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Author Topic: has anyone ever heard of this?  (Read 978 times)

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Offline JayMo

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has anyone ever heard of this?
« on: October 19, 2005, 07:04:16 AM »
My brother just called me at midnight my time here, with a bit of a problem that neither of us had seen or heard of before. I couldnt see anything like it by searching google, but I did find this site, and it looks like there is a lot of collective knowledge here.


Background

He had fell off the back of a truck at work and torn the cartilage in his knee about 8 months ago. Since then he has had corrective surgery, about 2 months ago, and all seemed well until yesterday.

Yesterday for the first time since the surgery, his knee gave out. He said it feels like it is hyperextending, like there is nothing to keep it from bending the wrong way. This evening he went out for dinner, and when he got back he was in lots of pain from his ankle to his knee. His ankle is black and swolen to about twice the normal size and he says it feels like the lower leg is broken ( he did nothing that could have broken the leg, but he knows what a broken leg feels like, he his other leg about 6 years ago snowboarding) Could this just be a sprain, or could it be related to the surgery in some way?

He said he would give me a call in the morning before work to let me know how it was doing, I just want to have some info for him when he calls.


Thnx in advance

Jay

Offline Heather M.

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Re: has anyone ever heard of this?
« Reply #1 on: October 19, 2005, 07:14:34 AM »
If he really hyper-extended (did a leg movement like a flamingo) then there is a risk of ligament tear or complete rupture.  He needs to be seen by a knee surgeon (not a GP or ER doctor!) as soon as possible, starting with the one who did his prior surgery.  Does he have his notes from that time?  Could he have torn his ACL, for example, and the doctor chose not to reconstruct it?  You will find this a lot in places with socialized medicine where controlling health-care costs is key--the doctor tries to see if the patient can live life without an ACL.  But usually, the patient is TOLD this.

Anyway, a couple of things can cause complete hyper-extension:  ACL and/or other ligament rupture, severely weak quads and hamstrings, and just stepping the wrong way or having the knee be impacted (I was hit by an 80lb Dalmation running at top speed and my knee shot backwards like there was nothing holding it back--the pain was agonizing).

The bruising and swelling would seem to support some kind of ligament or muscle tear.  Best checked out by a knee doctor....

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 JayMo

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Re: has anyone ever heard of this?
« Reply #2 on: October 19, 2005, 07:20:03 AM »
Thanks for the quick reply, I beleive he does have the documentation of the surgery, I'll ask him tommorow, however as we live in Alberta Canada, the surgery is covered by our health care ( plus he works for the Canadian Government, so health care cost doesnt play into the situation). The more the doctors do the more they get paid, plus the doctor was supposedly one of the top recomended in Alberta as far as I know. He is currently living 500 KM ( 300 Miles) from the doctor who did the surgery, so I dont know if he will be able to see that specific doctor, but I wil bring it up with him when he calls in 6 hrs.

Thnx again for the quick response

Jay
« Last Edit: October 19, 2005, 07:21:39 AM by JayMo »

Offline Heather M.

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Re: has anyone ever heard of this?
« Reply #3 on: October 19, 2005, 07:55:35 AM »
He could have had a partial tear from his original injury, and some doctors will just leave this alone.  We hear a lot of reports of this from the UK, for some reason--active weekend warrior athletes being told they don't need a recon for their complete ACL tear and they should brace and do PT for 6 months or something.  It's pretty frustrating for these patients.  I don't know if you've heard of HMO's (horrible US health insurance--the absolute worst you can have with the exception of worker's comp in terms of quality of care and controlling costs at the expense of the patient's health...but I 'm not bitter  ;) ), but some in the US have guidelines that x% of tear must be treated conservatively, going up to 75% or something crazy like that.  Unfortunately, sometimes a partial tear can become a full one with the slightest misstep.

I do think his best bet is to see his previous surgeon, just because that doctor has his history and has been inside the knee.  Barring that, however, a competent knee specialist should be able to sort the problem just fine.

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 kittent1211

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Re: has anyone ever heard of this?
« Reply #4 on: October 23, 2005, 01:30:13 AM »
He should get to a doctor quick.  I developped a blood clot after my surgery and my foot swelled up HUGE and I had tons of pain in my calf.  Discoloration is also a sign of a blood clot. ( www.clotcare.com is a great website to learn more.)  If he has a clot (also known as Deep Vein Thrombosis or DVT) it is a life threatening situation so he needs to see a doctor ASAP.  The treatment for a blood clot is a huge pain but the alternitive could be death.  I don't want to scare the dickens out of you but this could be a very serious situation.

Teresa