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Author Topic: 4 days ago knee went pop on the court.  (Read 487 times)

Offline ACceLerator

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4 days ago knee went pop on the court.
« on: September 15, 2017, 12:38:51 AM »
Hello,

See attached photos, the brown leg day 1 the other photo day 3

https://drive.google.com/folderview?id=0B8TXGQp1jV6STmR0SzJDQ1dPdjA

Basketball for 25 years, I'm 34 now, was playing Monday night and my right knee went pop on a jump stop as I was twisting towards the basket. A move I have done 1000s of times.

Felt a pop as soon as I landed, went down on the floor with what felt like a knife in the outside of my right knee. Crawled myself off the court and watch my team blow a lead and lose by 4.

Pop happened at 7:30pm. Woke up with swelling but not that bad. No bruising or blood under the skin. The knee is still pretty stiff now, 3 days later, but I can put full weight on it and almost walk normally, although stiff. I can get up stairs normally but stiff.  Although I'm getting pain in the right hip now from walking funny to protect the knee.

Saw the most unhelpful person at homerton a&e the next day. She prodded and pulled and wrapped it saying keep off it and see a sports physio in 4 weeks.

My gp is sending me out an MRI referral and I'm seeing a sports leg physio tomorrow.

This sounds like an ACL right? The woman at the a&e said she thinks it's meniscus tear and not ligament? I don't agree with her one bit. She was so angry to see me 😒

3 days on the swelling is pretty minimal but the knee is stiff. Each day I wake up I'm amazed by the improvement. The knee feels sold and not sloppy , and the minimal tests the doc did at a&e couldn't see any movement between the joint.

Thoughts? I guess I just need to start collecting the pieces of the puzzle. If it is torn I'll go straight for the surgery as soon as I can, as I enjoy being active too much and I'll miss basketball.

« Last Edit: September 15, 2017, 12:58:57 AM by ACceLerator »

Offline mtngirl

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Re: 4 days ago knee went pop on the court.
« Reply #1 on: September 15, 2017, 01:46:40 AM »
I tore my ACL and the one thing I think everyone has in common is that the knee is very unstable. It buckles in, out or bacwards.

I had minimal swelling with mine, didn't hurt to touch, rub, prod the knee, but I could not bear weight. There must have been some internal swelling as I couldn't bend it normally.

Look up Lachmans test on YouTube. That is one in office test they do for ACL. MRI will give the full story whatever it is! I hope it's not a partial ACL tear.
Backcountry skiing injury 1/29/2017
ACL recon (R, patellar autograft) 2/14/2017

Offline Navtinho

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Re: 4 days ago knee went pop on the court.
« Reply #2 on: September 15, 2017, 02:27:08 PM »
I tore both my acl's a month or so apart from each other, the first tear I had sounds exactly like the incident you are describing except I was playing indoor soccer,landed on one leg (left) and felt my knee go.
It was diagnosed as na MCL tear without an MRI, I returned to playing a month or so later and the other knee (right) went in a similar manner, so I followed the same protocol, but I had repeated incidents, so the OS sent me for an MRI which confirmed the ACL tear and I had surgery (right)

So for about 8 years I went on believing that I had only tore one ACl....until I went for a follow up a month or so ago, OS sent me for an MRI on both knees and I found out that my "good knee" (left) was ACL deficient. Which was a surprise considering the lack of symptoms over a long time period.

Anyway, moral of my long story  :D is that an MRI is best way of actually confirming whether you have a tear. Diagnosis based on symptoms and physical exams are not 100 % accurate.

Having said that, I really hope that you dont have an ACL tear, whatever the diagnosis dont rush back to activity, give it the time it needs to heal and rehab well

Offline ACceLerator

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Re: 4 days ago knee went pop on the court.
« Reply #3 on: September 17, 2017, 01:04:18 PM »
I went and saw a physio the other day, she is 90% sure it's an ACL. She has torn 2 herself.  She advised to get walking and rehab it as soon as possible. Just don't do basketball. :(

I'm getting an MRI this Saturday, so will report back in when I have those results.

Offline ACceLerator

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Re: 4 days ago knee went pop on the court.
« Reply #4 on: September 17, 2017, 01:45:53 PM »
Did you ever have trouble with the left knee that had a torn acl for 8 years?

Online Vickster

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Re: 4 days ago knee went pop on the court.
« Reply #5 on: September 17, 2017, 02:06:05 PM »
Sounds like the system is moving quickly for you. Where are you in the UK? Private Healthcare? If so do your research and find an ACL specialist rather than a more general knee surgeon

Good luck
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline ACceLerator

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Re: 4 days ago knee went pop on the court.
« Reply #6 on: September 17, 2017, 05:46:12 PM »
I'm in London in Islington area. I could have had the MRI yesterday through nhs but I already had something else booked. The physio was out of my own pocket. Nhs physio is still not till October.

Anyone know of an acl specialist? Can you pick and choose through nhs?

Online Vickster

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Re: 4 days ago knee went pop on the court.
« Reply #7 on: September 17, 2017, 05:53:42 PM »
I think you can choose a hospital but not a specific consultant on the NHS. Privately around London ACL will be 7-12k depending on who and where

Top ACL surgeons around London would include Andy Williams, Andrew Davies, Jonathon Lavelle (private only I think, look up the Fortius Clinic which is in Harley St probably) and Jonathan Bell in Wimbledon (but private only and ). Bupa consultant finder is good for getting details

My surgeon is SW London is extremely experienced too (not that I've had ACL, but he did this posters, Piquet)

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=67842.msg641059#msg641059

Find a surgeon who does lots of ACLr

There's a surgeon list linked above
« Last Edit: September 17, 2017, 06:13:45 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline Navtinho

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Re: 4 days ago knee went pop on the court.
« Reply #8 on: September 18, 2017, 07:30:27 PM »
Hi,

Firstly I think your physio gave you good advice regarding rehab/prehab. I waited a year or so due to medical insurance issue before having the ACLr  on my right knee, and I did a few months of prehab with a bio kinetecist, I think a physio would also be able to specify the correct sort of exercises for you. This should help to make sure that the muscles around your knees dont atrophise too much before the surgery.

After my ACLr, I cut out football (soccer) completely. I may have been good to go physically/funtionally, but 80 % of the battle is mental.....didnt really want to risk going through the whole saga again. Speed was my strength before the injury, but afterwards I switched to middle distance running (5 -10 km) avoiding cutting movements.

So basically, because the incidents happened so close to each other and I cut off the risky activities immediately after I knew I had one torn ACL, I didnt have any issues.
Also, I did both the prehab and the rehab bilaterally  so I guess it helped strengthen both knees.

Although, I aways favoured the right leg in everything I did, example I aways landed on the left leg after vaulting over something and I never had any issues.
Also after a 10 km run my right knee would be a little stiff sometimes with negligible swelling, but nothing at all on my left left knee

Recently, I have been getting back into some martial arts training, and I still feel more comfortable with kicks in which I use my left leg as a base........

Maybe its mental, but I know that in my case at least, the surgery results in some changes in knee mechanics and how it feels during activities.

Im 33 now and I am caught in two minds whether to go for a second surgery or not as I am not experiencing any of the symptoms of an ACL deficiente knee...as yet.
Although I understand the consequences I would like to explore alternatives.

Anyways, our situations are different and if I were in your situation I would definitely do the ACLr.





Offline ACceLerator

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Re: 4 days ago knee went pop on the court.
« Reply #9 on: September 28, 2017, 01:58:35 PM »
Results are in - Full ACL tear and medial meniscus tear, so I'm done for a long time. Getting referred to a surgeon now.

Online Vickster

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Re: 4 days ago knee went pop on the court.
« Reply #10 on: September 28, 2017, 03:10:15 PM »
Good luck. If NHS, hope you don't have to wait too long. Also that they can stitch the meniscus rather than remove given your age and active lifestyle
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline ACceLerator

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Re: 4 days ago knee went pop on the court.
« Reply #11 on: October 07, 2017, 12:51:10 PM »
Hi,

So the referral has arrived and these are the choices of hospitals I have below.

1. the Royal London hospital for integrated medicine
2. Guy's Hospital
3. The royal London Hospital
4. The Whittington Hospital.

What one do you think is the best?

« Last Edit: October 07, 2017, 01:41:20 PM by ACceLerator »

Online Vickster

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Re: 4 days ago knee went pop on the court.
« Reply #12 on: October 07, 2017, 01:00:54 PM »
Which has the best ACL surgeons (those who specialise and do a lot of reconstructions, including referrals for revisions)? Although on NHS I don't think you can choose the surgeon unfortunately
And which is least likely to cancel your op at the last minute? (Probably one without a trauma centre)
..and which has the longest current waits for surgery (I expect all will be 6 months for ACL? Ask your GP)

Aren't 1 & 3 the same?

Can you get a referral to the Royal National Orthopaedic hospital in Stanmore if you're in N London? Although I expect that their waiting times are even longer being a specialist tertiary referral centre

Another major consideration is which will be easiest to get to for rehab, or will you find a private physio (which would be my choice, get one with expertise in ACL rehab)
« Last Edit: October 07, 2017, 01:27:38 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation