Injury of the month

Injury of the month: Office Christmas Party Inuries

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Injury of the month: office Christmas party injuries

The office Christmas party season is in full swing and much as we always love to see you, we prefer it even more if you remain uninjured. So we have some helpful tips to help you avoid injury at this treacherous time of the year:



1. Don't Drink and ice skate

To avoid painful falls, ice burns and sliced fingers, stay off the Mulled Wine until you've cleared off the ice.

And go easy on the triple toe loops. No one likes a show off.


2. Take care with the office decorations

RoSPA says that around 1,000 people a year are injured by their Christmas decorations. Nasty things those baubles!

Be sensible: use step ladders, rather than that spinning office chair, or get someone else to put the decorations up and take the risk.


3. Pull those crackers carefully

Christmas crackers can contain not only ridiculous hats and stupid jokes, but also explosive charges and missiles.

Don't pull crackers close to someone's ear, however much you dislike them and certainly don't pull a cracker with so much vigour that the plastic toy/magnifying glass/miniature pack of cards flies out at such a speed as could cause blindness should they strike someone in the eye.


4. Don't Drink and Drive

There's no need to risk it when you have a world class public transport system on your doorstep and a pair of feet to get you home after the office do.

In fact, book that taxi before you go out.

Stay Safe and enjoy the Christmas Party Season!

Words by NoviceRunnerNik aka Nicola Bathe.

Injury of the month: ACL Injuries

The Anterior Cruciate Ligament (ACL) is one of two main internal stabilisers of the knee. Along with the Posterior Cruciate Ligament (PCL), the cruciate ligaments work in concert to reduce shear (to the front and into rotation) of the tibia on the femur. This is only one of many functions of the ACL and is one of the main reasons why the ACL becomes damaged.

The anatomy of the knee

The anatomy of the knee

As you can see from the above diagram, the ACL has close links to the medial meniscus (cartilage), which is in turn attached to the medial collateral ligament. Remember this, it will become important later….

Main Functions of the ACL

The main function of the ACL is to reduce anterior translation and rotation of the tibia on the femur. It also has an important role in the brain’s understanding of where the knee is in space.

How Does It Go Wrong?

There are a number of ways ACL injuries occur:

  • intrinsic - i.e. occur due to movement or loading of the individual knee in a way that overloads the ACL to the point of damage or

  • extrinsic - i.e. trauma caused by a blow causing overload of the ACL to the point of damage.

Classically, the ACL becomes damaged during deceleration movements with the lower leg is turned outwards relative to the knee, which is why physios keep banging on about hip, knee and foot being in alignment as this reduces this type of shear. This can come from sudden changes in direction, poor landing from a height or pivoting with a fixed foot.

Extrinsic (traumatic) can be caused by force striking (usually) the outside of the knee. In the most severe cases, due to the close links between the structures, an ACL tear can also involve the medial meniscus and medial collateral ligament - also known as the ‘Unhappy Triad’ injury.

What can I do to reduce the risk of ACL injuries?

Much of this needs to be taken care of through management of well aligned movement patterns. If the resting position of the lower limbs tends towards either knees facing forwards with feet turned out or feet facing forward with kneed facing inwardly, stress on the ACL is increased. There are two main contributors to this, either poor hip and trunk control and/or tightness in the calf (especially gastrocnemius) muscle. There seems to be some unpublished data suggesting a predeterminant of ACL injury can be recent poorly/incompletely rehabilitated ankle injuries which then place more load upon the knee.

Read our blog post on how to avoid skiing-related ACL injuries.

What happens if it goes wrong?

An ACL injury is generally accompanied (but not always) by significant swelling. A feeling of the knee giving way (especially on going down slopes or hills) is also a good indicator, however there is usually a significant loss of range of movement and pain that are more obvious indicators.

What should I do?

That depends upon the severity of the injury and what you would like your lifestyle to include. A surgical opinion is highly recommended, however there is quite a trend currently to eschew surgery and rehabilitation in favour of non-operative management.

In my experience this tends to prolong the inevitable surgery and rehab if you are interested in an active lifestyle with multidirectional sports/activities. Rehabilitation can be a long, frustrating process (between 9 and 12 months) however whilst it won’t ever return the knee to the ‘perfect’ pre-operative state, it will give you a strong, functional knee that will allow you to continue the vast majority of activities with minimal restriction.

If you’re having knee trouble, call us on 02030 12 12 22 to make an appointment with one of our knee specialists.

Words by Paul Martin.