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Author Topic: Does a "POP" indicate a tear?  (Read 1014 times)

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Offline litqueen

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Does a "POP" indicate a tear?
« on: January 29, 2005, 06:09:39 PM »
Hello!
I am so glad that I found this board!
In November I had a scope to clean up a 14 year old ACL rupture, so I have no ACL.  Everything went well, completed PT and had continued to do the exercises at home.  Fast forward to Jan 16th when I caught my heel on the steps.  I knew that I was going down, heard/felt a POP and then the most excruciating pain that I've ever felt!  I layed on the steps for 10 mins because I couldn't move!  I hobbled up the steps, went to emergency (it was late evening on a Sunday).....waste of a trip and went to the OS that did Nov surgery the next day.  He advised me to baby it, ice it for 20 miins every hour, stay home from work for at least 2 days and come back in a week. Oh, and to take 800mg of Ibuprophin 3x's a day.  I went back a week later, with some lovely bursing, sharp shooting pains, unable to straighten or bend my knee and pain with every step.  MRI was ordered for the following day.  My PT girl called and said that she had gotten a copy of the report and said that it showed " no substantial damage".  Can that be possible with all of the pain that I'm STILL having?
Any info would be helpful!  I don't go back to the doctor until this Friday for the "official" report.

Offline Linds

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Re: Does a "POP" indicate a tear?
« Reply #1 on: January 29, 2005, 06:24:18 PM »
Noises in the knee can indicate any number of things, the fact that yours is accompanied by so much pain would probably suggest you've done some damage in there.  However, MRI's are notorious for not showing problems that are present as well for showing things being there that aren't. So don't be too distraught that your MRI shows no significant damage. :-\ Hang in there and I hope the OS (surgeon) has some answers for you.  Til then..keep babying that knee;) and yourself.
HUGs
Linds
1997 Scope RK
2002 LR RK
2002 Scope and hematoma evac RK
2004 LR LK
May 06 Fall from Horse, partial ACL tear and meniscus injury, Tibial plateau injury
2007 Scope, Plica Excision and Debride LK
2009/2010- Possibly Ankylosing Spondylitis?

Offline litqueen

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Re: Does a "POP" indicate a tear?
« Reply #2 on: January 29, 2005, 06:41:03 PM »
Thanks so much for the response!  I guess I'll just have to be patient and wait to see the doctor on Friday! :(

Offline Linds

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Re: Does a "POP" indicate a tear?
« Reply #3 on: January 29, 2005, 08:35:12 PM »
Goodluck on Friday, it's not too far away. ::)  And... I forgot..
;D WELCOME TO KNEEGEEKS :D
Linds ;D
« Last Edit: January 29, 2005, 08:37:40 PM by Linds »
1997 Scope RK
2002 LR RK
2002 Scope and hematoma evac RK
2004 LR LK
May 06 Fall from Horse, partial ACL tear and meniscus injury, Tibial plateau injury
2007 Scope, Plica Excision and Debride LK
2009/2010- Possibly Ankylosing Spondylitis?

Offline Heather M.

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Re: Does a "POP" indicate a tear?
« Reply #4 on: January 29, 2005, 09:39:04 PM »
So did you have a complete ACL tear in the past?  Or was it a partial one that the doctors allowed to heal by itself while you strengthened the knee with PT work?

It's my understanding that the body will often attempt to heal a partial ACL tear with scar tissue--this is a natural thing and the resulting ligament can be quite strong, as long as it heals correctly (i.e. doesn't attach to the wrong place).  So I was thinking that maybe you tore some of this scar tissue?  I don't know, it's just a thought.  There are a lot of people on this site who understand ACL's really well--ATSoccergirl has ruptured hers and works with athletes to rehab them after they injure their own ACL's.  She might be able to offer some better information.  Just a thought.

Please visit this page for some detailed information on the problems that MRI's can have:
http://www.kneehippain.com/patient/mri/mri_fool.html  Here is about other tests that can help diagnose:  http://www.kneehippain.com/patient/mri/xray.html

An overview of ACL injuries and your options:
http://www.steadman-hawkins.com/acl/overview.asp

Other ligaments that might be responsible for a "popping" sound:
http://www.kneehippain.com/patient/ligament/medial_collateral.html

http://www.kneehippain.com/patient/ligament/posterior_cruciate.html

More about ACL's:
http://www.kneehippain.com/patient/ligament/acl.html
http://www.kneehippain.com/patient/ligament/need_surgery.html
http://www.kneehippain.com/patient/ligament/reconstruction.html
http://www.kneehippain.com/patient/ligament/women.html

As you can see, there is a lot of information out there.  And not all of it is iron-clad--meaning that there is some room for the doctor's opinions and interpretations, since it's not all black and white.

Read through this web page's information on ligaments as well.

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
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Offline litqueen

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Re: Does a "POP" indicate a tear?
« Reply #5 on: January 29, 2005, 09:52:27 PM »
Thanks for the welcome! :)

and thanks to Heather for all of the info!  :o

It is my understanding that I no longer have an ACL.....which is why the "POP" and pain are a concern to me!  I will read through all that you have provided.