Skiing and the knee
Long boots, fixed bindings and high speeds create twisting forces that the knee absorbs directly — which is why the knee is the most commonly injured area in skiing. Falls and outstretched-arm landings add shoulder and thumb injuries to the picture.
Most ski injuries are acute, happening in a single fall or twist. Many are preventable with the right conditioning, equipment set-up and technique.
Common ski injuries
- checkACL and MCL tears from twisting falls — the classic ski knee injuries.
- checkMeniscus tears often alongside ligament damage.
- checkSkier’s thumb a ligament injury from falling onto a planted pole.
- checkShoulder dislocation from falling onto an outstretched arm.
- checkWrist and collarbone fractures from heavy falls.
Getting the right diagnosis
A twisting fall with knee swelling, instability or a “pop” should be assessed with an examination and usually an MRI to identify ligament and meniscus injuries, which often occur together. Thumb and shoulder injuries are assessed clinically and with X-rays or scans as needed.
Marked swelling, an inability to bear weight, a deformed joint, or numbness needs prompt assessment — ideally before travelling home.
Treatment & prevention
Treatment depends on the structures injured, from bracing and rehabilitation to arthroscopic reconstruction. Prevention rewards preparation:
- Pre-season strength and conditioning for the legs.
- Correctly adjusted bindings that release appropriately.
- Skiing within your ability and fatigue limits.
- Learning to fall and avoiding the instinct to fully straighten the leg.
Recovery & return
Recovery varies widely with the injury — from a few weeks for a minor sprain to several months for a reconstructed ligament. Return to skiing is guided by regained strength, control and confidence, so the knee is ready for the demands of the slope.