Healthy knees are central to facilitating the ability to stand up, sit down, walk and run. Injuries to the knee can limit or decrease mobility. Puget Sound Orthopaedics (PSO) knee surgeons have performed many procedures treating conditions typically caused by arthritis, sprains, strains and fractures. Whether treatment consists of surgical or nonsurgical options, PSO surgeons are committed to helping patients get moving again.
The knee is a complex joint that bends and straightens like a hinge. There are three (3) bones that make up the knee: the femur (thighbone), which is the strongest and longest bone in the body, tibia (shinbone) and patella (kneecap). While it does not directly affect the knee’s movement, the smaller fibula (calf bone) is connected by ligaments to the tibia and supports the tibia’s function.
For the knee to function properly, all of the bones must work in tandem with four (4) primary ligaments that hold the three bones together. The medial (MCL) and lateral collateral (LCL) ligaments control the sideways movement. The anterior cruciate (ACL) and posterior cruciate (PCL) ligaments control the back and forth motion. In addition two (2) menisci act as “shock absorbers.” The menisci are made up of cartilage and help cushion and stabilize the joint.
INJURIES TO THE KNEE
Injuries to the knee often cause a sensation that feels like the knee is giving way, also known as instability. All three bones are prone to fracture but the kneecap breaks more often because it acts as a shield for the joint. The kneecap can become unstable or dislocate if it slips out of its v-shaped groove in the femur.
Another type of fracture is proximal tibia (shinbone) fractures, where the wider upper part of the bone that is a part of the knee joint breaks. If the break extends into the knee joint then the fracture is called tibial plateau fracture.
While arthritis can take many forms, the condition generally is inflammation of the joints. One of the prevalent types of arthritis is osteoarthritis (sometimes referred to as “wear and tear” and typically is found in older people). Osteoarthritis, rheumatoid arthritis, and posttraumatic arthritis are common types of arthritis found in the knee.
Athletes who play high demand sports, such as soccer, football and basketball are subject to injury to one of the four cruciate ligaments. A quick change in directional movement or an awkward landing from a jump can cause a tear. A blow to the front of the knee is the typical cause of a tear occurring in the PCL. Any force that pushes the knee sideways can result in an injury to the MCL or LCL.
Anterior cruciate ligament (ACL) tear – when the ligament is sprained or torn from a sudden stop or slowing down while running, awkwardly landing from a jump, rapidly changing direction or direct contact or collision
Seek medical treatment from a knee specialist if you are experiencing any of the following symptoms:
Pain or swelling in the knee
Feeling like the knee is “catching” or “locking up”
A “popping” noise associated with the time of injury
An inability to put weight on the knee or move the knee
Your doctor will discuss all treatment options with you. The best treatment for your injury or condition will be determined in combination with your overall health.
There are several nonoperative treatment options for knee pain. These might include physical therapy, pain management in the form of over-the-counter or prescribed medications and/or anti-inflammatories or immobilizing the afflicted knee with a brace. If surgery is necessary, PSO knee specialists can perform a wide variety of procedures ranging from minimally invasive to major reconstruction.
A total knee replacement is the procedure performed when a knee is damaged beyond repair. Major injuries and various diseases can damage the knee to this point where the best treatment option is to replace the knee joint. The goal of a knee replacement is to reduce pain and improve function and mobility of the […]
An ACL tear can be either a sprain or a rupture of the anterior cruciate ligament. This key ligament holds together the femur and tibia and is pivotal in providing motion for the leg. In particular this ligament provides stability in the knee and with other ligaments inside, outside and within the knee. These different […]
The complex function of the knee relies on many bones and ligaments working properly. Injured or sprained ligaments can create instability since the ligaments control the backwards, forwards and sideways motion of the knee. When the knee is forced sideways it can rupture the different soft tissues that provide support and stability. Swelling, pain and […]
"I think the world of Dr. Smith; he has never done to me or my son anything but good." - Carolyn
“It is so nice to work at a place that makes you feel like part of a family!” - Nyline B.
“First doctor in years to ask me questions and listen to my answers. Great eye contact. Explained everything in a way all can understand." - Michael
“Communication is the key to everything. Nick Harrison was very helpful and able to explain the injury.” - Carl
"My foot surgery went great. Dr. Yearian is a very knowledgeable and personable doctor. He makes his patients feel at ease and comfortable. I would definitely recommend Dr. Yearian to my friends."
"I thought Dr. Jenkins did a very good job. I have a lot of confidence in him. I’m thankful that I’m going to be able to get my shoulder fixed. I highly recommend your office to anyone else and I already have." - Anonymous
“We have seen Dr. Vaughan before and wouldn’t use any other orthopedic surgeon.” - Dennis
“Everyone was great. I would definitely recommend this facility and Dr. Ghidella.” - Anonymous
"I had a very good experience. Everyone was very helpful. Lindsay was exceptionally helpful." - Mary
"Words can’t express how grateful I am for Dr. Peter Krumins and his fantastic surgical team at Puget Sound Orthopaedics. Thank you for taking care of me! I can’t believe how great I feel after the surgery! I know it will take some time but I will be back dancing, working out and doing all the things I love!!! My deepest gratitude to you all!" - Silvia
“I have given out your business cards to co-workers and others; this is the best practice I have ever been to!” - Bill
"I just love Dr. Thomas. He's very friendly with a wonderful sense of humor." - Colleen
"Dr. Smith showed great care and concern, and initiated a necessary second surgery very efficiently. He showed me x-rays of the repair he needed to do. He spent adequate time with me and my spouse and reviewed medications from the first surgeon in New York." - Charlene
"Dr. Coray was fantastic: very informative and he didn't rush me out the door." - Carol
"I have seen Dr. Bede since 1984. His thoroughness has always been a strong point." - Aaron
"Dr. Coray took his time to explain the options and didn't push unnecessary treatment, tests, or pills. Overall, this was a very good experience and developed trust." - Tina
"Dr. Ghidella was very informative and answered all my questions. He explained the process of surgery, should that be necessary. I highly recommend him to anyone looking for answers that have the same problems I have experienced."
"Dr. Martin is awesome and I will always recommend him to family and friends." - Shellie
"I had a lower back injury. The injury was very bad and created several medical problems for myself. Dr. Martin spent time giving me an education about my medical problems with my back. Dr. Martin is a medical professional. He cares about his patient, his customer service is outstanding and very good. I will give him a rating of 5/5, 10/10, and 100/100 percent. I believe I can evaluate Dr. Martin one of the best in the medical business after L4, L5 spine and a fusion. Dr. Martin YOU ROCK!" - Mr. Jacobs
"My experience in your office was very pleasant. It is a nice office with very friendly and knowledgeable associates. The X-ray technician was very nice. I was nervous about seeing the doctor, but Dr. Coray made me feel at ease and put my worries about my knees to rest. Thank you all so much."
"Dr. Coray was tremendous: caring, gentle, and very informative for me. He walked me through every step." - Deborah
“Dr. Bargren is always helpful and explains things very well. I always feel like he is giving me his full attention.” - Anonymous
“Dr. Ghidella is always informative, shows concern, and speaks in a language in which I can understand. I would definitely recommend him to others.” - Kristina
"Maggie, Dr. Thomas' PA, is great. Really knows what she is doing. The whole staff is very good." - Diana
"Dr. Coray is an excellent doctor. I have total trust in him!" - Larry
"When Dr. Krumins saw me, he took as much time as was needed to discuss my case. He did not rush at all and was exceptionally thorough." - Gregg
“Puget Sound Orthopaedics is the most positive place I have ever worked. My co-workers and our providers all work together to give the best patient care. We are all a great team.” – Alissa F.
"Dr. Jenkins is excellent. I am fortunate to be in his care. The whole staff is superb!" - Miller I.
"We have always had wonderful care from Dr. Smith. He is kind, caring and very knowledgeable. We have referred many patients to him. - Anonymous
"Dr. Coray provided a series of constructive actions to take and explained them in clear and concise terms." - Alexander