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Author Topic: saw the specialist with MRI impressions.  (Read 1590 times)

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Offline mcnay1

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saw the specialist with MRI impressions.
« on: January 24, 2008, 04:49:12 PM »
Had MRI on both knees a few days ago, just saw specialist with MRI results. Said i have right mild cartilage thinning with patella tendinitis. Left knee, Mild partial tear in the patella tendon with swelling as well as patella tendinitis.

I have to see another specialist to see if he wants to surgery for the partial tear. He offered me a knee immobilzer and crutches. unfortunately, i kinda laughed and said that i have 2 small children at home. So he gave me a scrip for methyl prednisolene(disp Pack)

the actual impressions are listed below, however I would like some feedback if anybody has had the same issues especially with partial tears in the patella tendon as well as treatment they have gone thru:

impression right knee:
Appears to be mild cartilage thinning along the medial patellar articular surface, but without subchondral edema., some mild chondral degeneration along the medial patellar articular surface.
impression left knee:
Abnormal increased t2 signal and thicking is noted in the proximal attachment of the patellar tendon consistent with tendonpathy and mild partial thckness tearing with adcacent soft tissue edema.

Any thoughts are appreciated thanks again,
Matt

Offline austinknee

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Re: saw the specialist with MRI impressions.
« Reply #1 on: January 24, 2008, 08:16:15 PM »
not sure about the MRI...but FYI on the steroid dose pack. It might make you a little sleepless....and often slightly increased thirst, hunger, urination. Some folks feel a little odd on steroids.  Also, you have slight increased risk of infection while on them.

have no clue on your MRI.....sorry.
LR 11/2006
LR Reconstruction scheduled 2/08

Offline mcnay1

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Re: saw the specialist with MRI impressions.
« Reply #2 on: January 25, 2008, 02:37:26 PM »
Thanks for the info about the oral steriods. I just started them today, pretty crazy regiment of taking them for 6 days. I am just concerned that the specialist will want to surgery to fix the partial tear. i definately do not want to rupture the patella, which will lead to major surgery.

Spoke with trainers at davidson college where my wife works and they said if it were them, they would just suck it up and drive on. However, since i am in the military and need to run around with gear on, it might benefit me to have it scoped and fixed. I just don't know. i haven't run on it or worked out in 13 weeks and it just doesn't seeme to get better. anyways, thanks again. Anybody else have experience with partial tear in patella tendon and what was the verdict. thanks

Matt

Offline austinknee

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Re: saw the specialist with MRI impressions.
« Reply #3 on: January 25, 2008, 07:09:27 PM »
your welcome.  My husband was a Marine...he was injured while active too....fell from repeling or something...yikes. Now he is a police man/ heli pilot.....he doenst have to carry anything. ha.

You might have better luck finding someone with your particular problem by making a new topic with just the words anyone with a partial patellar tendon tear....

AND....in the upper left hand screen of the webpage you will see the search the bulletin board only spot....type in "patellar tendon tear" and you might find someone with your same thing.....if you put the word in quotations it narrows it down some.  I found some people on there with my same thing and just sent them messages directly and asked them questions!

Good luck!
LR 11/2006
LR Reconstruction scheduled 2/08

Offline mcnay1

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Re: saw the specialist with MRI impressions.
« Reply #4 on: January 25, 2008, 07:45:53 PM »
awesome advice thanks

Offline fitnesskitty

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Re: saw the specialist with MRI impressions.
« Reply #5 on: January 25, 2008, 08:34:43 PM »
Hi Matt,

I had a partial quad tendon tear last August when I fell and dislocated my kneecap.  I had to have a surgery a few days later to re-attach the part of the tendon that tore to my kneecap and to realign the knee, etc.  Anyway, I had to have the surgery because of the tear or I would not have eventually made it to where I am at now, with near perfect ROM and finally walking unassisted.  I had  complications with scar tissue and a second surgery in November to clean that up and get a lateral release and a manipulation under anesthesia, but that is another story.  The point is, I was told I could not walk around with a partially torn tendon without having problems and/or risking rupturing it completely.  I would think surgical intervention would be necessary to get back to normal, especially since you want to be really active.

Best of luck to you.

Take care.

Sarah
Aug 17 07 Injured
Aug 23 07 Open surgeryOct 18 07 No progress made at PT for awhile - stuck 52/53 degrees
Oct 23 07 Saw OS, wants second opinion from partner-ROM stuck 30-35
Nov 1, LR, LOA, MUA
PT 2X/week now, was 3X
Jan 8: ROM 134
Rest In Peace, Lucky!  I love and miss you so much!!!!!!!!

Offline mcnay1

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Re: saw the specialist with MRI impressions.
« Reply #6 on: January 28, 2008, 05:37:24 PM »
Sarah,
Thanks for your insight. Ouch, torn quad tendon surgery then manipulation and a lat release. I walk around my house just waiting for my leg to fall off. It is kinda discomfortable and at times just miserable, but never did i think i would need surgery. o well...I see another specialist this friday. so we shall see hwat his plans are. unfortunately, i also have multiple disk bulges in my back as well as problems with my L4, L5 and S1 vert. The answer i got on that is that my problem is age associated. talk about wanting to choke a dr. Unfortunately, they don't realize that i have to wear about 30 lbs worth of body armor and about 10-12 pounds of ammo when i am in the military and run a round. Not that i don't tell them, they just don't comprehend that in their brain...thanks again..

Matt

Offline fitnesskitty

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Re: saw the specialist with MRI impressions.
« Reply #7 on: January 28, 2008, 05:52:26 PM »
Hi Matt,

Wow, 40 pounds of stuff that you need to be able to run around with.  That is some added stress to the knees, for sure.  I would think that you would need the surgery to get it fixed so that you don't rupture it.  They might even be able to do it arthroscopically. I had open surgery the first time because I had other procedures done as well.  There are lots of people on this site with ruptured tendons, but you still might find them useful for advice on what their rehab was like, etc., though theirs might be more conservative than what you would go through, I am not sure.  I don't know about going on without a surgery.  If you rupture it completely, it is a whole different thing.  No point in asking for it!  You did state that it has not gotten any better in 13 weeks...to me that means you need further intervention.  Do you have muscle atrophy at all?

Anyway, I wish you the best of luck no matter what you decide!

Take care,

Sarah
Aug 17 07 Injured
Aug 23 07 Open surgeryOct 18 07 No progress made at PT for awhile - stuck 52/53 degrees
Oct 23 07 Saw OS, wants second opinion from partner-ROM stuck 30-35
Nov 1, LR, LOA, MUA
PT 2X/week now, was 3X
Jan 8: ROM 134
Rest In Peace, Lucky!  I love and miss you so much!!!!!!!!

Offline mcnay1

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Re: saw the specialist with MRI impressions.
« Reply #8 on: January 28, 2008, 08:13:39 PM »
Sarah,
I am sure I have muscle atrophy in my quads. I was trying to continue with stretching, but it just got to be too much. However, i am still doing the ice everynight for 15-20 minutes or as long as i ban bare it. i am on a steriod pack day 3 of 6 but that isn't doing much. I am afraid the dr. on friday is going to put me in a knee immobilizer and crutches. With a 2 1/2 and 1 1/2 year old trying to keep up with, that is pretty much useless. they might as well cast the leg or I would definately take off the immobilier, not to do more damage, but i have to worry about the kids before myself. before kids this would have been a bit easier...could have been waited on hand and foot by my wife...lol (hey right, stop kidding myself).

but then if the DR says to start on PT and that's it, then i would probably bullit hole that idea as well. unfortunately, with the majority of comments from this board, i basically am looking at a life of knee problems from this point.

As for the 40LBS of weight, well think about it, about 18 pounds for the front plate and 12 pounds for the back plate for body armor, 10-12 pounds of ammo and a weapon helmet and trust me there is always additional gear, it adds up. So when you see those troops in Iraq running around, they are wearing some heavy gear. Thanks

Matt

Offline fitnesskitty

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Re: saw the specialist with MRI impressions.
« Reply #9 on: January 28, 2008, 08:36:48 PM »
Hi Matt,

In my opinion, I think you will have a lot less problems if it was surgically repaired, but I am not an expert, just going based on my own experience and some information I have read online.  I understand that you have kids to worry about and that is a tough situation to be in, but if your doctor puts you in an immobilizer and crutches, I really think you should follow his/her orders.  There are others on here with kids, so you could ask for tips on how to cope and take care of your kids while following doctor's orders.  Don't be afraid to ask others for help and I hope your wife is picking up extra tasks so you can rest your knee as much as possible.  For better or for worse, remember, and you would do the same for her.  My husband was really great during my immobilized weeks and through my surgeries, etc.  I felt bad burdening him, but he really was great, never complained, and I would absolutely do the same for him.  In a heartbeat.  You could also see if you can walk peg-legged in the immobilizer without crutches, assuming that you are allowed to fully weight-bear and if your OS okays it.  I've read about others doing this.  Or maybe you could ask for a hinged immobilizer that could be unocked to a low amount of degrees allowing for a more normal gait, but still protecting the knee a bit.  I just would worry that if you do not do what your OS suggests, you could really do more damage, and then really will be stuck in a cast or an immobilizer for several weeks post-op.  A few weeks would be better than months, right?

Stretching will be important when you are on the mend, and working on re-gaining your range of motion.  Also, you will be given home exercises and stretches and some strengthening moves. 

That is a lot of added weight to b running around in and I have nothing but respect for you and all the others that fight for this country.  It is a tough job and it takes strong, brave amazing people to do it, so you have my respect for sure!  I am grateful that there are people like you out there that are fighting the fight so we can keep what we have all come to take for granted.  I wish you all of the best in finding the best answer for your knee problem.  Please do let us know what you decide and how you are coming along.

Take care,

Sarah
Aug 17 07 Injured
Aug 23 07 Open surgeryOct 18 07 No progress made at PT for awhile - stuck 52/53 degrees
Oct 23 07 Saw OS, wants second opinion from partner-ROM stuck 30-35
Nov 1, LR, LOA, MUA
PT 2X/week now, was 3X
Jan 8: ROM 134
Rest In Peace, Lucky!  I love and miss you so much!!!!!!!!

Offline mcnay1

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Re: saw the specialist with MRI impressions.
« Reply #10 on: January 28, 2008, 08:52:57 PM »
Sarah,
thanks for the advice, o yes my wife definately pick up the slack. I just hate burdening others too do my taskings. Actually when i saw the first OS last thursday, he offered me an immobilizer and crutches. i laughed at him, so he withdrew the offer. Which was tasteless on my part. But you brought up a great idea with the hinged immobilizer. I will have to run that by him. I was reading on another chat room here regarding immobilizers and how unconfortable they are. i was actually in one about 18 years ago in the USMC when i hyper-extended my knee. had too wear it while on 3 days leave in Kurachi, pakistan(back then they weren't as radical as today)...

Also, should give me a chance to work from home for a bit...that is always nice. My point about the cast was that i would not be able to get that off no matter how much i tried. i can easily take off the immobilizer. i remember a few years ago my wife sprained her ankle pretty bad when somebody slide into her at home plate and they put her in a weak ankle brace and it was just sheer heel for her trying to get around on crutches especially up the stairs and thougth it would have been eaiser for her if they just casted it and she could walk on it will maybe a cane....but that is just me.

Matt