KNEEtalk

The SPECIALIST'S OFFICE => Ruptured patellar tendon or ruptured quadriceps tendon => Topic started by: Perplexing on February 10, 2014, 11:23:39 PM

Title: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Perplexing on February 10, 2014, 11:23:39 PM
Hey guys,

Fellow cripply here. I am a 34 year old male, was very active. Did Krav Maga, Muay thai, bjj, CrossFit, yoga...you get the idea.

Well on the 3rd of Jan 2014 (first freaking weekend of New Years) I took my daughters to a trampoline park. After jumping around with them for an hour, we were about to leave when I ran back and thought I would jump a little more - I may have jumped 2 feet high if that, and as soon as I came down heard a pop and fell like a sack of potatoes. And knew instantly something was seriously wrong. Didn't land wrong, wasn't off balance, didn't hit anything. Oh well

After a 6 hour ER visit and tests, the verdict was that I had a dislocated knee + complete ruptured patella, ACL, MCL + torn meniscus and IT Band + convulsion Tibia fracture. * Drum Roll please * Yeah I know there are couple of things left intact.

So exactly on the 7th day (10th of Jan 2014) I had my surgery to fix the Patella tendon and IT Band. The surgeon informed me that there needs to be a second surgery to address the rest of the issues. Its 4 weeks post op. I am full weight bearing, without crutches, in brace locked at -10. Can bend the knee till 90. The swelling is still not completely gone. And it still hurts mostly at night. Its still pretty stiff when I try to move it. Sometimes it feels like the knee cap is going to rip right off during PT.

I sometimes hope that its all a dream and I will wake up and everything will be gone.

---------------------------------------
34, M, 185 lbs, 5'9''

01.03.2014 - Injury
01.10.2014 - Surgery
02.01.2014 - PT
 
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: John42 on February 11, 2014, 09:30:56 AM
Hi Perplexing

Welcome to this exclusive club for RPT injuries.

Not only an RPT, but a host of other knee related injuries.

By now, you will have realised that you have sustained a serious injury with a very long rehab. The key word is " PATIENCE" - don`t rush it.   Read as many previous posts on the RPT thread, and have a look at the undermentioned  webpage - it contains a collection of documents which I have collected together with KneeGuru and essential to get clued up before you commence PT/physio.

Where do you live?

Keep posting and take care.

JohnK/ Manchester UK

https://www.facebook.com/QuadricepsPatellarTendonRupture
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Perplexing on February 11, 2014, 04:33:53 PM
Yes I figured that out pretty quick that this is not your run of the mill bruise. I have read alot and the hardest part has been coping with it mentally.

I went from basically leaving the house in the morning and returning in the evening to sitting in the recliner 23.5 hours a day. Takes a toll on you.
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: John42 on February 11, 2014, 06:46:43 PM
I would suggest that you try and sleep with a cushion/pillow between your knees - they take the weight off your knees.

By the way, where do you live?   assume in the U S A ?

Best wishes

JohnK/ Manchester UK
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Perplexing on February 11, 2014, 07:31:10 PM
Just got back from a 4 week post op appintment. The surgeon said I need to slow down. My flexion is at 130. He seems to think I am moving too fast. He won't change the date of the second surgery citing the need for the tendon to heal (according to him it takes about 3 months for it to heal). So till then I am going to be limping around with a torn ACL, MCL, meniscus.

But I was glad to hear him say that I was healing very quickly and nicely.

And yes I am in USA.
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: bballkingofnba on February 11, 2014, 09:50:00 PM
I would find me a better PT. My surgeon only wanted me to bend to 45 degrees for the first 4 weeks but my idiotic PT made me bend to 90.,.. I have a longer tendon and I am not sure if the PT caused it....Take your time.
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: carkeltom on February 11, 2014, 10:01:43 PM
Perplexing, sorry about the severity of the injuries.  Wow, a second surgery to repair the other half of the issues.  I will tell you that I ruptured both patellar tendons in one fail swoop and spent at least 8 weeks in my braces locked at -10/0 degrees.  I did do some passive flexion, but at 4 weeks I know I was nowhere near 130 and had only been out of the rehab hospital for 2 weeks.   Now, this is all subjective and my injury was the only one my OS has or had seen.  I was advised when I first got on here and have advised all the newbies since I found this forum that patience is a key, but everyone is going to be different and as healthy as you sounded with all your activities, you might be able to handle the advanced progress.

So good luck with the recovery and I would be dreading another surgery and recuperation.  Quad sets if you can do them helped me along with muscle stim.  I am about six months out from the injury and am still finding some things very hard to do. 

Tom
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: John42 on February 11, 2014, 10:26:16 PM
130ROM, four weeks after surgery - watch out or you will rerupture your precious Patella Tendon, your knee should be in a brace or plaster cast for at least six weeks, and then your ROM will be about 30deg.  Then the physio will commence.   

Reminder --- PATIENCE, you have at least six months hard labour in front of you.

JohnK/ Manchester UK
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Stuart Rulka on February 11, 2014, 11:49:27 PM
Perplexing. You certainly bit off a tough one! It seems to be my role to play Devil's Advocate here. My rupture was QT rather than PT, so things are a little different but my PT, who was Chief Therapist at the Vancouver Olympics, had me on an exercise bike at 3 weeks, and my recovery has been little short of spectacular. I was back hiking up mountains at 6 weeks!
   The advantage of early movement seems to be less scar tissue and adhesions and obviously less muscle wasting, so don't be too quick to get down on your PT. he may know more about recovery than your OS.

Good luck
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Frank550 on February 12, 2014, 01:14:22 PM
My 2 pennies worth, is that this just shows how the views of the medical profession vary from OS to OS, some move early some brace longer etc etc...

What I have learned is that you need a TON of patience, listen to advice, don't always assume your surgeon has all the correct answers. Sometimes a second opinion is invaluable.

Stuart is a case in point, hiking after 6 weeks  QTR is amazing, I was just coming out of plaster! then into a brace. We are all individual and heal differently.

Remember PATIENCE PATIENCE PATIENCE. LISTEN to your knee, it will tell you if you're doing too much!

Good luck and keep us posted on developments etc

Frank
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: fishy on February 12, 2014, 11:26:20 PM
Hey Perplexing, Fishy here (double RPT 39 weeks in recovery).  Boy, did you get the "chefs mistake" of knee issues.  I think if you keep reading all these post there is a wide variety of opinions AND results.  The facts as I see them are 1)patience 2)12 weeks to heal the tendon surgery 3) about a year of recovery for the quad issue IF you 1)are patient 2) exercise for ROM and strength.
Remember to be proactive: ie, ask a million questions, don't be afraid to question your OS and PT doc's, and I'll add my own two cents....use every handicapped assist you can (parking, wheel chairs in store(I preferred the motorized)), etc., and lastly humor, laugh at yourself and your situation keep you in perspective....  keep posting....I know I will!
Bob
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: John42 on February 13, 2014, 09:10:38 PM
Hi Perplexing

Well, you have seen posts by fellow RPT/RQT patients -   As I have stated before - 130ROM after six weeks is in my opinion dangerous regardless how fit you have been and in danger of rerupturing the tendon.

You should be in the region of 30/40 ROM with a slow increase to the twelve week stage.  The tendon is even weak after this stage, so calm down a little and remember PATIENCE.

On your next visit to the physio - ask him or her, have you seen this type of injury before, becuse a RPT is very rare.

Ten years on this board, and I have never come across anybody reaching 130ROM within six weeks - so be warned.

JohnK/ Manchester UK
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Kaputt_Knee on February 14, 2014, 05:37:24 AM
John,

remember this is an extremely complex injury not just a RPT repair! While I am also concerned with the rapid progress to such a good flex, Perplexing does have other injuries that actually require good movement during the preparation for their repair. It is a difficult situation - contraindications from both sets of injuries - the repaired ones need care and slower progress, the unrepaired ones need movement and flexibility.

Difficult one to call here so IF Perplexing's surgeons and PT are OK with it, I think we should maybe take it onboard and see how things go. You've been told to slow down by your surgeon Perplexing, so maybe focussing on other aspects should now be your priority - extension is fairly important as full extension permits you to walk without a limp.

Some people do heal quickly, others more slowly. When you have just one injury to concentrate on, you can be more gentle on the whole recovery programme. However, Perplexing has quite a collection there - after all my time on this board I don't think I can remember a torn ITB for example, let alone a repaired one!

What is your surgeon's time frame Perplexing for the remaining repairs? Are you looking at rehabbing this operation for 3, 4, 6 months or longer before the ACL and MCL are reconstructed? The meniscus will be taken care of during that operation if he has not already done it.

Sue  ;)
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Perplexing on February 14, 2014, 08:35:36 PM
Sue,

I feel like I owe you a "thank you" for coming to my aid.

I had no intention of creating a storm about all of this. And I feel I may have mislead you guys to believe that my PT pushed me. The fact of the matter is that I just started going to the PT last week. I was already at 90 degrees on the 16th day post surgery. And I walked into the surgeons office without crutches, brace locked at -10, full weight bearing, 10 days post-op.

I do heal quickly, in the past my cuts and bruises have healed without leaving scars. Its just the way it is. Not something I did to attain that quality/skill. I am sure it transfers over to surgeries.

I didn't push/force myself to bend my knee either. Every day I would sit and try to bend me knee, assisted (my wife would bend my leg while holding the ankle and knee). She would stop where it got tight or I felt pain. Over time the angle kept getting larger and larger.

The other thing I would say is that mentally I was never defeated. I not for a second doubted that I would rebound back to my previous physical condition. After 10 days I started rowing on a concept 2 rower with one leg placed on a toy car (brace locked in extension). There are videos on youtube with people using skateboards and such. Just because one part of your body is injured doesn't mean you can't workout other parts. I learned this from watching an elite level athlete (my CrossFit Coach, former NFL Dolphin's linebacker). He worked out an hour before his knee replacement surgery and was back in the gym a week later (Did I mention he is 48 years old, insane).

I had a week between the injury and the actual surgery. All I did in that week is research. Also, purchased the 'Ruptured Tendon' book by Kyle Newell. Had multiple conversations with my brother in law. He is a Doctor of Physical Therapy (DPT). He had already sent me a post surgery rehab protocol. I made sure I asked him what NOT to do.

So the point of letting you guys know all this is that I took educated risks. And they paid off. Life is all about risks/rewards. The doctor examined me and was amazed that things were healing so fast. He actually checked to see if my tendon was still 'anchored' by asking me to do a leg raise and tried to see how much lag I had (he also pushed my tibia and femur in opposite directions to see how much they would move).

And there is always a possibility that I am enjoying this ROM merely due to still having torn MCL, ACL, and meniscus.

I feel everyone's journey is different. And I certainly wanted mine to be the shortest possible. I still have a long ways to go till the second surgery and then rehab. But I am confident that I will be back to doing everything earlier than anticipated.

Thanks.
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: bballkingofnba on February 14, 2014, 11:02:14 PM
I learned the hard way that it isnt about bending, but controlling it. I probably could have bent even more than my PT wanted to but I didnt given that I was already going 40 degrees over the docs orders. Its about how collagen heals. If you stretch it out too early in the healing phases the tendon starts to elongate more than it should. Try feeling your surgically repaired knee and see how high the kneecap is compared to your other knee's kneecap. That is what I have noticed, but maybe your surgeon utilized a newer surgical technique as plenty of research is being currently done on tendons. Tendon length is related to functionality....
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: JC55 on February 20, 2014, 04:54:58 AM
Perplex, WOW!  Quite the injury.  I guess they did the RPT and IT repair first since the other injuries may be able to be performed by arthroscopy due to their location in the knee joint space?  It makes me cringe a little thinking about another surgery, but it seems the worse is over in your case.  I really can't add much to what everyone else has said, but remember to listen to your knee.  ROM is a destination, some of us take the non-stop flight while others have a lay over.  Either way you still get to where you are going.  In my case, I reached 155+ before the 16 week mark but did it in a very methodical way.  But as you say, you are a quick healer. 
I hope you continued success in your recovery!
PS: glad to hear you are coping mentally.  I was a VERY active 50 year old and my injury caused great anxiety.  I really felt a loss and it took me awhile to put on my "happy face" 😃
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Stuart Rulka on February 22, 2014, 12:00:21 AM
Perplexing. I certainly sympathize with your predicament. Most of us have trouble coping with one injury never mind the multitude you have sustained. Kudos for your positive attitude!
  My personal thanks for relating an experience similar to my own. Another "Nutter!" I too was walking sans crutches at five days but not having a PT in the family experienced a fair amount of trepidation when my PT told me to jump on the bike and see how far I could go,forward and back, at 2 weeks, my first visit. A Professional myself, I trusted him, (I knew his CV) and at 3 weeks I was able to complete a full revolution, without load. I never looked back , and at six weeks resumed a relatively normal,and active lifestyle!
  For the record I turned 66 one week ago.
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Perplexing on March 28, 2014, 06:53:29 PM
Hey guys itís me again.

Not going to lie, itís been a tough ride; there were times when I broke down. I am sure I donít have to tell you guys that this injury affects all facets of your life. But I am still hanging in there and refuse to give up. I have my second surgery coming up on April 11th. This time the surgeon is going to repair the ACL, MCL and Meniscus. On my last visit at the 2 month follow-up he asked me to take off the brace. So for the past 3 weeks or so I have been walking without any support. Still feel wobbly but itís coming along. Rehab is picking up, a lot of strength work.

Currently I have 150 degrees ROM. I can stand on one leg (the affected knee). I can do leg raises every which way. I can go up the stairs. Although, coming down is a little challenging. So feels good. But at the same time it saddens me to know that he will slice me open again from the same place, may be not all the way. And poke holes on the side. All of this is going to lead to loss of strength and muscle atrophy AGAIN!

Oh well it is what it is. I did get to see the video surveillance footage of my accident and after reviewing it realized that on the way down (maybe a 2 feet high jump), my hips were slightly facing to the left which made my knees go in that direction as well. And as soon as I landed on the trampoline the right knee buckled to the left.

I really appreciate everyoneís feedback and input. I really couldnít have done this without the help of this site.
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: SellaVee on April 10, 2014, 05:55:10 PM
Good luck with the surgery tomorrow and keep us posted on how this next lot of rehab goes.  You'll get there in the end.
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: John42 on April 10, 2014, 06:43:04 PM
Likewise - good luck with the upcoming surgery - 150ROM is brilliant, but listen to your knee - remember the keyword  PATIENCE


JohnK/ Manchester UK
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Stuart Rulka on April 10, 2014, 07:36:44 PM
Perplexing. Suggest you read the post by SE27Eagle (aka James) on the RQT thread. His is the best summary of the healing process I have seen!
 Good luck tomorrow.
John42 . I have never paid much attention to ROM, with my stocky build it was not great to start with, but pedalling a bike at 3 weeks I was probably over 100 myself
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: fishy on April 12, 2014, 12:45:17 AM
perplexing, congratulations, your surgery should be behind you by now. Enjoy the meds, keep us posted on your journey...patience and we all leek forward to your next posting... bob
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: JC55 on April 14, 2014, 04:40:53 AM
Perplexing, hope all went well.
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: ialzeera on May 18, 2014, 02:45:29 PM
Hello Perplexing and everyone else,

This post has honestly helped me get through my injury woes as I have quite a similar injury and could not find much info about it online.

I am a 22-year-old male from Bahrain and would consider myself a very athletic and active person. On April 21st, 2014 I was playing football (aka soccer in the US) and got tackled from behind only to find myself on the ground shouting in pain with my left leg basically frozen at a 90 degree angle. It didn't look right and definitely did not feel right.

To make a long story short, I was taken to the hospital and the x-ray showed no broken bones. The MRI, however, had plenty to show. I was informed that I had the following problems with my knee:
1. Patellar Tendon tear with secondary patella alta
2. ACL tear
3. Bucket-handle tear of the lateral meniscus
4. Tear of the posterior horn of the medial meniscus
5. MCL and LCL grade II sprain
and a few other things :)

On April 23rd I had my patellar tendon surgery and now i'm slowly recovering. The doc said that the rest of the injuries can wait, kind of like the impression I got from Perplexing.

I really like what you guys have built here as this website has acted as an informative resource as well as a great support system. Thank you Perplexing for all the information you have shared. It has helped me a lot mentally and physically. Please keep on updating us with your progress and I will hopefully do the same.

Currently, I am 25 days into recovery. I was in a full leg cast for 19 days post surgery and have been in a brace for the past 6 days. Currently, the doctor has allowed me a maximum of 30 degrees ROM and will change it to 45 degrees ROM tomorrow.

Overall, it's been a tough road that I do not wish upon anyone. But, I'm keeping my head up high and looking for motivation where I can find it. I hope you guys keep on sharing your experiences as I've really found very little information on such a combination of a knee injury. Any info would be very much appreciated! I am looking for the do's and don'ts, what I can leave to natural healing, and what I can do myself to push the healing process even further.

Best of luck to you Perplexing and to everyone else out there. Let's make sure we learn from such hiccups and return stronger than ever.
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Perplexing on June 26, 2014, 11:50:00 PM
Hey everyone limpy here.

 ialzeera I am so very sorry to hear about your injury and if I say I know how you feel, I really mean it. I wish there was something I could say that would magically make things okay. But the truth is its a hard and tough road. But there is definitely hope and light at the end of the proverbial tunnel.

I know I haven't been here in a while so apologize for that. My rehab had been slow, I was walking fine without a limp and by looking at me you wouldn't have known I had an injury.

But something happened couple of days ago. I moved some furniture around the living room. Nothing too heavy and nothing that I thought at the time would have caused problems. But later on that night my knee was hurting and the pain was different. When I woke up the next morning, it felt wobbly. And since then its been three days its been hurting off and on and feeling wobbly. I can't pin point what exactly is wrong and where the wobbliness is coming from. I just know there is something wrong. I can walk fine, go up the stairs fine. But just feel unsure of the knee, like it will give out.

So needless to say have an appointment scheduled tomorrow with the surgeon. Lets see what he says, I honestly don't think I did anything that bad to cause a tendon/ligament to tear. There is no swelling, no bruise, and the pain is not constant either.

The main thing I guess would be the unsure feeling that the knee is going to give out if I put all my weight on it. I really hope nothing is torn and I don't have to get another surgery.
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Perplexing on June 27, 2014, 12:48:25 AM
... one thing I forgot to say that my PT discharged me two weeks ago. Saying I didn't need to come anymore. I have full ROM, both extension and flexion. My quad has gained muscle and looks slightly smaller than the uninjured leg.
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: John42 on June 27, 2014, 07:38:02 AM
Hi Ialzeera
Welcome to KneeGuru

If you look at the thread Ruptured Quadricep/Tendon surgery thread, you will then learn a great deal about your serious and rare injury, with a long rehab period.

Also read the undermentioned thread, as it cotains quite a number of documents which I have put together with KneeGuru.

Ask questions, many fellow buddies to help you.

Take care
JohnK/ Manchester

p.s. Have been to Bahrain a long time ago, before the bridge was built linking S.A to Bahrain.

https://www.facebook.com/QuadricepsPatellarTendonRupture
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Perplexing on June 27, 2014, 05:17:11 PM
...just got back from the surgeon's office and apparently all is well :)

He said that I just strained the MCL and the reason it hurts so much is because the way I injured my medial side of the knee. Its like a clean cut all the way to the back of the knee. So so the cut goes through the MCL, capsule, menisuc, flesh, muscle...etc.

I am glad there isn't anything majaor wrong. I just don't like this wobbly feeling. He prescribed some NSAIDs and said I am doing great and that I should stay away from furniture...LOL
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: ialzeera on July 10, 2014, 11:33:08 AM
Hey guys,

It's great to hear from you John42 and Perplexing, and I'm glad all is well with your with your knee Perplexing.

Just thought I'd give everyone a few updates and ask for a few tips.

Currently, I'm at 11 weeks post operation. I can walk fine, do leg raises, go up the stairs (not down), balance on one leg, and I just started muscle building exercises like squats, light leg press, light extensions, and a few other exercises. Due to the meniscus tears that still haven't been treated, I do feel pain when exercising and I try to go really easy whenever I feel like the pain is getting too much in the meniscus areas. The pool has helped me a lot quite frankly. The water resistance helped me fix my walk and has also strengthened my leg and I've been able to stay in shape by swimming everyday.

Having said all that, I am still struggling to regain my full ROM back, and was wondering what kind of exercises you guys used to get yours back. Active ROM on my injured leg is at 125 and passive ROM is close to 130. Getting back my ROM back has been the hardest part so far. So, I am not sure what kind of experiences you guys had trying to regain ROM but I would appreciate any information, tips, and insights.

Hope to hear from you guys soon!
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: John42 on July 10, 2014, 04:29:21 PM
Hi ialzeera

You will not get your full ROM back for about six months and even then there might be a shortage due to loss of the tendon during your operation - be safe and say that anything over 120ROM is a bonus and you should be able to accomplish most movements - DONT push it in the fear that you may reruputure
your .

Listen to your knee - PATIENCE is required

Keep posting
JohnK/ Manchester UK
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: SellaVee on July 11, 2014, 12:43:19 AM
ialzeera, you're doing very well in terms of ROM.  At 12 weeks I was at 110o.  I would sit on a balance ball and roll backwards and forwards to bend my knees.  I also did a lot of stationary bicycling.  My physiotherapist had me walking backwards on a treadmill.

You really are making excellent progress.  I have full ROM now and I only had it measured once (at 12 weeks).  It has been my experience, and also some others on this board that ROM just comes back almost on its own provided you keep walking and doing exercises.  Work on building strength in your leg and on extensions and just keep moving.  Don't be too concerned about the numbers.  You will get there.


Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: Perplexing on July 23, 2014, 05:57:18 PM
ialzeera excellent advice here. The most important thing which has been said is 'be patient'. You don't want to rush and cause more problems. And from what you have stated, you are recovering really well.

So last time I was on here, about a month ago, I told you guys that my surgeon thinks everything is okay and sent me home with some NSAIDs.

Well the knee feels a bit more stable now but I am pretty much convinced that there is something wrong. From my re-search what I have concluded is that when I was moving the furniture I was generating force by twisting my core and that has 'injured' the PCL. Now I can't figure out the extent of the injury. What makes me sure its the PCL is my ROM is greater in the 'injured' knee than the UN-injured knee. That was NOT the case earlier and it shouldn't be the case right now. It used to be very stiff and I would have had to warm up to get to '0' degrees. In other words my injured knee is slightly 'hyper-extending' and I can feel a pop every time. So instead of just being at zero I am going way further without any effort or warmup and it doesn't feel like it stops on its own until I hear a pop (which in my opinion is the tibia grinding on the meniscus).

So I was thinking of calling my surgeon and asking him to write me a prescription for an MRI.

What do you guys think?

P.S. I don't feel anything when I am walking, its ONLY when I extend my knee out that I feel that pop and a little pain.
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: ialzeera on July 24, 2014, 11:59:03 AM
Perplexing, I think the best thing to do here is to get a professional opinion... an MRI and a few physical tests by your physio therapist should do the trick.

Since my injury, I started meeting infinitely more people that have gone through the same procedure as I am... most of them with ACL reconstruction. There were a few patterns in what those people were saying. Quite a few times I've heard people say that they can now jump higher than they used to. (If I'm not wrong, even Derrick Rose of the Chicago Bulls claimed the same thing after coming back from injury). I've also met a couple of people who are 2+ years post surgery and they say that they feel a slight click whenever they get into a certain motion (one felt clicks at about 90 degree flexion, and the other was at full extension). Both are very athletic and say that the click hasn't bothered them at all.

My take on this is that most people go through a period of 6-12 months placing undivided attention on their recovering leg. It seems plausible that the "injured" leg would recover to be stronger, more flexible, have better extension, etc. But I think, like you're already doing, getting an MRI and a professional  opinion is the best way to find out what's up.

Let us know how it goes...

Quick Update: I'm currently at 13 weeks post op and have managed to get the ROM up to 135 which is about a couple of degrees less than my normal leg. Strengthening is going well. Working a lot on an inclined treadmill as well as the steps machine. The extension of the leg is still not the same as the uninjured leg, so I still need to work on that... I am still not sure when I will get the ACL reconstruction and Meniscus repair surgeries, but I'll let you know whenever I find out. Do you guys know if there is any harm in delaying ACL reconstruction and  repairing the "Bucket-handle tear of the lateral meniscus", and repairing the "posterior horn tear of the medial meniscus"?
Title: Re: Complete Rupture of Patella Tendon, ACL, MCL and tear in ITB and meniscus
Post by: bballkingofnba on July 28, 2014, 11:11:48 PM
Definitely get an MRI. How does your patellar tendon feel? Usually patients get more flexion by overstrecthing the tendon, but that shouldn't happen with extension because your femur and tibia lock in full extension. Also, normal legs have slight hyperextension btw. Full extension means the extension in an injured leg which is around -5 degrees in the average person