- Ribbon tear: Description
- Ribbon tear: Symptoms
- Ribbon tear: causes and risk factors
- Ligament tear: examinations and diagnosis
- Ligament tear: treatment
- Ligament tear: Disease course and prognosis
On BÃ¤nderriss is usually the result of a (sports) accident. Those affected complain of pain, swelling and restricted mobility in the injury area. Depending on the nature and severity of the injury, a ligament tear is either treated conservatively with physiotherapy or surgically. Read all important information about the ligament tear here: causes, symptoms, diagnostics and therapy!
ICD codes for this disease: ICD codes are internationally valid codes for medical diagnosis. They are found e.g. in doctor's letters or on disability certificates. S63S83S93
Causes and risk factors
Examinations and diagnosis
Disease course and prognosis
Ribbon tear: Description
The bands are located around the joints. They stabilize, guide and limit joint movements. For this reason, a ligament tear (ligament rupture) affects the biomechanical function of the affected joint.
Band injuries are very common and are caused by a violent movement of a joint. Depending on the intensity of the trauma, this results in a ligament stretch, a ligament tear or a sprain (distortion).
In most cases, a torn ligament is a sports injury. However, a strap tear also occurs in other accidents, such as a fall or car accident. In sports, ligament injuries often occur in the ankle, knee, elbow, wrist and shoulder area.
Belt tears are broken down into a first to third degree injury, depending on their size. This is important for therapy planning and prognosis. Most divisions use a first-degree violation if the tape is stretched or there is a tape tear. A partial ligament rupture usually corresponds to a second-degree injury, and a complete ligament tear of the most severe injury (third degree).
Everything important about the rupture of an outer band (such as the ankle joint) can be found in the article outer band tear.
Everything important about the rupture of an inner band (such as at the ankle joint) can be found in the article Innenbandriss.
Ribbon tear - foot
For more information about ligament ruptures in footer, see the article Ribbon Crack Ã ¢ â,¬Â "Foot.
Ribbon tear - knee
Read more about ligament ruptures in the knee area in the article Ribbon tuck Ã ¢ â,¬Â "Knees.
Find out everything important about the rupture of a cruciate ligament on the knee in the article Cruciate Ligament Tear.
What is a ski thumb and how it is diagnosed and treated, read in the article Skidaumen.
Ribbon tear: Symptoms
Ribbon tear symptoms are more or less specific depending on the type and severity of the injury. The sudden tearing of a tape can sometimes be accompanied by an audible noise (â € œkittyâ €). The sufferer experiences a sudden, violent pain, which in some cases can be localized to a specific area. The injured joint swells, the surrounding area of the skin may turn blue over the next few hours (bruise). If the outer band tears at the ankle, you can almost always see a clear blue tint. On the other hand, injuries to the knee rarely result in bruising under the skin.
The affected person can no longer properly load the injured joint. A ligament injury may also be present if the injured person can still walk. Those affected often feel the "breakaway" and the instability in a belt break.
Cruciate Ligament Tear: Symptoms
Which symptoms causes a cruciate ligament rupture, you read in the article cruciate ligament tear: Symptoms.
An injury can affect various parts of the knee joint. But other causes can cause pain. See which ones!
Ribbon tear: causes and risk factors
In general, joint movement beyond normal is forced by a high force, a cause for a ligament tear. Thus, the cruciate ligaments or the inner ligament of the knee tearing in very strong rotational movements or when overstretching the knee. Often this happens when skiing or playing football.
The so-called ski thumb tears a sideband of the thumb base joint. This happens more often when skiing, when you throw your thumb on the piste, or when you fall with your thumb in the loop of the ski pole.
Even in certain ball sports (especially in volleyball) it often leads to injuries of the finger joints as a band break.
The ligaments of the ankle are damaged when they are bent over, for example during running or jumping (tennis, football, basketball, etc.).
Other ligaments, such as the posterior cruciate ligament, are particularly susceptible to high-speed road accidents. If a ligament tear affects the shoulder or wrist, it is often caused by a fall.
Risk factors for a ligament tear
Risk factors for ligament rupture include high-performance sport, poor training condition, certain types of sports, overweight and previous injuries to the same joint, depending on the type of ligament tear. It is debatable whether gender also plays a role and women have a higher risk for certain types of torn ligaments or not.
Ligament tear: examinations and diagnosis
Specialists in the diagnosis and treatment of torn ligaments are orthopedists, accident surgeons and sports physicians. The suspicion of a torn ligament usually already results from the details of the accident and the description of the complaints, the doctor will ask the patient. He can ask the following questions:
- Can you describe the accident?
- Where is the pain localized?
- Are certain movements painful or difficult?
- Did you already have an injury in the affected area?
- Do you have pre-existing conditions?
After that, the doctor will examine the patient. He also takes care of swelling and malalignment in the injury area and checks blood circulation, motor function and sensitivity (DMS) of the joint. By palpation, the physician can pinpoint pain and pressure points, which often provides important clues to the affected band.
To assess the limitation of the ligament tear, the range of motion of the joint should be checked. On the basis of specific functional tests, the suspicion of a certain torn ligament can be confirmed. In some cases, these tests are not possible in the acute phase but because of the pain.
In unclear cases or to clarify additional injuries (such as on the bone) imaging techniques are used. You can choose between different methods.
Experienced physicians will benefit from the ultrasound examination of the joint, which can be performed without radiation exposure.
An X-ray image is made especially in suspected additional bony damage next to the ligament tear or a bony ligament rupture. Indirectly, however, a torn ligament can also be detected on an x-ray, which is especially true for the so-called "stress recordings". The affected joint is held in certain positions during the recording.
Particularly suitable for presenting a ligament tear is magnetic resonance imaging (MRI). She gets along without damaging rays.
Ligament tear: treatment
The acute treatment of ligament rupture (or suspicion) is based on the PECH rule: break, ice, compression, high-altitude storage. Ice (cryotherapy) or cold water can be applied every two to three hours for 20 minutes each. The compression of the affected area should begin as soon as possible: If possible apply a pressure bandage to the affected joint to counteract swelling. When storing high, make sure that the affected area is above the heart level if possible.
If necessary, patients can take an analgesic. Particularly suitable are so-called non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. The knee joint should also be protected from further injury. These measures should be continued for about three days so that inflammation and swelling are stopped. To give the foot rest, crutches should be used until a normal gait is possible.
Treatment at the doctor
Torn ligaments are treated either conservatively or surgically. Whether surgery is necessary depends on many factors such as the type and severity of the injury (partial tear or complete tear) and the biomechanical limitation of the affected joint. Also, age, activity and not least the wishes of the patient are taken into account in the treatment planning.
With ligament distension and slight ligament rupture, it is usually sufficient to stabilize the joint for some time by bandages. The symptoms should disappear within about two weeks. During this time, the joint may indeed be charged, but should not be exposed to full (athletic) load. Because the risk of a renewed injury to the overstretched ligaments is too great in the early stages.
Decisive for a successful healing process and a good biomechanical joint function is the early start of physiotherapy. In addition to pure muscle training to promote joint guidance, good coordination training is also important. This is done, for example, the tilt-board or wobble board in band injuries in the ankle area.
A stabilization of the joint with special bandages or orthoses may also be useful.
An operation may be necessary for a variety of reasons. In most cases, only a higher-grade ligament tear is operated on. The benefits of surgery are often cited as less invasive pain can chronicle pain and improve joint stability.
In certain types of ligament rupture, the operation is considered the drug of choice, such as cruciate ligament tears in the knee joint. Fresh injuries can be stitched and the cruciate ligament is additionally reinforced by a piece of the body's own tendon.In older cracks, the cruciate ligament is replaced by a piece of tendon (cruciate ligament plastic). Also a ski thumb should be operated within a short time to get the full function of the hand. A bony ligament tear (tearing of the tape on the bone together with a bone fragment) is usually also operated on and then usually immobilized for several weeks.
In addition to the severity and nature of the injury, other factors also play a role in the decision for or against surgery. Competitive athletes have a specific requirement profile for the affected joint. For this reason, in competitive athletes depending on the extent of the injury torn ligaments are often placed together and surgically sutured.
Also, before and after an operation, the physiotherapeutic accompaniment is very important as with a conservative treatment. For joint stabilization, a torn ligament splint can be prescribed after surgery.
Cruciate ligament tear: Op
Everything important about the surgical treatment of this ligament tear can be read in the article Cruciate ligament tear: Op.
Read more about the investigations
Ligament tear: Disease course and prognosis
In most cases, the prognosis for ligament rupture is good if the injury is treated early and correctly. In particular, a good planned physiotherapy is crucial for the success of the treatment. However, the prognosis also depends on the affected band, the severity of the injury and other factors, so that no general statements can be made. Also, the question of when the patient can return to full activity, can not say blanket. The healing process in a ligament rupture can last between a few weeks and a few months.
Prevent torn ligament
If you want to prevent torn ligaments, you should especially train and strengthen those muscles that support particularly stressed joints (such as the ankle joint, knee joint). For risky exercise, you can use bandages as extra support. In addition, you should warm up before exercise.
Ligament tear: Consequences if no treatment
If a torn ligament is not treated, long-term consequences such as frequent buckling, disturbed joint function and chronic pain of the pain threaten. It also increases an untreated ligament the risk of osteoarthritis.
Read more about the therapies