inside of your femur to attach to the tibia.
What is the function of the knee ligaments?
Knee ligaments play a major role in maintaining knee stability, which is to prevent lateral movements of the leg relative to the femur.
This means that there are healthy ligaments around the knee joint that cause the knee to bend and straighten and move forward and backward, preventing the knee from moving to the sides.
How are knee ligaments damaged?
In this section, we want to say how the knee ligaments are damaged. In the first part, we examine the damage to the collateral ligaments of the knee.
Damage to the knee ligaments can occur in a variety of ways, often in the form of a strain, or sometimes the ligaments may be incompletely torn or completely torn.
And the lateral ligaments or internal collateral ligaments are more damaged in humans than the external collateral ligaments.
This means that in humans, the prevalence of internal ligament injuries of the knee will occur more than external ligaments.
But because the anatomy and structure of the outside of the knee is more complex.
- External collateral ligament injuries
They are always associated with more complex injuries, and other knee structures are generally damaged along with external collateral ligament injury.
Injury to the knee ligaments is due to forces acting on the knee and deflecting the leg to either side, or due to forces acting on the knee and pushing the leg to the sides.
Another mechanism is that when a direct blow is applied to the outside of the thigh on the outside of the knee, it causes the surface of the knee joint to open more on the inside. Following this change, stretching of the internal collateral ligament occurs, and the injury can range from a stretch to an incomplete to complete rupture of the internal collateral ligament.
Another mechanism that causes damage to the internal collateral ligament of the knee is that the person standing on one knee bends the knee slightly, in which case the torso rotates on the knee.
In fact, in this case, you rotate your torso on your knees, these injuries are caused by this mechanism more in a group of athletes who do sports such as football, volleyball, skiing and basketball.
The pressures mentioned above with the mechanisms that are applied, if the force of the force is low, will only cause the ligament to stretch and sprain.
The most common injury to a human knee is a sprain and injury to the internal collateral ligament. If too much pressure is applied to these ligaments, it may go through a sprain, resulting in incomplete rupture and complete rupture.
If the pressure is increased, the cruciate ligaments as well as the meniscus of the knee will be damaged. The bones around the knee joint may also break.
- Now let's see how the external collateral ligament of the knee is damaged
It is said that this ligament will be created by the blows and forces that are applied to the inside of your knee. The external collateral ligament is less damaged than internal problems in humans, but because there is a complex anatomy on the outside of the knee, Like the dorsal capsule of the knee, the cruciate ligament and even the peroneal nerve are damaged
What are the symptoms of lateral knee ligament injury?
The following symptoms occur when the lateral ligaments of the knee are stretched
There is pain in the sides of the knee, pain and tenderness will be felt on the affected ligaments and the pain is diffuse and unlike the pain caused by the injury and rupture of the meniscus which is concentrated in a small area, the pain of rupture of the ligaments is diffuse.
Following the rupture of the ligaments, the pain increases when pressure is applied to the injured area, that is, the pain increases when pressure is applied to the damaged ligament by hand.
Also during the examination, the doctor puts pressure and tension on the ligaments with special maneuvers, and during this time, the pain intensifies and the doctor finds out which side of the knee displacement has occurred.
Swelling is another sign of injury and rupture of the knee ligaments. When the injury is too great and the ligament is torn, a very loud sound will be heard, a very loud sound will suddenly be heard from the knee, followed by severe pain, followed by unstable knee.
There is some instability on examination, it may also bleed inside the knee, and the skin on the inner lateral ligament may turn blue due to bleeding.
In external tears, these events occur on the outside of the knee.
Diagnosis
It is said that the main diagnostic action by the physician is in fact the data and description that the physician should obtain from the patient's symptoms as well as the mechanism of injury and trauma.
The doctor should also perform special examinations of the patient's knee with his own sharpness in order to differentiate the injured ligament from other injuries.
And imaging examinations, imaging techniques such as plain X-rays of the knee and MRI of the knee, and diagnostic studies with arthroscopy can help the doctor make a diagnosis, and sometimes joint fluid aspiration and joint fluid analysis may be needed.
treatment
Lateral ligament injuries rarely require surgery
The important point is that if the injuries of Rano lateral ligaments along with the injuries of other knee structures are cruciate ligaments or meniscus of the knee, nerves and arteries, etc, surgery will be needed for treatment.
What are the non-surgical treatments for ligament injuries and tears?
These treatments are as follows:
Use of local cold:
When trauma occurs, place a bag of crushed ice on the painful affected area of the knee for at least 20 minutes immediately, avoiding direct contact of ice and skin.
It is best to repeat this at intervals of one hour. Avoid placing ice directly on the skin.
You should use special knee braces that your doctor recommends, but in the acute phase, the goal is to use knee braces to prevent the adverse effects of the forces that cause the knee to move to the sides.
The patient should walk with a cane so as not to put too much weight on the knee
If the ligament is torn, appropriate treatment with long casts or special braces is required for about 4 weeks.
Physiotherapy:
When a person needs to close the knee, the point is that this movement can weaken the supporting muscles of the knee joint, the supporting muscles, such as the quadriceps in front of the thigh, if weakened, will reduce the stability of the knee.
Isometric exercises that are necessary to strengthen the thigh muscles. It should be standardized after the acute phase has passed and the knee swelling has decreased
The sufferer should start scheduled physiotherapy sessions to gradually restore normal knee movements and strengthen the muscles so that the patient can gradually return to their daily activities.
If surgery is required, what is required in surgery?
If the rupture of the knee ligaments has occurred and has not healed with non-surgical treatments, or with the rupture of the knee ligament, other parts of the knee, the menisci or cruciate ligaments are damaged, or the arteries and nerves are damaged, the doctor will probably decide to use surgery to treat the ligament injury.