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Author Topic: ACL rapture and results of MRI in German  (Read 2786 times)

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Offline armit

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ACL rapture and results of MRI in German
« on: May 26, 2007, 09:43:38 PM »
Folks,

Is there anybody who may translate the letter coming from hospital in Austria (German language)? I had ski accident last week in Austria, which cased to "unhappy triad" - ACL rapture + (probably) issue with meniscus. I went to make MRI in Austria, but they were unfortunately late with interpreting results and I received them by post only today.

Reason for asking is because it seems that the content of this letter is a bit different from what they intitially told me in Austria, and from what local Dutch doctor keeps telling me. It seems that unline intitial diiagniosis, my ACL is not completely teared (which is good news), but I also have some damage of meniscus.

Also - can I cycle with the knee brace? - I am perfectly capable of cycling indoors, but concerned that outdoors may end with unexpected failure (somebody crossing the street...you name it...), which will cause significant damage.

Thankis in advance,

Armit, Netherlands

Offline Audice

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Re: ACL rapture and results of MRI in German
« Reply #1 on: May 26, 2007, 11:48:51 PM »
"my ACL is not completely teared (which is good news), but I also have some damage of meniscus."

Welcome, Armit. I'm sure you'll get all sorts of help on this site & especially in the cruciate forum. But first, let me say that a partial rupture of the ACL isn't generally good news because inevitably the weakened cruciate will more than likely rupture.

A meniscus tear may or may not have the ability to heal depending on where the tear is & how much blood supply there'll be to the area to help with healing. If your knee isn't locking because of the way the meniscus is torn, surgery isn't something that needs to be dealt with immediately. Is there a third injury to complete the unhappy or terrible triad injury?

Cycling ought to be doable certainly with a brace & possibly even without one. It's the pivoting or twisting that'll cause more damage to the ACL & end in a rupture. Is your knee unstabile now?

The general recommendation is that reconstruction of the ACL be done to avoid further damage & to enable you to continue with the lifestyle you choose. Without an ACL your knee has less stability so the thng is to keep your leg muscles as strong as possible to compensate. Many people, myself included, live well without an ACL. Mine won't be repaired because of my age - almost 70. 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 Kaputt_Knee

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Re: ACL rapture and results of MRI in German
« Reply #2 on: May 27, 2007, 08:16:00 AM »
Hi Armit

you can send a copy to me and I will attempt a translation into English (I'm a translator BTW). However, is it not possible to get an MRI scan done in the Netherlands? Please use my email address and then I can send it back to you. I am not a doctor but I do have experience of German hospital language especially with knees!

A partial tear of the ACL is quite common as it is made up of several strands rather than one single band. Contrary to popular belief there are usually strands left connected but they often have little or no functionality. The need for surgery depends on many different variables. With the meniscus damage it is also relative as to where it is. At the edge (outer) it has a relatively good blood supply and can heal itself, inner deeper tears have little or no blood supply so surgery is usually the only choice if the tear is causing problems.

I would fond myself a good knee specialist if I were you. I take it that you were skiing on a glacier and are probably a fairly keen skier. The continuance of your sports is a factor that is often used to determine the post injury actions.

Good Luck

Sue
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

Offline armit

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Re: ACL rapture and results of MRI in German
« Reply #3 on: May 27, 2007, 10:04:35 AM »
Dear Sue,

First, thanks for your response, really appreciate this.

You are perfectly correct - it happened in Kaprun (which as you definitely know is an Austrain glacier), and I am not prepared to give up nor skiing neither cycling. Problem is that doctors here in NL tend to take things easy, and I already start hearing that at my almost 49 and profession (engineer) I do not need surgery...(kind of "will be fine").

MRI here in The Netherlands - of course, but I need to convince my doctor, and waiting list is about 1-1,5 months. Therefore I wanted to have MRI in Austria (2 days only).

Now to the most important: I miss your e-mail address (it is hideen in your profile). Mine is [email protected]

Offline Leentje

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Re: ACL rapture and results of MRI in German
« Reply #4 on: May 27, 2007, 10:55:13 AM »
Hay armit!

Don't you have the MRI film with you? or a copy on CD? If not call the dr who treated you and ask him to send them to you, that way you can go to a Dutch dr who can look at them. If that's not possible ask to have a normal CTscan, ACL ruptures can perfectly be seen on that too.

BTW Why would 49 be a reason not to have a recon? In the end age has nothing to do with it, but if you want to stay active ie play sports etc, it is logical you have a recon. You can leave it untreated, but it will most likely leave you with problems and give you arthritus at an early age

Good luck!!

Helena
Bilat patellar malalignment/PFdysplasia
00/06/83 L wrist #
11/12/00 L knee LR + chondroplasty
21/08/02 L knee TTT
02/03/04 L knee stretched PCL
11/09/07 L ankle dislocation/medial avulsion #
25/05/09 L ankle medial avulsion # AGAIN!
05/06/13 R ankle dislocation

Offline armit

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Re: ACL rapture and results of MRI in German
« Reply #5 on: May 27, 2007, 11:01:15 AM »
2 Audice:

Greetings and thanks for your prmopt reply. You wrote: "partial rupture of the ACL isn't generally good news because inevitably the weakened cruciate will more than likely rupture. " . Being an engineer :-) I was suspecting the same but wasn't sure - now it seems that there is almost no difference bewteen total and partial rapture.

In terms of the thrid element of "unhappy triad", I also have MC ligament streched, but again need to translate the content of that letter to understand the extend of this damage.

Last but not the least: my knee seem to be relatively stable. In fact, when I returned from Austria I managed to hide my trauma from my wife and kids (did not want them to worry) until my wife ironically received famous letter from the Austrian hospital with the results of MRI. I manage to walk almost 100%, can crosst-train and indoor cycle almost as I used to do in a past. Seems that my mussles were prepared to take over and compensate almost from the very beginning. But I perfectly know and feel that if I make wrong instinctive movement, it can all go wrong.

Folks, many thanks for your readiness to help. It is amazing that just one minor wrong movement causes so many troubles but also helps to realzie how many good people are around...

Offline armit

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Re: ACL rapture and results of MRI in German
« Reply #6 on: May 27, 2007, 11:38:50 AM »
2 Helen,

In fact  DO have copy of MRI disk, but seems that my situation is not "black-and-white" (I mean "complicated") and therefore both Austrian and Dutch doctors had dificulties to make presise diagnosis. Seems that special radiolog has more experience and therefore I really want to see translation of this letter, which is coming from the dept. of radiology.

Agree with you about the age, I feel pretty sportive at my 49, which is probably the reason why I oversetimated my abilities :-) and screwed up my knee....

So, bottom line of all your comments is that I need to find a good specialist and insist on surgery. Not an easy task in Netherlands of these days, but I will have it done.

Offline Audice

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Re: ACL rapture and results of MRI in German
« Reply #7 on: May 27, 2007, 01:48:46 PM »
Armit wrote: So, bottom line of all your comments is that I need to find a good specialist and insist on surgery. Not an easy task in Netherlands of these days, but I will have it done.

Not necessarily, Armit. Most people will tell you the better way to go is to have the reconstruction done but if you're willing to work within the limitations of your knee, you "might" be able to do w/o surgery. The MCL will heal in time - although some people say it's never as good as it was originally. The meniscus can be dealt with surgically if necessary but many of us live well with no ACL.

I've not changed my lifestyle in any major way since the injury. I own large sighthounds & walk 3 dogs at a time. I have a horse & work at a farm. Most times my knee offers no resistance to what I do. And if I know I'm going to be doing something that might jeopardize it, I put on a custom brace the OS felt I should have. Unless you're in intractable pain, you can deliberate your decision & needn't hurry into surgery...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 armit

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Re: ACL rapture and results of MRI in German
« Reply #8 on: May 27, 2007, 02:16:09 PM »
2 Ellie (2):

Ellie, I am really glad you managed to continue with your very active lifestyle under your current circumstances. Guess the best for me will be letting it go for a couple of months with physiotherapy excersizing, and seeing what results I will have like by the end of summer.

Again, thanks for your support and sharing your knowledge,

Armit

Offline Kaputt_Knee

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Re: ACL rapture and results of MRI in German
« Reply #9 on: May 27, 2007, 07:15:22 PM »
Hi Armit

I've sent you a PM which will give you my email address.

I know the Kitzsteinhorn at Kaprun really well as I used to have to go there before the start of each winter season in order to be checked out as a ski instructor. We also were bought up to date with new techniques etc.

I am 56 years old and had another ACL reconstruction (patella tendon again!) last winter. One of the major reasons for not operating on older patients that surgeons give is that the rehab is usually a lot   slower. But I had no choice as the instability was simply too much for my job as a PE teacher and ski instructor.

Keep working on muscle tone and condition particularly the quads and hamstrings but generally go for both legs being as strong as possible. There are many people out there without ACLs and they are able to live very full and active lives. My gut reaction is if it is not troubling you don't operate. An old adage from the IT world where I have also worked (Network Administrator and software developer):
     "Never change a running system!"

Sue
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

Offline armit

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Re: ACL rapture and results of MRI in German
« Reply #10 on: May 27, 2007, 09:57:11 PM »
2 Sue: "An old adage from the IT world where I have also worked (Network Administrator and software developer):
     "Never change a running system!"

Electro-mechanical engineering, to which I belong for the last 30 years, is based on Preventative Maintetance approach. Guess this is one of the main differences between the IT guys and hardware freaks like myself....




Offline Leentje

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Re: ACL rapture and results of MRI in German
« Reply #11 on: May 30, 2007, 12:16:50 PM »
I know the Dutch Health Care system is a lot different than ours, can't you go to your local GP and ask a referral to a good OS/knee specialist? Hope your knee gets sorted soon and you seek good specialist help.

Helena
Bilat patellar malalignment/PFdysplasia
00/06/83 L wrist #
11/12/00 L knee LR + chondroplasty
21/08/02 L knee TTT
02/03/04 L knee stretched PCL
11/09/07 L ankle dislocation/medial avulsion #
25/05/09 L ankle medial avulsion # AGAIN!
05/06/13 R ankle dislocation