Understanding, diagnosing, and treating common sports related knee conditions
Sports and recreational activities place significant demands on the knee joint. Whether you’re a weekend jogger, a competitive athlete, or simply active in your day-to-day life, the knee is vulnerable to injury due to its complex structure and load-bearing role. Sports knee injuries can involve the ligaments, tendons, meniscus, cartilage, or bone, and may range from minor strains to complex trauma requiring surgical intervention.
Dr George Awwad is a fellowship-trained orthopaedic surgeon with extensive experience in the diagnosis and treatment of sports-related knee injuries. His approach includes thorough assessment, personalised treatment planning, and clear rehabilitation pathways to help you recover function and return to the activities you enjoy.
Common types of sports-related knee injuries
Several knee injuries are more common in people who play sport or engage in physical activity, including:
1. ACL tears
The anterior cruciate ligament (ACL) helps stabilise the knee, especially during pivoting or rapid direction changes. ACL injuries are common in football, netball, skiing, and basketball.
2. Meniscal tears
The meniscus acts as a shock absorber between the femur and tibia. Twisting injuries while the foot is planted may tear the meniscus, causing pain, swelling, and catching sensations.
3. MCL and LCL sprains
The medial and lateral collateral ligaments provide side-to-side stability. These can be stretched or torn with impact or force from the opposite side of the knee.
4. Patellofemoral instability
Dislocation or subluxation of the kneecap (patella) often occurs during jumping or twisting, particularly in athletes with anatomical risk factors or previous injury.
5. Tendon injuries
Sports that involve jumping or repetitive force may lead to patellar or quadriceps tendon strain, inflammation (tendinopathy), or even rupture.
6. Cartilage damage
Focal defects in the cartilage may occur from trauma or repetitive impact, especially in younger athletes, leading to pain, swelling, and mechanical symptoms.
7. Bone injuries and fractures
In high-impact sports, fractures around the knee (including the patella or tibial plateau) can occur and may require surgery.
Symptoms of sports knee injuries
Symptoms vary based on the type and severity of the injury but may include:
- Sudden pain at the time of injury
- Swelling or bruising
- Feeling of instability or “giving way”
- Locking, catching, or clicking in the joint
- Difficulty bearing weight or straightening the knee
- Reduced performance or confidence in sport
Some injuries, like cartilage or meniscus damage, may develop or worsen gradually if not addressed early.
Diagnosis and imaging
Accurate diagnosis is essential for appropriate treatment. During your consultation, Dr Awwad will perform a thorough assessment that includes:
- Discussion of the injury mechanism and your sports involvement
- Physical examination of knee movement, strength, and stability
- Imaging investigations to assess the internal structures of the knee
Common imaging tests may include:
- X-rays: To rule out fractures or joint misalignment
- MRI scan: To evaluate soft tissues such as ligaments, menisci, cartilage, and tendons
- Ultrasound: Sometimes used for tendon or fluid assessments
Treatment options for sports knee injuries
Treatment depends on the location, pattern, and severity of the injury, as well as your age, activity level, and bone quality.
Non-Surgical Management
For mild to moderate injuries, treatment may include:
- Rest, ice, compression, elevation (RICE)
- Activity modification and load management
- Physiotherapy to restore strength and stability
- Bracing or taping for support
- Anti-inflammatory medication or targeted injections
Surgical Intervention
If symptoms persist or the injury is more severe, surgery may be recommended to restore stability and function. This may include:
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ACL reconstruction
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Meniscus repair or trimming
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MPFL reconstruction (for patellar instability)
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Cartilage repair procedures
- Tendon repair (e.g. patellar or quadriceps tendon rupture)
-
Knee arthroscopy for diagnosis and treatment
Dr Awwad performs both arthroscopic (keyhole) and open procedures using contemporary techniques and, where appropriate, patient-specific planning or robotic-assisted surgery.
Non-Surgical Management
For mild to moderate injuries, treatment may include:
- Rest, ice, compression, elevation (RICE)
- Activity modification and load management
- Physiotherapy to restore strength and stability
- Bracing or taping for support
- Anti-inflammatory medication or targeted injections
Surgical Intervention
If symptoms persist or the injury is more severe, surgery may be recommended to restore stability and function. This may include:
-
ACL reconstruction
-
Meniscus repair or trimming
-
MPFL reconstruction (for patellar instability)
-
Cartilage repair procedures
- Tendon repair (e.g. patellar or quadriceps tendon rupture)
-
Knee arthroscopy for diagnosis and treatment
Dr Awwad performs both arthroscopic (keyhole) and open procedures using contemporary techniques and, where appropriate, patient-specific planning or robotic-assisted surgery.
Recovery and return to sport
Recovery time will vary depending on the injury, your overall health, and the type of treatment. Dr Awwad works closely with your physiotherapist to develop a personalised rehabilitation plan, which may include:
- Guided exercises to restore range of motion and strength
- Gradual return-to-sport programs
- Injury prevention strategies to avoid re-injury
- Monitoring progress and addressing any concerns along the way
Clear timelines and goals will be discussed with you based on your activity level and recovery milestones.
When to seek a specialist opinion
If you’ve experienced a knee injury during sport and have ongoing pain, swelling, instability, or reduced performance, it may be time to seek further assessment. Early diagnosis and treatment can prevent further damage and improve your outcomes. Dr George Awwad welcomes patients of all ages and sporting backgrounds. Whether you’re a professional athlete or recreational runner, a tailored approach will be developed to support your recovery and return to the activities you love.