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Author Topic: ADVICE NEEDED  (Read 2073 times)

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Offline footie_holz

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ADVICE NEEDED
« on: January 15, 2005, 01:53:06 AM »
Hi
In early November I dislocated my knee cap while running on the football pitch (a loud cracking noise) then when I landed on the turf there was another cracking noise.
Taken to hospital had the xrays and told that I have dislocated and then relocated my knee cap. Was refered to Physio and after a couple of weeks seemed to be progressing. Then for no reason it dislocated again (back to square one).
I have now been having physio for the last three months and during this time my knee has dislocated and then relocated itself four times. The most recent being yesterday.
I used to be an active sportswoman and took part in a lot of adventure training with the air cadets. I really cannot carryon like this and surely my knee should not keep dislocating.
Any advice would really be appreciated, do I need surgery perhaps to cure this.    :'(

Offline mhsflute07

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Re: ADVICE NEEDED
« Reply #1 on: January 15, 2005, 04:31:09 AM »
Hi!
I'm sorry you're having a hard time with your knees. I can sympathize as my knees dislocate as well.
It is odd that your kneecap is dislocating while you are under the care of PT. Do you know if the exercises they are having you do are targeting the VMO (inner quad muscle)? If not, you might be strengthing the wrong side of the quad which creates an imbalance and pull the patella off track easily.

Have you been to an OS? If not, I would suggest making an appointment. An OS will be able to tell you if you have any malalignment or other structural problems causing the kneecap to dislocate. If you have the malalignment there are surgeries to correct it, which can be performed at your doctor's and your own discretion.

For more information on the kneecap you can look through these websites:
http://www.kneehippain.com
http://www.emedicine.com/sports/topic95.htm

I hope this helps some! You might also try posting in "Patello-femoral" section.

~Erin~
June 2, 2005 TTT/LR  R.
July 26, 2005 TTT/LR  L.
June 6, 2006 Microfracture R.
June 5, 2007 Microfracture & Screw Removal R.
March 12, 2009 Scope and ACI Biopsy R.
May 12, 2009 TTT, Trochleoplasty R.
December 15, 2009 ACI (patella) & bilateral hardware removal
December 21, 2010 LOA and LR

Offline footie_holz

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Re: ADVICE NEEDED
« Reply #2 on: January 15, 2005, 03:03:41 PM »
Well as far as i knew my physio was working well until wednesday when i bent down to pick up a tennis ball for my friend and i dislocated it again! number 3 now and its getting really annoying as im very sporty and enjoy keeping fit and hate not doing anything. Hopefully i'll be refered back to the hospital to see what can be done!

Offline kmap71

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Re: ADVICE NEEDED
« Reply #3 on: February 18, 2005, 10:08:00 AM »
Okay sporty girl.  I see from your profile that you are 16 years old?  If this is correct, you should probably see an orthopedic surgeon.  It is possible that you MIGHT need a lateral release if your physical therapy isn't working.  Now, it is widely known that a large percentage of lateral releases fail.  But, in my personal case, it was 50/50.  I've had one on each, left worked, right didn't.  BUT, and this is a HUGE but, my kneecap was in such bad shape before my surgery that there was really no help for me other than what I ended up with, which was a patellofemoral joint replacement..and don't go thinking about that at your age!  Especially if you want to remain sporty!  Subluxations, (the kneecap dislocating) are extremely painful and I feel for you, been there done that, have TWO t-shirts.  You get no rewards for toughing it out.  Take care of those knees and IM me if you have any questions.

Elizabeth
booboo 1987 & 1999 Lknee, arthroscopy w/LR 1998 successful with PT
R knee deterioration 2002, arthroscopy w/LR, Hyalgan/Synvisc shots
cortisone shots in both knees
PFJR right knee 12/28/04
Left knee scope 09/06 found grade IV chondromalacia
 PFJR left knee 04/27/10

Offline Natalie.D

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Re: ADVICE NEEDED
« Reply #4 on: February 18, 2005, 01:57:36 PM »
Hi,

I agree with Erin that you should really see an OS to get a proper diagnosis of what is causing the dislocations.  If you have a patellar tilt, a LR could work for you.  If you have something like a shallow trochlear groove then a LR is the last thing you want to have as it will only make things worse.  Whatever the reason for the dislocations, you really should be seen by a knee specialist and take it from there.   Good luck.

Natalie.
Dislocations since age 12
Trochlear Dysplasia
Maltracking
Hypermobile
LR/MR-failed
TTT, LR, MR L knee 95-Success
TTT, LR, MR R 02-Success
Screws out
Partial tear ACL
Severe end stage OA
4 Debridements
Partial Meniscectomy
Failed Microfracture
11mm Defect LFC
Bone Spurs, Kissing Lesions

shadehawk

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Re: ADVICE NEEDED
« Reply #5 on: February 20, 2005, 02:20:38 PM »
Hi, sorry to butt in here.

Natalie - you said that if you have shallow trochlear groove that you should not have an LR - I have a shallow trochlear groove, plus other problems.  I have just been told that I needed an LR, but done in conjunction with capsule shrinking and MP then my problems should be corrected.  The surgeon told me that LR in combination with the other two procedures will work, but if only LR done alone without all the tightening will fail.  Does this make sense to you - I agreed with him after everything was explained to me.

Footie_ holz - I agree with the others, you need to see a good OS that specializes in knees - there is a list on the first page of this site.  Good luck to you.  Let us know how you are doing.

Hugs,  ;)

Shade















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