Construction work is one of the most physically demanding professions, placing immense strain on a worker’s body, particularly the knees. Construction workers may suffer knee injuries due to repetitive movements, sudden trauma, or falls, which can lead to long-term complications, chronic pain, and even disability. When these injuries occur due to unsafe working conditions or negligence, injured workers have the right to seek compensation.
Michael Lamonsoff: "The Bull" in Construction Accident Litigation
Michael S. Lamonsoff, the founder of the Law Offices of Michael S. Lamonsoff, PLLC, is a fierce advocate for injured construction workers in New York. Known as "The Bull" for his determined and fearless approach, Mr. Lamonsoff fights for maximum compensation for his clients.
A top-rated construction accident attorney, he is admitted to practice in all State Courts of New York and the Federal District Courts for the Southern and Eastern Districts of New York. His outstanding legal achievements have earned him a place on the Board of Directors of the New York State Trial Lawyers Association and multiple recognitions from Super Lawyers. His tenacity in litigation ensures that injured construction workers receive the justice they deserve.
Types of Serious Knee Injuries on Construction Sites
The knee is a complex joint, consisting of bones, ligaments, cartilage, and tendons, making it vulnerable to a variety of injuries on construction sites. Severe knee injuries can lead to prolonged recovery times, permanent disability, or even career-ending consequences for construction workers.
Torn Ligaments (ACL, PCL, MCL, LCL)
Ligaments in the knee are vital for stability and movement. Construction workers often experience ligament tears due to sudden twists, falls, or direct trauma. The most commonly affected ligaments include:
- Anterior Cruciate Ligament (ACL) – Torn ACLs often result from sudden directional changes or high-impact falls. This injury can cause severe instability and usually requires surgical reconstruction.
- Posterior Cruciate Ligament (PCL) – The PCL is typically injured due to direct blows to the front of the knee, often occurring in falls or accidents involving heavy equipment.
- Medial Collateral Ligament (MCL) and Lateral Collateral Ligament (LCL) – These ligaments are responsible for side-to-side stability. They can be damaged when the knee is forcefully bent sideways due to falls, sudden impacts, or heavy lifting.
Meniscus Tears
The meniscus is a rubbery cartilage that cushions the knee joint. A torn meniscus can result from frequent squatting, kneeling, or twisting movements. Symptoms include severe pain, swelling, and difficulty fully extending or bending the knee. In severe cases, surgery may be required to repair or remove the damaged cartilage.
Patellar Fractures (Broken Kneecap)
A fractured patella can occur when a worker falls directly onto their knees or is struck by falling objects. This type of injury is extremely painful and can significantly impact mobility. Recovery may involve surgical intervention, prolonged immobilization, and physical therapy to regain function.
Dislocated Kneecap (Patellar Dislocation)
A patellar dislocation happens when the kneecap moves out of its normal position, usually due to direct trauma or a sudden, forceful twist of the knee. Dislocations cause intense pain, swelling, and instability, requiring immediate medical attention to reposition the kneecap and prevent long-term damage.
Bursitis (Inflammation of the Bursa Sac)
Bursae are small, fluid-filled sacs that cushion the knee joint. Repetitive kneeling, prolonged pressure, or direct trauma can inflame the bursae, leading to painful swelling and reduced mobility. Chronic bursitis is common among construction workers who frequently work on their knees without proper protection.
Tendon Injuries (Patellar Tendonitis and Ruptures)
Tendons connect muscles to bones, and the patellar tendon is essential for knee movement. Overuse or excessive strain can lead to patellar tendonitis, which causes pain and inflammation. In severe cases, the tendon can rupture completely, requiring surgical repair.
Osteoarthritis Due to Repetitive Strain
Repeated stress on the knee joint from kneeling, squatting, heavy lifting, and prolonged standing can lead to osteoarthritis, a degenerative joint disease. Osteoarthritis results in chronic pain, stiffness, and reduced mobility, making it difficult for construction workers to continue their duties over time.
Causes of Knee Injuries on Construction Sites
Construction workers are exposed to various hazards that increase their risk of knee injuries. Some of the most common causes include:
Slip and Fall Accidents
Slip and fall accidents are among the leading causes of knee injuries in the construction industry. Uneven surfaces, loose debris, wet or icy floors and inadequate lighting can contribute to these accidents. Workers who slip and land awkwardly on their knees may suffer from torn ligaments, fractures, or dislocations. Slipping can also lead to hyperextension of the knee, causing severe strain on tendons and ligaments. Proper housekeeping, clear signage, and slip-resistant footwear can mitigate these risks.
Falls from Heights
Working at elevated heights, such as on scaffolding, ladders, or rooftops significantly increases the risk of falls. A fall from even a few feet can cause a serious knee injury, while falls from greater heights often result in multiple fractures or severe ligament tears. The force of impact can dislocate the kneecap or crush the cartilage, leading to long-term mobility issues. Employers should enforce strict fall protection measures, including guardrails, harnesses, and properly secured ladders.
Repetitive Kneeling and Squatting
Many construction tasks, such as flooring, tiling, plumbing, and electrical work, require frequent kneeling and squatting. These repeated movements put excessive pressure on the knee joints, leading to conditions like bursitis (inflammation of the bursa sac), meniscus tears, and osteoarthritis over time. The prolonged stress can degrade cartilage, making the knee more susceptible to injury even from minor impacts. Using cushioned knee pads, ergonomic positioning, and frequent breaks can help reduce strain.
Heavy Lifting and Carrying
Construction workers regularly lift and carry heavy materials, such as concrete bags, steel beams, and tools. This places immense pressure on the knee joints, increasing the risk of ligament damage, strains, and long-term joint deterioration. If a worker lifts improperly—such as twisting while carrying a load—the knee can become unstable, leading to acute injuries like ACL or meniscus tears. Proper lifting techniques, supportive footwear, and using mechanical aids like dollies can help reduce strain on the knees.
Falling Objects
Construction sites have a high risk of tools, materials, and debris falling from elevated work areas. A direct impact on the knee from a falling object can cause severe trauma, including fractures, dislocations, or deep bruising. Even small objects, when dropped from significant heights, can generate enough force to cause lasting damage. Wearing proper personal protective equipment (PPE), including knee guards and reinforced work pants, can offer additional protection.
Machinery and Equipment Accidents
Heavy machinery and power tools, if not used correctly, can pose serious risks to workers’ knees. Getting caught in moving machinery, being struck by equipment, or experiencing a malfunction can result in crushing injuries, deep lacerations, or severe joint damage. These accidents can lead to permanent disability if nerves, tendons, or ligaments are severely compromised. Proper training, machine maintenance, and adherence to safety protocols are essential for preventing such injuries.
Lack of Proper Safety Gear
Many knee injuries occur because workers are not provided adequate protective gear. Knee pads, reinforced work pants, and proper footwear are crucial for those who kneel, crawl, or work in environments with falling debris. Without proper protection, even minor repetitive impacts can contribute to long-term joint damage. Employers should provide workers with high-quality PPE and ensure compliance with safety guidelines to minimize injury risks.
Steps Construction Contractors Should Take to Minimize the Risk of Knee Injuries for Workers
Employers and site managers must take proactive measures to minimize the risk of knee injuries on construction sites. Some essential steps include:
- Provide Proper Personal Protective Equipment (PPE): Employers should supply workers with knee pads, slip-resistant boots, and other protective gear to prevent impact and strain injuries.
- Implement Fall Prevention Measures: Scaffolding, guardrails, harnesses, and other fall-prevention equipment must be properly installed and maintained to reduce the risk of falls from heights.
- Ensure a Clean and Hazard-Free Worksite: Regularly inspecting and maintaining construction sites to remove tripping hazards, debris, and slippery surfaces can prevent slip and fall accidents.
- Enforce Safe Lifting Techniques: Employers should train workers on proper lifting techniques and provide mechanical lifting assistance to reduce strain on the knees.
- Provide Regular Safety Training: Comprehensive safety training should be conducted to educate workers about injury prevention, ergonomic practices, and the importance of proper body mechanics.
- Encourage Stretching and Breaks: Workers should be encouraged to take frequent breaks and perform stretching exercises to reduce strain on the knees and lower body.
- Ensure Proper Use of Equipment: Machinery and tools should be well-maintained and used correctly to prevent accidents that could result in knee injuries.
- Implement a Reporting and Response System: Workers should be encouraged to report hazards immediately, and employers must act swiftly to address safety concerns and prevent injuries.
Maximize Your Compensation with Our Seasoned Construction Accident Lawyer
Knee injuries on construction sites can be debilitating, affecting a worker’s ability to perform their job and maintain their livelihood. When these injuries occur due to unsafe working conditions or employer negligence, workers have the right to seek compensation.
Michael S. Lamonsoff, "The Bull," is a proven advocate for injured construction workers. His tenacious and fearless approach ensures that negligent employers and insurance companies are held accountable, maximizing compensation for those who suffer from serious knee injuries. If you or a loved one has sustained a knee injury on a construction site, reach out to The Law Offices of Michael S. Lamonsoff, PLLC today. To schedule your free consultation, call us at 212-962-1020 or fill out this online contact form.