{"id":8356,"date":"2022-07-21T14:04:54","date_gmt":"2022-07-21T13:04:54","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=8356"},"modified":"2023-09-12T15:50:53","modified_gmt":"2023-09-12T14:50:53","slug":"ligament-injury-suspected","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/musculoskeletalphysiotherapy\/knee-physiotherapy\/ligament-injury-suspected\/","title":{"rendered":"Ligament injury-suspected"},"content":{"rendered":"\n<p>Management of suspected ligament injury of the knee will depend upon the degree and severity of injury and associated disability and laxity. Generally consider an Orthopaedic referral for high grade injury, laxity and suspected cruciate and or collateral ligament tear. For lower grade injuries or where there is no significant laxity, a conservative management approach within primary\/community care supported with a MSK Physiotherapy referral would be appropriate initially.&nbsp;<\/p>\n\n\n\n<p>Signs<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>A definite mechanism of injury<\/li><li>Pain<\/li><li>Rapid onset of swelling (cruciate)<\/li><li>Feeling of looseness or giving way<\/li><\/ul>\n\n\n\n<p>Tests<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Positive laxity +\/- pain during ligament testing\u00a0<\/li><li>Difficult squatting<\/li><li>X-ray to exclude any #<\/li><\/ul>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Management<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>High grade injury, laxity and suspected cruciate and or collateral ligament tear refer orthopaedics<\/li><li>Lower grade injuries or where there is no significant laxity, a conservative management approach within primary\/community care supported with a MSK Physiotherapy referral would be appropriate initially.&nbsp;<\/li><\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n\n\n\n<iframe src=\"\/refhelp\/list-resources-and-links\/?post_id=8356\"><\/iframe>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Management of suspected ligament injury of the knee will depend upon the degree and severity of injury and associated disability and laxity. Generally consider an Orthopaedic referral for high grade injury, laxity and suspected cruciate and or collateral ligament tear. For lower grade injuries or where there is no significant laxity, a conservative management approach<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":8332,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[714],"class_list":["post-8356","page","type-page","status-publish","hentry","category-ligament-injury-suspected"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/musculoskeletal-physiotherapy\/knee-physiotherapy\/ligament-injury-suspected\/\" rel=\"tag\">Ligament injury-suspected<\/a>","rttpg_excerpt":"Management of suspected ligament injury of the knee will depend upon the degree and severity of injury and associated disability and laxity. Generally consider an Orthopaedic referral for high grade injury, laxity and suspected cruciate and or collateral ligament tear. For lower grade injuries or where there is no significant laxity, a conservative management approach","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8356","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=8356"}],"version-history":[{"count":2,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8356\/revisions"}],"predecessor-version":[{"id":16546,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8356\/revisions\/16546"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8332"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=8356"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=8356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}