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Author Topic: MCL injury  (Read 23379 times)

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Offline miltonc

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MCL injury
« on: March 20, 2007, 05:41:25 PM »
Not sure if its a Grade 1 or Grade 2 sprain.  But I had to be carried away from the soccer field.  I drove to the ER (and walked from Parking lot to the ER) where they gave me crutches and a knee immobilizer (which I didnt use).  My OS made me do some minimal exercise after the initial 3 ~ 4 days.  Its about 2 weeks now.  I tried to walk without crutches today and my knee completely buckled.  There was no pain, but it was really weird and scary.   I walked on the day of the injury from Parking lot to ER (not a whole lot, about 100 yards or so), but after 2 weeks my knee is so unstable.  Is that alright?
How long do you think a MCL injury takes to heal.   Should I abandon my crutches?  My knee is very unstable and I dont want to mess it up by giving up the crutches too soon.

Milton
3/4/07 - Soccer injury
5/30/07 - ACLr

Post op diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=36990.0

Offline Audice

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Re: MCL injury
« Reply #1 on: March 24, 2007, 12:23:55 AM »
Hi Milton ~ I'm no pro here but I'm venturing a guess that with no activity, or minimal activity, you're losing muscle mass causing your knee to be weaker than it might be had you been getting some exercise. I was told by my OS that it takes about 6-8 weeks for a torn MCL to heal so perhaps that can be an indicator for you. Wishing you well...Ellie
April, 2005 - ACL rupture, medial meniscus tear within posterior horn to articular surface, abnormal signal within lateral meniscus, partial tear MCL, bone contusions tibia/fibula, Baker's cyst.
No repairs.

Offline miltonc

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Re: MCL injury
« Reply #2 on: March 29, 2007, 11:28:35 PM »
Thanks.  Another week has passed.  Now I can walk without crutches but with a hinged knee brace inside the house and office.  So my knee seems to have built some kind of strength. 
But even now after 3+ weeks, my ROM on my knee is severely limited.  I cannot straighten my knee, nor can I bend it.  I do have an appointment with my OS tomorrow.  Hopefully, its nothing serious and can be fixed by physiotherapy alone. 
3/4/07 - Soccer injury
5/30/07 - ACLr

Post op diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=36990.0

Offline Audice

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Re: MCL injury
« Reply #3 on: March 29, 2007, 11:47:51 PM »
I do have an appointment with my OS tomorrow.  Hopefully, its nothing serious and can be fixed by physiotherapy alone.

I hope so, too, Milton. I can tell you I didn't have anywhere near full range of motion in my knee for months after the injury. Please bring your OS's findings back to us...Ellie
April, 2005 - ACL rupture, medial meniscus tear within posterior horn to articular surface, abnormal signal within lateral meniscus, partial tear MCL, bone contusions tibia/fibula, Baker's cyst.
No repairs.

Offline miltonc

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Re: MCL injury
« Reply #4 on: March 30, 2007, 04:01:32 PM »
OS is not happy with the range of motion and progress so far in my knee.  He suspects a possible meniscus tear and even possibly ACL damage.  He has ordered an MRI (hopefully, sometime next week).  And also physiotherapy. 
I know I will be drinking this weekend.  Hopefully, the MRI next week will not show any more damage.
3/4/07 - Soccer injury
5/30/07 - ACLr

Post op diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=36990.0

Offline gs2007

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Re: MCL injury
« Reply #5 on: April 04, 2007, 07:42:50 PM »
Hello -

Had a minor skiing accident 6.5 weeks ago. Fell (and twisted my left leg / knee).

The GP  thought it was a stretched MCL at the point. Not too much swelling. Just pain on the medial side and sharp pain when twisting.
The limping got better in 2 weeks.
I did not wear a brace.

I walked on the treadmill about 6 times so far.  I do quad extensions.
No PT yet.

But,  over the past 10 days, it seems to be getting worse after what looked like  initial recovery.
I am not in pain and my ROM is pretty decent.  There is mild tenderness on the medial side of the knee.
No pain as such except when I squat. The pain then radiates down the calf at that point.

What is ** BOTHERSOME **  is the feeling that when I walk, something is going to jump out of the  outer side of the knee (a sort of twisting feeling from the back of the knee). I wonder if this is due to muscle weakness.

I am going to the OS for the first time next week. Just curious if anyone has had these symptoms. Any feedback will help.

Thanks !

Offline miltonc

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Re: MCL injury
« Reply #6 on: April 09, 2007, 08:13:32 PM »
MRI is now scheduled for Friday the 13th.  Sinister looking, yet true.  I have been to the physical therapist for a little more than a week now.  Range of motion is slowly coming back.  Around 20 deg extension and close to 90 deg flexion. 
Its now 5 weeks since the soccer incident.  Initially diagnosed as a Grade 1 or 2 MCL sprain.  I still dont have full ROM.  Lets see what the MRI has to say.  Hopefully, it will still remain a Grade 1 or 2 MCL sprain.  And everything will be fine with some physical therapy. 
3/4/07 - Soccer injury
5/30/07 - ACLr

Post op diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=36990.0

Offline miltonc

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Re: MCL injury
« Reply #7 on: April 18, 2007, 05:02:49 PM »
MRI results are in.  My ACL is torn.  Damage to MCL and meniscus.  Whatever that means.  My physical therapist was able to look at the results and he gave me the scoop.  I have an appointment with the OS tomorrow. 
3/4/07 - Soccer injury
5/30/07 - ACLr

Post op diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=36990.0

Offline missmyknee

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Re: MCL injury
« Reply #8 on: April 19, 2007, 02:40:07 AM »
Sounds like you might have what is known as the "unhappy triad" Where the ACL,MCL and meniscus are damaged.  You can google, Unhappy Triad and find lots of info.

Good luck on your OS appointment.  ;D

Pam
4Fx Clsd red
IMrod fib plate
derotate osteotmy tibfib
AF
IPCS patbaja
DeLeeOsteotmy,LOA,LR Zplasty,bongrf,chondrplty
chondrplty,LOA,fatpad remvd
TKR
openLOA,neurectmy,ITB Zplasty,fabela
PLC recon,revison,LOA,synovec
MCL,revison LOA
openLOA,prox Zplasty
openLOA, 6 neuromas excised,synov
3 Fusions

Offline Audice

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Re: MCL injury
« Reply #9 on: April 19, 2007, 12:47:22 PM »
Welcome to the "Unhappy Triad" group. Lots of decisions to make. Wishing you well...Ellie
April, 2005 - ACL rupture, medial meniscus tear within posterior horn to articular surface, abnormal signal within lateral meniscus, partial tear MCL, bone contusions tibia/fibula, Baker's cyst.
No repairs.

Offline miltonc

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Re: MCL injury
« Reply #10 on: April 25, 2007, 12:06:03 AM »
OS confirms that my ACL is torn.  He says meniscus damage is minimal.  No worries there.  But said there is some bone bruising, but that also should heal on its own.  He is ready for surgery.  He wants me to call him anytime I am ready.  He said it takes about 2 weeks to schedule it.  Lots of stuff going on my mind.  I want to make a list of questions that I want to ask OS before surgery.  Here is a partial list.  Please let me know if I need to add anything more. 

1.  What type of graft?  Pros and cons.
2.  I still have swelling in the knee.  Is it a problem?
3.  Range of motion is between 5 to 110.  Is it a problem?
4.  How long will I be out of work?  (I sit in front of a computer all day for the most part)
5.  Anything wrong if I wait for a year to decide

I also want to know how good this doctor is.  Not sure how to go about finding that information.  He is the same doctor who initially diagnosed my injury as a MCL sprain.  He did get somewhat suspicious in the 2nd visit and so ordered the MRI.  How common is it for doctors to miss an ACL tear and then rely on MRI to confirm an ACL tear. 
3/4/07 - Soccer injury
5/30/07 - ACLr

Post op diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=36990.0

Offline missmyknee

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Re: MCL injury
« Reply #11 on: April 25, 2007, 01:04:33 AM »
Since you are now dealing with an ACL problem and future surgery, I suggest you start posting up in the Cruciate Section now.( above this one)  They can help you out with your questions.

Good Luck  ;D

Pam
4Fx Clsd red
IMrod fib plate
derotate osteotmy tibfib
AF
IPCS patbaja
DeLeeOsteotmy,LOA,LR Zplasty,bongrf,chondrplty
chondrplty,LOA,fatpad remvd
TKR
openLOA,neurectmy,ITB Zplasty,fabela
PLC recon,revison,LOA,synovec
MCL,revison LOA
openLOA,prox Zplasty
openLOA, 6 neuromas excised,synov
3 Fusions

Offline LauraRae

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Re: MCL injury
« Reply #12 on: January 17, 2012, 04:56:59 AM »
Hi all! I'm new here. I hurt myself skiing over the weekend and went to the ER.  No break but with a little manipulation and a lot of Fentanyl, the ER doc seemed to think I had an MCL injury.  My boss (a surgeon) called his best friend, an OS, and booked my an appt for the morning. 
I've read a lot of the postings and I'm quite nervous and have some questions.
---  Does the OS usually take an MRI at the first appt?  If not, how do they know you haven't torn anything and dont need surgery? 
---  how the heck am I supposed to NOT use crutches if I feel like my knee is going to come out?

My biggest issue 3 days post injury is pain, weakness, a VERY cold foot, and my ROM is very limited.  I can extend but not totally straight and I can bend almost to a 90 degree but then the while tibia just flops down, I have no ability to keep it up and it HURTS when it falls.  :'(

Anyone have suggestions to not hide from the doc tomorrow?  Oh yeah, I also live in Seattle and its snowing and I currently have frozen concrete stairs up to my front door.....so I'm even scared of getting to the car safely.

LauraRae

Offline Kaputt_Knee

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Re: MCL injury
« Reply #13 on: January 17, 2012, 06:07:46 AM »
You would be better off starting your own new thread in the General section and then doing a search on MCL injuries and treatments.

Generally the MCL is not operated on if it is not completely torn. It has a good blood supply and can, over time heal by itself. It does take quite a lot of time though so patience is essential.

You will most likely have an MRI and maybe some X-rays to ascertain the degree of injury and if any other structures were damaged. But each surgeon/specialist has their own way of doing things so until you see them it is pretty difficult to predict anything.
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee















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