Ligaments are tough, rubbery bands of tissue that attach the bones at the joint to enable movement within a limited range of motion. Naturally viscoelastic, ligaments can expand to lengths as you stretch your arms or legs but then return to their original place when motion desists. A ligament tear is either partial or complete; a partial tear can be just as painful as a muscle strain, whereas a total tear is as painful as a fractured bone. While a torn ligament is a common sports injury, it can occur on the job if your work is physically strenuous.
Signs of a torn ligament include:
Ligaments of the ankle and knee are most susceptible to damage when twisting the joint, which can occur due to an accident or sports injury. Ligaments of the shoulder and wrist are additional related joints that are prone to tears as a result of sports injuries, falls or acute trauma.
Diagnosing a ligament tear involves a physical exam of the injured site as well as testing your mobility and flexibility by asking you to perform certain activities and evaluating your ability to do so. Apart from this, Dr Gupta will carry out imaging studies such as x-ray, ultrasound, an MRI scan, to assess your condition and check for any broken bones or damage to surrounding tissue. This process will inform the decision making for conservative or surgical management.
Ankle ligament reconstructive surgery is a procedure done to correct lateral instability and sprains. First, Dr Gupta performs a physical exam through arthroscopic surgery to examine the ligament. Then, he can repair the ligament using stitches or strengthen it utilising tissue support or a piece of tendon.
Common signs of a ligament tear include:
An ultrasound, X-ray or MRI scan can help confirm a fracture or torn ligament in addition to clinical examination.
It takes approximately three to four months to recover from surgery. Afterwards, you can return to basic exercises such as running.
Dr Harish Gupta completed his degree in orthopaedics at the University of Witwatersrand. He subsequently completed his fellowship before working as a consultant at the same establishment and its group of hospitals.