Patient question
My knee bent outward in a fall and now the outside hurts. What could it be?
Quick answer
When the knee is forced outward into a bow-legged position, or pushed backward, the lateral collateral ligament (LCL) and the posterolateral corner can be stretched or torn. Pain on the outer knee with any instability deserves prompt examination, because these injuries often occur with cruciate tears, says Dr. Pablo Gelber, knee surgeon at Aman Hospital, Doha.
What happens in this kind of injury
The outer side of the knee is held together by the LCL and a group of nearby structures called the posterolateral corner. A force that pushes the knee outward, a blow to the front-inner side of the knee, or a fall that bends the knee backward can overload them. This is less common than an MCL sprain, but it is often more significant, because isolated outer-side injuries are relatively rare and other ligaments are frequently involved.
What patients usually notice
- Pain and tenderness on the outer side of the knee, sometimes down towards the fibula bone below it
- Swelling and bruising at the side or back of the knee
- A feeling that the knee bends backward too far or wobbles outward when standing straight
- Difficulty on stairs or turning, as the knee does not feel solid
- In some cases, tingling on the top of the foot or weakness lifting the toes
What to do now
Protect the knee with crutches if it feels unstable, use ice and elevation, and avoid testing it with sport. Do not let the knee snap back into hyperextension while walking. If the foot feels numb, weak or cold, or the leg looks deformed, go to an emergency department immediately or call 999 in Qatar.
Why early assessment matters
Outer-side ligament injuries are among the knee injuries most often overlooked at first, and the window for straightforward repair is usually the first few weeks. At Aman Hospital in Doha, Dr. Gelber examines the knee for outer-side opening and abnormal rotation, checks the nerve that runs around the fibula, and arranges MRI and, when needed, stress X-rays to see exactly what is torn.
Frequently asked questions
Is it just an outer knee strain from overuse?
Gradual outer knee pain in runners is usually from the IT band or other overuse causes. Pain that started with a definite injury, especially with instability, points more towards a ligament problem.
Can I walk on it?
Many people can walk, which can be falsely reassuring. If the knee feels loose or bends backward, use crutches and have it examined before increasing activity.
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