CENTER FOR SPORTS INJURY
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Overview

Your knee joint is composed of bone, cartilage, fluids, and ligaments. Muscles and tendons of the joint help it move. Any pathology – disease or injury in the structure of the knee joint can lead to knee pain and difficulty walking. Knee problems are quite common these days. Mechanical knee problems arise due to a sudden injury or blow to the knee that strains the knee joint, or due to conditions such as Osteoarthritis in the knee. Inflammatory diseases such as Rheumatoid Arthritis and SLE can also lead to knee damage.

Knee Joint Conditions
  • Knee Injury
  • Meniscal Tears
  • Patellar Tendon Rupture
  • Runner’s knee
  • Unstable Knee
  • Quadriceps Tendon Rupture
  • Knee Fracture
  • Chondromalacia Patella
  • Jumper’s knee
  • Iliotibial Band Syndrome
  • Lateral Patellar Compression Syndrome
  • Fractures of the Tibia
  • Osteochondritis Dissecans of the knee
  • Pediatric ACL Tears
  • Medial patellofemoral Ligament Tears
  • Shin Splints
  • Goosefoot Bursitis of the knee
  • Knee Sprains
  • Knee Infections
  • Bone Marrow Edema in the Knee
  • ACL Tears
  • MCL Tears
  • Meniscal Injuries
  • Fractures of the Patella
  • Knee Ligament Injuries
  • Multiligament Instability
  • Knee Arthritis
  • Knee Pain
  • Patellar Dislocation
  • PCL Injuries
  • Chondral Defects
  • Patellar Instability
  • Patella Fracture
  • Recurrent Patella Dislocation
  • Lateral Meniscus Syndrome
  • Posterolateral Instability
  • Osteonecrosis of the knee
  • Knee Angular Deformities
  • Knee Dislocation
  • Osteomyelitis of the knee
  • Knee Osteoarthritis
  • Knocked Knees
  • Patellar Tendinitis
  • Osgood Schlatter Disease
  • Patellofemoral Arthritis
  • Stress Fracture of The Tibia
Most Common Knee Joint Conditions
  • ACL Tear – The Anterior Cruciate Ligament or ACL is one of the major ligaments that control sliding out of the tibia (shinbone) in front of the femur (thighbone). Located in the middle of the knee, the ACL Ligament runs from the femur to the tibia. ACL ligament along with the Posterior Cruciate Ligament (PCL) provides rotational stability to the joint. The major cause of ACL tear is when the knee is hyperextended or forcefully twisted during an abrupt directional change while the foot is fixed on the ground. The common causes of ACL tear are changing directions rapidly, sudden stopping, slowing down while running, direct contact or collision, etc.
  • PCL Tear – Posterior Cruciate Ligament or PCL is one of the four major ligaments supporting the knee joint. It connects the tibia (shinbone) to the femur (thighbone). It limits the backward motion of the tibia. Although a rare injury, PCL injury occurs along with bone bruises, cartilage injuries, and ligament injuries. The major cause of a PCL ligament tear is the direct impact on PCL by an automobile accident when the bent knee strikes the dashboard forcefully.
  • MCL Tear – The Medial Cruciate Ligament or MCL is located on the inner part of the femur (thighbone) running to the top of the tibia (shinbone). MCL injuries can occur as a result of a stretch or tear or a complete tear of the ligament. Pressure on the outside section of the knee can lead to MCL injuries.
  • Meniscal Tears – Menisci are two wedge-shaped cartilage pieces between the thighbone and shinbone. They act as shock absorbers and stabilize the knee joint. Meniscal injury is a common sports injury, seen in contact sports. Meniscal tears occur due to a sudden bend or a twist in the knee. The common symptoms of a meniscal tear are swelling, pain, stiffness, and a catching sensation in the knee.
  • Recurrent Patella Dislocation – It is a condition in which the patella moves out of the patellofemoral groove onto the femoral bony head. If the kneecap partially dislocates, it is called subluxation and if it completely moves out, it is called patellar dislocation. It is common in athletes of 15 to 20 years of age and commonly seen among women athletes. The symptoms are pain, swelling, tenderness, and skin discoloration at the site of the injury.
  • Chondromalacia Patella – It is a condition of the knee characterized by softening and weakening of the cartilage. Often seen in young athletes and older athletes with arthritis, the explicit reason for Chondromalacia Patella is not known. It is explained as the overuse of certain sports activities resulting in wear and tear of the cartilage.
  • Osgood Schlatter Disease – It is a condition commonly seen in older children and teenagers caused due to excessive stress on the patellar tendon. People participating in sports such as basketball, soccer, and distance running are at a higher risk of developing the disease. The common cause of Osgood Sclatter Disease is sports activities involving jumping and running that exert stress on the thigh muscles thereby pulling the patellar tendon which connects the kneecap to the tibia. Repeated stress causes the tendon to shift away from the tibia leading to pain and swelling in the knee.
  • Runner’s Knee – Also referred to as the patellofemoral pain syndrome, Runner’s knee is the pain under and around one’s kneecap. Several conditions are associated with patellofemoral pain such as patellofemoral malalignment, chondromalacia patella, and knee pain syndrome. The causes of Runner’s knee include poor kneecap alignment, overuse, complete or partial dislocation, flat feet, and direct trauma to the knee.
  • Jumper’s Knee – It is also called Patellar tendinitis or inflammation of the patellar tendon which connects the patella tendon to the shinbone. It is usually seen in individuals involved in volleyball or basketball sports. However, rarely does an acute injury to the tendon that has not healed properly, may also cause Jumper’s knee.
Orthopedic Evaluation at CSI

At CSI, we follow a 3-pronged approach to evaluating Sports Injury of the knee joint:

  • Medical History – Understanding the medical history of the patient helps the doctor to comprehensively assess the pain, injury, joint limitations, patient’s symptoms of the condition. It also helps the doctor know their medical/surgical history and their current status.
  • Physical Examination – Our experts examine the tenderness, swelling, joint range of motion, muscle strength, weakness, and instability of the part involved.
  • Diagnostic Tests – The diagnostics help the doctor make an accurate diagnosis of the patient’s condition. Imaging tools like X-ray, CT, and MRI aid in confirming the diagnosis. At CSI, we have a dedicated MSK Imaging Center, DiagKnow for the diagnosis of the underlying pathology.
Surgery

Knee surgery is indicated in conditions requiring treatment for knee conditions or knee injury. The procedure involves repairing the damaged or diseased part to eliminate pain and restore near-normal to normal function.

Types of Surgery – Arthroscopic Surgery and Open Surgery

Arthroscopic Surgery

In the arthroscopic procedure, tiny incisions of about half-inch a length are made around the knee joint. Through one incision, an arthroscope with light and a video camera at the end is inserted. The camera displays the images of the inside of the knee joint on the monitor and allows the surgeon to make out the damaged portions to remove them. It is a short-stay procedure compared to open knee surgery.

Open Knee Surgery

Open knee surgery involves making large incisions of several inches around the knee joint. The underlying soft tissues are moved aside carefully to access the damaged knee portion. Then, special surgical tools are used to repair the knee joint. Once repaired, the surgical incisions are removed, and the incisions are stitched.

Following surgeries can be done to repair hip joint conditions:

  • Surgery for Meniscal Tears
  • ACL Reconstruction
  • Surgery for Patellofemoral instability
  • Cartilage replacement
  • Knee Replacement surgery
  • Knee Osteotomy
Preparation for the Surgery

The pre-operative preparation for the knee surgery involves a thorough examination of the joint for any medical issues that should be addressed before the surgery. The patient is assessed for allergies to medications, latex, anesthesia etc. You will also be advised to stop taking anti-inflammatory agents and blood thinners for a week before the surgery. Just before the day of the surgery, you will be advised not to consume solids or liquids 8 hours before your surgery. Lastly, a written consent will be signed for the surgery once you have been explained everything about the surgery.

Other Treatment Options
  • Physical Rehabilitation
    • Non Surgical
    • Post Surgical
  • PRP
Why CSI?

CSI is a one-stop solution for all sorts of orthopedic, musculoskeletal, and sports-related conditions. CSI is one of the best orthopedic hospitals for knee replacement surgery in India. At CSI, we have a dedicated OT for orthopedic surgeries, a dedicated Musculoskeletal Imaging Center, DiagKnow, and a physical rehabilitation center for conservative and Post-operative physiotherapy at CSI PhysioCare! Learn more about PhysiCare

CSI is one of the best centers for Knee surgery in Delhi. Headed by one of the best orthopedic doctors in Delhi, Dr. Pushpinder Singh Bajaj, CSI offers all the surgical, imaging, and post-operative rehabilitation services under one roof.

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