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Author Topic: Knee locking....  (Read 1239 times)

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Offline raj_r_patel

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Knee locking....
« on: November 16, 2004, 12:27:51 AM »
 ??? Dear All,
Is there anyone out there that can help me with my knee injury ? I did it playing football, I went to shoot and was blocked. I had to stop playing mmediately. I went home and iced it...was able to bend it fully for first few days...RICE therapy for 2 weeks.
It is a really strange injury, no swelling, no real pain, no ligament damage, no cartilage damage, no bone fracture.
I can stand on it, but can't flex it past 90 degrees now. ...pain only starts if I try to flex it further.
3 doctors have looked at it and a physio...they are confused as I am...ultrasound has given no improvement.
has anyone out there experienced anything like this before?
btw I am also a pharmacist and have tried all combo of treatments but to no avail....
Please help if anyone has had this type of injury before.
All the best
Raj :'(

Offline AndrewC

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Re: Knee locking....
« Reply #1 on: November 16, 2004, 12:37:23 AM »
Hey there

You say no ligament damage, no cartilage damage and no bone fracture??
How do you know all this......
As for doctors...I assume you have seen a specialist knee surgeon?? not just a general gp?

Ligament damage can normally be assessed by a skilled Knee Surgeon thorough a physical exam...
Bone Fractures require an xray which I asume you have had.....
but damage to either the lateral or medial meniscus requires an MRI scan to assess.... A physical exam can help...but an MRI or investigative arthrosopy is often needed to assess the damage.....Have you had one of these????

The reason I say this is that your symptoms are classic for a meniscus tear.
Locking or catching of the knee.
Little to No swelling
and often no great pain in the initial stages of the injury


If you have not had an MRi you should consider pushing to get one.....although your chances of achieving this are dependant somewhat on where you live

All the best
« Last Edit: November 16, 2004, 12:38:04 AM by andrewc »
Big bucket handle tear to lateral meniscus from sporting injury. Arthroscopy and meniscal repair carried out June 2004. sloooowwww recovery!!

2018 - torn medial meniscus in RH knee, partial extrusion. ongoing issues,

Offline Heather M.

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Re: Knee locking....
« Reply #2 on: November 16, 2004, 12:40:02 AM »
When you say three doctors have looked at it, what kind of doctors were these?

If you have not seen an orthopedic surgeon who deals with a lot of sports injuries, you haven't really had a true attempt at diagnosis.  

An MRI, set of x-rays, and a very thorough hands-on exam from a knee specialist should be able to sort about 90% of knee issues out.   If you had your leg fully straightened/locked and then it was compressed by bumping in to someone and/or jamming the leg, you might have a meniscal tear in an odd location.  This is how I tore my meniscus--with my leg straight and then locked; I tore the anterior horn of the lateral meniscus, which is a bit odd to do.  Then I developed a cyst at the site of the tear, which made it incredibly painful to bend my leg at all.

See an orthopedic surgeon and have the full battery of tests.

Heather
Scope #1: LR, part. menisectomy w/cyst, chondroplasty
#2-#5: Lysis of adhesions/scar tissue, AIR, patellar tendon debridement, infections, MUA, insufflation
#6: IT band release / Z-Plasty, synovectomy, LOA/AIR, chondroplasty
2006 Arthrofibrosis, patella baja
http://www.flickr.com/photos/hmaxwell

Offline raj_r_patel

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Meniscus Tear ?
« Reply #3 on: November 16, 2004, 11:21:09 PM »
Dear Heather and Alan,
Thanks a million for a prompt reply.... :)
I am presently waiting to see a knee specialist at an Acute Knee Injury Clinic....
I was told that there is no 'fracture' or bone damage as ultrasound would have caused me alot of pain...

Is a meniscus tear mean that I have cartilage problems?
Will surgery be required, or rest and recuperation eventually cure the problem...
Should I be resting it completely and if I am walking on it, is it actually causing further damage ?
What is the revovery time ?

How r both of your injuries ? Have u both fully recovered?

Thanks once again,
All the best
Raj
PS I did the injury on October 10th, should I push my doctor further for an MRI scan, as it has been 5 weeks?


Offline raj_r_patel

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Arthroscopy....
« Reply #4 on: December 03, 2004, 10:49:24 PM »
Dear All,
I have now had the operation on Tuesday...
Arthroscopy....
still no joy...nothing was found wrong, no meniscal tear, no cartilage damage...NO-THING wrong...
it's Friday now... knee still not straightening or bending past ninety degrees....

The operation went well, healing nicely....

Can anyone else shed any light on my injury... the knee surgeon just told me, that physio should sort it out. The discharge notes stated 'medial collateral laxity'...

Can anyone tell me why this would stop my knee from bending or straightening....

It's really starting to get me down, my daughter of 18 months runs faster than me, and I can't play with her properly...
Please help
All the best
Raj

Offline Heather M.

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Re: Knee locking....
« Reply #5 on: December 03, 2004, 11:10:48 PM »
Raj,

I'm very concerned that you have a problem that no one has diagnosed--even after surgery!  That's very distressing.

The note about medial collateral laxity could be a clue--I don't know enough about collateral ligaments to say.  I suggest you post down in the collateral ligaments section AND up above in the 'crisis' section and see what kinds of symptoms MCL laxity might cause.  Also, look on the internet using keywords:  locking, MCL, laxity, etc.

It's very upsetting to have no diagnosis.  As for the lack of bending and straightening ability, it sounds like your knee has a lot of fluid in it from your surgery--this is normal, but you need to see a PT as soon as possible to get that leg moving GENTLY and persistently.

Please contact the people in the MCL and crisis sections, because I really don't know much at all about MCL's and the problems they can cause.  Perhaps the MCL laxity has nothing to do with your symptoms?

THe only other thing I could think about is that locking symptoms are usually a sign of a meniscus tear.  The meniscus is one of two types of 'cartilage' in the knee--it's a spongy bit that sits between the top of your shin bone and the bottom of your thigh bone, and it provides a cushion--like discs in your back/spine.  Sometimes a person can have a meniscus that tears away from its anchors and moves around in the joint--a bit can even flip over and cause locking.  But then it can go right back to the 'correct' position and look fine during an MRI or something.

I really think you are going to need a skilled sports medicine specialist to help you figure this out.  Perhaps you tore your MCL and it healed in the time before surgery?  I have no idea if that is possible--but I do know that an MCL tear, even a complete one, is left to heal on its own because the body does a very good job of this (whereas with an ACL it doesn't do so well).

I'm hoping that ATSoccergirl will see your post in the ligaments or crisis section--she is a skiled sports medicine professional (athletic trainer--like a PT only with more focus on sports injuries and healing athletes).  She might have some comments--perhaps you could message her?

And if you don't get better answers from your current surgeon, I urge you to get ALL of your records and diagnostic test results and find another one.  If you want to post in general where you live, perhaps someone here can point you in the right direction toward a great surgeon who will TALK TO YOU and communicate better....

Hang in there.  I went without a diagnosis for a very long time, and it literally keeps you up at night.  As for your daughter--I know it's hard, but she needs your love.  You can give that to her without chasing her...my neice is 1 this week, and my nephew is 4.  They can both outrun me, but I always make an effort to sit down and play or read to them--to do something with them that no one else does.  Sometimes I put them in their double stroller and take a nice slow walk--that way, we are going at my pace, but we are still able to talk, enjoy things, look at 'cool' construction sites, etc.  Spend time with your little girl--she won't notice that you can't catch her if you make her laugh.

Heather
Scope #1: LR, part. menisectomy w/cyst, chondroplasty
#2-#5: Lysis of adhesions/scar tissue, AIR, patellar tendon debridement, infections, MUA, insufflation
#6: IT band release / Z-Plasty, synovectomy, LOA/AIR, chondroplasty
2006 Arthrofibrosis, patella baja
http://www.flickr.com/photos/hmaxwell

Offline EMON

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Re: Knee locking....
« Reply #6 on: December 04, 2004, 10:13:32 AM »
Hey Raj,

Not sure about the bending, but the straightening problem could be related to the patellar / femoral tendon. [Still agree the locking is classic menicus symptom]















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