2015; Right fielder Chris Coghlan (8) slides into the left knee of Pittsburgh Pirates shortstop Jung Ho Kang (27) Credit: Charles LeClaire-USA TODAY Sports / Reuters Picture Supplied by Action Images
Meniscal tears are fairly run of the mill in athletic populations. However, as Chris Mallac explains in our continuing series on uncommon injuries, a tear near the root, or attachment of the meniscus, results in severe pain and disability. Root tears often accompany other knee injuries such as anterior or posterior cruciate ligament tears. Because the roots anchor the meniscus in place, when torn, the meniscus can extrude from the joint, resulting in painful bone on bone contact (see figure 1). Athletes complain of pain along the joint line and during deep squats.
As Mallac points out, diagnosis usually requires magnetic resonance imaging (MRI). Rarely managed conservatively, these tears usually require surgery, due to the increased risk of developing arthritis. Initiate physical therapy immediately post operatively to regain strength and progress joint movement. Most recommend limiting knee flexion to 90 degrees for the first two weeks after the surgery, and progressing the range of motion as tolerated after that time. Initiate weight bearing as tolerated and begin cycle ergometer after six weeks. The entire rehab process may last up to six months, with return to play even further beyond that. Watch for next month’s article with a continuation of this topic, emphasizing rehab protocols and return to play criteria.
In part one of this two-part article, Chris Mallac explored the anatomy, diagnosis and imaging options for meniscal root tears. In this article, he discusses the management options for meniscal root tear injuries. The management of meniscal root tears can be either nonoperative, partial meniscectomy or meniscal root repair: Non-surgical treatment Non-surgical treatment is usually reserved for... MORE
Lower leg pain often plagues runners. The trick is distinguishing pain from an acute injury, overuse, or an emergent problem. In today’s feature article, Pat Gilliam offers an overview of lower leg injuries and identifies the particular characteristics of each syndrome. In most acute injuries, the athlete experiences a sudden onset of pain and disability,... MORE
We may live in a high-tech 24/7 world, but fundamental biological rhythms remain deeply ingrained in our physiological makeup. Andrew Hamilton explains how these rhythms can affect injury risk, and the implications of this for coaches and clinicians Humans have evolved in and are surrounded by a world full of rhythms. It would be incredible therefore... MORE
Knee pain is the most common of all sports injuries and virtually every sport has its share of knee injuries and related problems. If you or your client has played sport for any sustained period of time, the chances are you've already experienced at least one bout of knee pain. Be it a temporary, mild nuisance you've shrugged off, or a debilitating injury that forced you to seek specialist help.
The good news for athletes, coaches and sports injury professionals, is that thanks to some important recent work in this area, sports scientists now know more than ever about the diagnosis, treatment and prevention of knee injuries.
And now you too can share in these insights, courtesy of this special report.
Drawing from the knowledge and experience of our panel of sports scientists, physiotherapists and sports therapists we have compiled a holistic, technical and hands-on approach to understanding, treating and managing running injuries.
The report covers prevention, physiology, core stability and technique, and includes case studies and illustrations throughout. It will stay with you as an invaluable reference point through your running career, and not only help you stay injury free but also increase your biomechanical efficiency for long term gains. MORE