Banner - Hide this banner





Author Topic: ski injury  (Read 1299 times)

0 Members and 1 Guest are viewing this topic.

Offline lia

  • MICROgeek (<20 posts)
  • *
  • Posts: 4
  • Liked: 0
ski injury
« on: April 10, 2005, 04:12:53 PM »
i had a sk injury three weeks ago,resulting in my right leg in plaster,hairline fracture to the inside of my knee and poss torn ligs,bulgrian doc said i would only need my leg in plaster for 21 days and then physio,so when i get back to the uk,i attend the fracture clinic on friday just gone,baring in mind according to the bulgrain doc my plaster should come off this wednesday,thinking great that will be in time for my family holiday on april 18th.no such luck,the doc at the clinic took the plaster off ,looked at the x ray and then said we will keep the plaster on another couple weeks,bang goes my holiday,it was a very busy friday afternoon and he wasnt prepared to discus any other options,now should i get a second opinion as i would like to go on holiday if it were possible,i dont really want this plaster on any longer if it is not nesscary or if i could have just some kind of suport? would it be worth my while paying for anoher  x ray and a second opinion or am i just wasting my time? help ???

Offline sparkle999

  • SuperKNEEgeek
  • *****
  • Posts: 1013
  • Liked: 0
Re: ski injury
« Reply #1 on: April 11, 2005, 08:40:20 AM »
sorry to hear about your injury. I can't help at all, but I see you want help so I thought I'd reply to cheer you up. You need the best care for your leg and it's NOT ON that he didin't explain why he was treating you the way he was. Perhaps you could get a detailed description of your injuries and post here, failing that your GP will have been written to and might know more, or geta 2nd opinion. Anyhow, after time in plaster your knee will be stiff and you'll prob need Physio so perhaps your hoiliday will be more comfortable if you are IN palster. Try to travel anyway. Get the family to run around after you!
xx
35 y/o
ACL rupture
loose body under kneecap
impaction fractures
injury 19th march 2005
scope 9th may
recon 24th october 05

Offline lia

  • MICROgeek (<20 posts)
  • *
  • Posts: 4
  • Liked: 0
Re: ski injury
« Reply #2 on: April 11, 2005, 06:27:09 PM »
Thank you for your reply! i had to go to hospital A.Eon sat afternoon as the new cast that was put on friday ws raher tight,they cut down the sides so i can feel my toes again,thank goodness!told me to return to the fracture clinic on monday! so off i hobble to the clinic to get it redone! at the back of my mind in really begining to wonderif i truly need this on,so on arriving i saw the plaster tecImentioned that as I got out the car i twisted my leg and asked if i could have  a x ray! well she sent me back over to the x ray dep! took the x ray,radioliogist tell me  that he cannot see a fracture!!!? but would need to take it over to the specialist,well me thinking fantastic,the plaster can come off yep hee holiday here I come!   few minutes later he returns and tells me that the specialist said the fracture is a little further round and as he hadnt bent the knee enough that why we didnt see it?? so th A.E bandage the cast tight and tell me to keep my appt on the 29th april as usual. baring in mind the paramedics at the hospital told me that they coldnt see any fracture either? so still not convinced i went home! I then get a phone call from the nurse at the fracture clinic informing that I need to go back down tomorrow to get my leg re plastered!
what do i do, I really dont want this on if it realy isnt needed,its a big family holiday and if there was a slightest chance of going I want to go! would i be aloud to fly with a full leg cast on? I spoke to the nurse and explained the situation and how important the holiday is etc,and she could tell how upset i am,she said to come down tomorrow and that she would have a word with the consultant,I doubt he will change his mind,but I guess anything is worth a try. she also said that I could sign a disclaimer,which ment I was refusing treatment!,but didnt advise it,she said I also could be putting myself at risk from DVT what do I do ?? >:(

Offline AndrewC

  • SuperKNEEgeek
  • *****
  • Posts: 535
  • Liked: 2
  • User's Text
Re: ski injury
« Reply #3 on: April 11, 2005, 07:46:21 PM »
Lia

Ok....problem time  :o
Sounds a real tricky situation there....
April 18th....ok ...if I were you and the holiday means soooo much I would take the following course of action....

~ Find  two or three reputable private knee clinics in your area (ish) and try and read up on who may be the best known KNEE specialist out of them... (see the knee surgeons link at the top of the page if your struggling for surgeons to see or post where you live here and people may well post back with ideas)

~ Next, ring them up and see which one can offer youu an appointment with a KNEE specialist in the next say 4-5 days MAX :)

~  Attend the clinic and see what the private independant surgeon has to say. I have to say from a patients perspective going private is a wonderful experience compared to the NHS :) I did it and my surgeon just had so much time f :oor my poor old knee and all of my questions!!

~HOPE that the NHS misdiagnosed your knee injury and that you may not need the pot on after all...

estimated cost....£125 for first appointment
Xray?? but I do know an MRi would have cost me £450+ !!

Lastly...hopefully it wont come to it but I seriosuly wouldnt go against the advice of the Doctors for the sake of going on Holiday....Im sure your family would rather you didnt risk it??

Good Luck and Keep us Posted


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 lia

  • MICROgeek (<20 posts)
  • *
  • Posts: 4
  • Liked: 0
Re: ski injury
« Reply #4 on: April 11, 2005, 08:49:37 PM »
thanxs 4 advice! back at clinic tomorrow! if no joy look to go private,do i need G.P refer or can I do it myself? :) got to try if not will just have to get on with it and stay at home I guess!!well thanxs once again  L :D

Offline cgski

  • Regular Poster
  • ***
  • Posts: 60
  • Liked: 0
  • User's Text
Re: ski injury
« Reply #5 on: April 11, 2005, 09:13:32 PM »
Don't know where you're going for your holiday, but whether you can fly depends on the airline - when I did my leg in skiing in last year and had it in a full leg cast British Airways refused to carry me (supposedly because I couldn't adopt the brace position) but my insurers were able to rebook me on Easyjet (with three seats - but that wasn't really necessary, just nice) who were quite happy to take me. (I also got desparate to get rid of the cast, and begged for an earlier appintment - which I was really glad to get cos my leg had shrunk mightily in those three weeks!
Ref your question about getting a private referral - the clinic I went to for a second opinion insisted on a gp referral (gp was quite happy to do this) but it did take about 4 weeks to get an appointment. You can get your nhs x-rays and mri scans and take these along to save shelling out to have them redone again privately.
It seemed to take forvever to actually get back to normal again (and I didn't actually ahve any fractures!) but the good news (for me) was that I was back on the ski slopes this year.
Good luck!  cgski
 

Offline lia

  • MICROgeek (<20 posts)
  • *
  • Posts: 4
  • Liked: 0
Re: ski injury
« Reply #6 on: April 11, 2005, 10:16:24 PM »
Yes i am worried about my leg shrinkng as well,so if the cast doesnt need to be on, the sooner I can do gentle exercises,Im so confused,the paramedic asked me how long the cast had been on for,told him three weeks,he said well i couldnt see any fractures,but said he didnt tell me that!!!
thats another thing hope to be fit for next year,love skiing and just brought ski boots too! want to wear them more than once! not ready to hang them up just yet!! ;)

Offline Heather M.

  • SuperKNEEgeek
  • *****
  • Posts: 4007
  • Liked: 13
    • Check out my photography!
Re: ski injury
« Reply #7 on: April 11, 2005, 11:17:28 PM »
I'm just going to point out that if a surgeon and specialist see a fracture on the x-rays, I'd certainly take their opinion over that of a paramedic.† Areas of expertise being what they are, a medic is not qualified to diagnose or rule out fractures.† And the fact of the matter is that some fractures are only going to be visible to the eye of a trained specialist--and a good orthopedic surgeon often sees stuff that even the radiologist misses.

Also, you have to look at the risks.† What are the risks of taking the cast off too early, if indeed the fracture has not healed?† These are quite significant, and can include non-union of the fracture and even a potential surgical intervention to properly set the break.† You could also make a mild to moderate fracture worse by removing the cast too early.† These are just the most logical risks that I can think of...I mean, there is a reason people with fractures are casted.†

What are the risks of leaving a cast on when you don't have a fracture or it has healed?† Negligible.† Maybe some additional muscle atrophy and a skin rash.†

So when you look at the risks logically, not taking into account the patient's desires to be cast-free for a vacation, it seems pretty clear that leaving the cast on is the best idea.† This is just my opinion, for whatever it is worth.† I wouldn't be pushing people who aren't qualified to make a diagnosis that falls more in line with your wishes!† Your leg is broken, whether you like it or not...positive thinking can help you heal faster, but it can't makea† fracture go away....

Please follow up with a KNEE SPECIALIST as Andrew has recommended and try not to stress.† The good news is that if a fracture is properly set and immobilized, you can actually heal quite quickly.† And a bone break is ALWAYS the better injury to have compared to, say, a severe soft tissue injury (like a torn ligament/tendon, another common ski injury).† So just be really grateful that you have had excellent care and try not to agonize too much over what seems to be conflicting information.† Because if I remember correctly, every DOCTOR you've seen has said there's a fracture.† It's only the ones not qualified to make a recommendation (and who have done so in a fairly reckless manner, at least here in the US--they could lose their jobs over something like this) who have hinted to you that there's no fracture.† It seems like a no-brainer to me, but I absolutely understand that you don't want to have this injury and want your life back to normal.† It would also be great to have a cut and dried diagnosis and treatment plan, right?†

Hang in there, be patient, and let your leg heal.† Get another opinion from a knee specialist.† And be really thankful that a fractured bone is a relatively straightforward injury from which most people recover very well!† That's the best thing you can do for yourself right now.

Heather

PS It sounds like the first NHS doctor you saw believed that the fracture hadn't healed well.† The Bulgarian doctor is right in that you should only need a cast for 21 days if everything heals properly.† If not, then you need additional immobilization, which I believe is what the UK doctor should have told you--it's unforgiveable that he didn't have time to properly inform you, but I can't think of any other reason that he would recast you after looking at an x-ray.† You must not have healed to his satisfaction, and you don't want to risk the issues associated with putting weight on an improperly healed fracture, so he re-casted you.
« Last Edit: April 11, 2005, 11:24:27 PM by Heather M. »
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 AndrewC

  • SuperKNEEgeek
  • *****
  • Posts: 535
  • Liked: 2
  • User's Text
Re: ski injury
« Reply #8 on: April 12, 2005, 11:32:13 AM »
As an aside. Re referrals to a private hospital.
I did not have to get a referral from my GP to go private and was seen within 1 week from first contactign them. Even though I work within the nhs I still had to wait 5 weeks for a quite serious injury  :o ...so I was overwhelmed that I could get private care so easily (and it was excellent)....altho it does cost a bit :)

Good Luck
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,