Knee Ligament Injuries

There are 4 main ligaments in the knee that provide the joint with stability. Through twisting injuries, in particular, these ligaments can be stretched and they may even rupture. Quite frequently a ligament injury is associated with a meniscus tear as well. 

With severe injuries the knee will be swollen and very tender and the knee may lock where it gets stuck and wont straighten. Ligaments that have been completely ruptured generally need surgical repair as the body cant heal them by itself, and without repair the knee is inherently unstable, prone to further injury and potentially osteoarthritis in the future. 

Milder injuries do well with physical therapy and a well developed rehabilitation programme. Mr Loh will help diagnose the injury and discuss with you and your child the best possible management strategy. 

 

Patella-Femoral Problems

Patellofemoral joint (PFJ) pain is the most common cause of knee pain and there is usually no specific event that caused the pain to begin. The patellofemoral joint is the joint between the knee cap (patella) and thigh bone (femur). Pain is often felt behind the knee cap or deep in the knee and is aggravated by activities such as stair climbing and walking down hills, squatting and prolonged sitting. PFJ pain may be associated with biomechanical abnormalities and poor tracking of the knee cap. 

Mr Loh will thoroughly assess your child’s knee pain and develop a treatment plan for them. PFJ pain generally responds well to physical therapy with exercises aimed at improving muscle strength and control so the knee cap runs better on the thigh bone. 

 

Rotational Abnormalities

Rotational abnormalities of the lower limb are a particular interest of Mr Loh.  Rotational abnormalities may present with pain anywhere through the lower limb caused by muscles and joints working too hard to perform normal functions such as walking and running. In these cases an operation may be of assistance to improve the alignment and function. The aim is that the muscles and joints will then work in a normal fashion and osteoarthritis from poor positioning and excessive wear and tear will be avoided.