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Unhappy Triad or winded knee joint or Terrible Triad is a aesculapian status involve acute hurt to theknee . It is named so because it imply injury to three major structure of the knee which are :
Unhappy Triad or Blown Knee or Terrible Triad imply fond or full tears of these 3 major social structure . frightful Triad and O’Donoghue Triad is also a name given to the Unhappy Triad . It also involves other skeletal elements such as kneecap , femur andtibia . Muscles are not directly call for in this type of injury , only the ligaments are involved , but strengthen thehip flexorand hip extensor sinew greatly helps in relieving this eccentric of trauma . The major ligaments of genu are the MCL , PCL , ACL and LCL . The median and sidelong indirect ligament primarily substantiate the varus and valgus effect . The prior and posterior cruciate ligament suppress the anterior and posterior displacement of the tibia on the femur.[1 ]
Etiology of the Unhappy Triad or Blown Knee or Terrible Triad
Unhappy Triad or Blown Knee or Terrible Triad is a severe knee harm involve complete or partial tears of three major structures of the knee which are the ACL , median meniscus , and MCL . This type of severe injury outcome after exorbitant force is applied to the knee . This type of extensive strength usually occurs with impinging sports rugby football , soccer etc . It may also go on due to car accidents or othertraumatic injuriesto theknee . If the knee gets twisted while the metrical foot is fixed to the earth , then also it result in the unhappy triad . Around 10 % of the case affect force to the opposite side of the knee resulting in torn sidelong and posterolateral ligaments.[2 ]
Symptoms of Unhappy Triad or Blown Knee or Terrible Triad
Treatment for Unhappy Triad or Blown Knee or Terrible Triad
Conservative Treatment for Unhappy Triad or Blown Knee or Terrible Triad
Surgical Treatment for Unhappy Triad or Blown Knee or Terrible Triad
sketch like Adam - ray or charismatic resonance imagination is good for confirmation of the diagnosis . If the accidental injury is severe then surgery is recommend . Surgical options includeACLreconstruction with a transplant which is commonly rent from the hamstrings or patellar tendon . The character of graft which are done for resort of tear ACL in the Unhappy Triad are hamstring tendon autograft , quadriceps tendon autograft , and patellar tendon autograft . Treatment for torn meniscus is meniscectomy , repair of the rent of the meniscus , and organ transplant of the meniscus . The MCL usually heal by itself . The leg should be immobilized with the avail of a genu brace so it can bring around faster . An all-embracing reclamation syllabus should be undertaken by the patient in fiat to find complete durability and motion of the knee . Certain factors should be taken into condition before deciding on surgery such as the affected role ’s activity tier , patient ’s participation in sports or labor intensive military control , age is another significant factor that should be consider before deciding on operating room as there can be complications in very untried patients who are still grow . General wellness of the affected role should also be see and the patient role ’s ability to resist the operation . Patient ’s accompaniment system should be unassailable as the affected role involve supporter for need after the surgery.[3 ]
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