Ligament injuries

Question 1

What are ligament fibres made of? How does this compare to tendons? What cells are n them

Answer 1

Collagen! (type 1)

Ligaments are:
-less collagen, more proteoglycans and whater
-less organized fibres

Cells = fibroblasts (more rounder in ligaments)

Question 2

What sensory fibres do they have in igaments? Why is this important?

Answer 2

V important for knowing where the join s in space and being able to move it and coordinate movements.

Proprioception, stretch and sensory

Question 3

Do ligaments have vessels on the surface?

Answer 3

Yes

Question 4

What is a big problem in ligament rubture?

Answer 4

The loss of proprioception. A lot of phsio is done with the aim of increasing the amount of proprioception etc

Obvz this is less important than the actual stability etc

Question 5

What si the healing process in ligaments?

Answer 5

Vessels on the ligaments rupture and so there will be bleeding. This will then lead to a clot, whic is then reabsorbed and there is a massive infiltration of inflammatory and white blood cells.

Then there is the recintruction phase. Scar tissue (disorganized collagenous comnective tissue.

Then there is the remodelling phase. Matrix becomes more ligament like but won’t be the same as the origional. ever .

Question 6

What are the indications for conservative managements? And what is involved in conservative management?

Answer 6

If the joint is stable, only a partial tear, or if a bad candidat for surger.

Options include braces, boots etc

Question 7

What are the indication fro operative management? What are some of the key treatment options operativly?

Answer 7

Complete tear. If professional athlete etc and need high performace from the joints etc and if the er is just wayy too much going wring with the joint (think jordan)