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| | |-+  Medial Subluxation and me.... My never ending Saga..
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Author Topic: Medial Subluxation and me.... My never ending Saga..  (Read 766 times)
Silkncardcrafts
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Re: Medial Subluxation and me.... My never ending Saga..
« Reply #30 on: November 10, 2009, 10:34:47 am »

Hi Sandman,

Please ask about doing some CT scans. They are the best types of scans together with plain x-rays to assess patella problems. My OS is one of the world's top knee surgeons on patella problems and he advised me at one point that MRIs are useless for patella problems.

I really hope you get the right help soon. It really saddens me.

Yesterday I saw my OS and am scheduled to have an arthroscope and trochleoplasty on my right knee in early February. Can't wait to have it as I am in so much pain and my stability is not great.
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11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
2008 - possible LK Trochleoplasty
02/08 - knee surgeon appt
22/05/08 - LK Trochleoplasty
12/06/09 - knee surgeon appt to discuss right knee
sandmanusd
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Re: Medial Subluxation and me.... My never ending Saga..
« Reply #31 on: November 11, 2009, 12:56:27 am »

Hi Sandman,

Please ask about doing some CT scans. They are the best types of scans together with plain x-rays to assess patella problems. My OS is one of the world's top knee surgeons on patella problems and he advised me at one point that MRIs are useless for patella problems.

I really hope you get the right help soon. It really saddens me.

Yesterday I saw my OS and am scheduled to have an arthroscope and trochleoplasty on my right knee in early February. Can't wait to have it as I am in so much pain and my stability is not great.

Thanks for the advice, I was sent some studies regarding stress X-ray and its use in this situation and told my current doc about the study.  He had never heard of it and said he would look into it.
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Silkncardcrafts
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Re: Medial Subluxation and me.... My never ending Saga..
« Reply #32 on: November 11, 2009, 06:17:41 am »

I can't believe that. You definitely need to find a PFJ specialist. They obviously do not have the skills or experience to treat you. CT scans are just so important as they give important measurements of your patella.
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11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
2008 - possible LK Trochleoplasty
02/08 - knee surgeon appt
22/05/08 - LK Trochleoplasty
12/06/09 - knee surgeon appt to discuss right knee
sandmanusd
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Re: Medial Subluxation and me.... My never ending Saga..
« Reply #33 on: November 12, 2009, 05:53:42 pm »

I can't believe that. You definitely need to find a PFJ specialist. They obviously do not have the skills or experience to treat you. CT scans are just so important as they give important measurements of your patella.

yeah my doc said he thinks i have just slight subluxation, and said that any surgery done would be like tring to make a micrometer adjustment with a chainsaw....

but i just think he doesn't have the right "tools" AKA studies to look at to see what needs to be done.  All he has done is looked at that MRI that he himself said was pretty worthless images because the way they were done.  But he said "If thats the way they did them, then thats the standard way that they are normally done"... which I dont buy... I just think the facility I went to doesn't know what they are doing.  And my doctor doesn't know what to ask for.
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crankerchick
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Re: Medial Subluxation and me.... My never ending Saga..
« Reply #34 on: November 12, 2009, 06:31:18 pm »

"If thats the way they did them, then thats the standard way that they are normally done" = clueless

run
fast

or

limp
fast

Seriously, I'm with Silkncardcrafts and ClippedWings. You need a real specialist if that is possible where you are. You are wasting your time otherwise and possibly setting yourself up for a bad diagnosis and inopportune possible surgery. I wouldn't keep fooling with this guy if it were me, he doesn't have a clue.
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I'm too young for this!
3/27/2007 - medial plica excision
10/20/2009 - derotational osteotomies (femur & tibia) + TTO
>12/1/2009 - 6 weeks post-op xray
sandmanusd
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Re: Medial Subluxation and me.... My never ending Saga..
« Reply #35 on: November 13, 2009, 07:38:56 pm »

Luckily he referred me to Kerlin-Jobe Clinic down in L.A.

He said something to the effect that I could have the Doctor down in L.A. do my surgery or he could do it, it was up to me.  Which is about as close to "I dont want to do your surgery cuz I dont know what to do" as I will get with this guy.  He is one of the most arrogant men I have ever met, regardless of profession... but especially the most arrogant Doctor I have met by far.

But I wont let anyone cut on me who isn't a specialist who has the confidence to do it and the experience to know what they are doing blindfolded.

Getting to where I want to go is a long process... as its Workers Comp... so they want to do things the cheapest and easiest, and have a say in whatever gets done.... They would rather send me to 10 doctors that they want before they would send me to someone I want.  efficiency is not their middle name... by far.
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Silkncardcrafts
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Re: Medial Subluxation and me.... My never ending Saga..
« Reply #36 on: November 14, 2009, 10:33:26 am »

I would be running as far away as you can from the doc you've been seeing. Obviously has no clue about patella problems.

Just make sure the next doc specialises in patella problems. Ask them about a CT scan. If they don't believe in one they obviously aren't a patella specialist.

In the end it will cost them more money.
Logged

11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
2008 - possible LK Trochleoplasty
02/08 - knee surgeon appt
22/05/08 - LK Trochleoplasty
12/06/09 - knee surgeon appt to discuss right knee
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