Banner - Hide this banner





Author Topic: What can I expect - MPFL tear  (Read 28792 times)

0 Members and 1 Guest are viewing this topic.

Offline aaa

  • Forum Faithful
  • ****
  • Posts: 392
  • Liked: 1
Re: What can I expect - MPFL tear
« Reply #15 on: June 30, 2010, 08:20:04 PM »
very interesting .. thank you

i've tried to make sense of the medial patella ligaments and found this - http://www.wheelessonline.com/ortho/medial_patellofemoral_ligament

the VMO is described to 'fuse' with the MPFL.  So is the MPFL purely a ligament, or have muscle/tendon like property as well?



drmark

  • Guest
Re: What can I expect - MPFL tear
« Reply #16 on: June 30, 2010, 11:43:34 PM »
The MPFL is a seperate and distinct structure from the vastus medialis obliquis.  The former is a ligament and the latter a muscle/tendon unit.  They are easily seperated in the dissection room and in surgery.

To get back to my earlier point, I just can't remember when I did surgery to repair/reconstruct an MPFL as an isolated issue.  Most recurrent dislocations occur resultant from developmental abnormalities.  A single traumatic dislocation in an otherwise normal individual rarely become recurrent and requires surgery.

Mark Sanders MD FACS

Offline aaa

  • Forum Faithful
  • ****
  • Posts: 392
  • Liked: 1
Re: What can I expect - MPFL tear
« Reply #17 on: July 01, 2010, 02:53:38 AM »
i have to wonder if i might fall into this case, although rare

i had no knee issues whatsoever until my kneecap was forcibly knocked out of place, it happened as i was about to land from getting a rebound in basketball and my knee was loose for a second while bracing for the impact to hit the floor, just at the moment someone decided to streak across perpendicular to me, and grab the ball from my hands, and in the processes thrusted their chin into my kneecap. 

I even ran up the CN Tower in Toronto maybe a year or so before the injury (many small staircases and turns) and my knees didn't ache at all.  muscles burned,  joints were solid,

when my kneecap dislocated, it looked like it was down near the hamstrings, it was brutal, i think i did a 360 from the impact before landing as well.  the guy who hit me had a huge bruise on his shin and thought he had broken it.  It was out for an hour and a half until the doctor finally saw me and put it in place.  I was put in an immobilizer for 4 weeks and sent home with no instructuctions.  I was taken out of the immobilizer and then I could not walk right ever since.  Its been over 2 years. Even a single leg extension was near impossible for several months, i felt severe pressure on the lateral kneecap.

Now several years later, I had the lateral release, its helped quite a bit so far and i'll keep working at it since its only 2+ months post-op, but i have to think MPFL recon or repair sounds like it may have helped too.


Offline fraud_ninja

  • Forum Faithful
  • ****
  • Posts: 344
  • Liked: 0
Re: What can I expect - MPFL tear
« Reply #18 on: July 01, 2010, 03:05:51 AM »
Dave,

Often people are unaware of knee cap problems until they have the initial dislocation. This was true for me.  My knees never bothered me for a second and then I dislocated my right kneecap when I was 12.  I had no problems afterward for another 8 years.  I dislocated my left kneecap at 13 and had no problems with it until after I had my right TTT. 

Its possible that you are one of those rare cases, but there is only one way to know for sure.  Seeing a patella specialist who has the knowledge and takes enough time to check for the conditions noted by Dr Mark will tell you for sure. 

I have a pretty twisted left femur...38 degrees where 15 degrees is considered 'normal'.  Before my CT scan revealed my femoral anterversion I never knew I had it.  In fact, I read some posts on this forum about femoral anteversion and I thought 'thank God I do not have that."

Knees are not like cars.  You cannot keep replacing the parts until you get them back in working order.  Its so, so important to spend the extra time on the front end.  You can never get it back once you commit to major surgery.

Brianne
12/26/02 LR R
10/26/06 TTT R
1/25/07 TTT L
12/17/07 TTT revision, MPFL recon R
2/7/08 TTT revision, MPFL recon L
3/24/08 screw removal R
4/30/08 screw removal L

Knees are fixed, training for a triathalon.

9/21/09- Right ankle reconstruction

Offline Jennifer34

  • Forum Faithful
  • ****
  • Posts: 256
  • Liked: 0
Re: What can I expect - MPFL tear
« Reply #19 on: July 01, 2010, 04:07:53 AM »
Dr. Mark,

I had a MPFL in March (3 months ago) with donor ligament.  How long does it take to fully recover from this surgery to the point that I can go back to running, hiking, cross country skiing safely without further injury.

My surgeon says up to 12 months, which seems kind of long.  Is this a realistic time frame?

thanks
« Last Edit: July 01, 2010, 04:10:25 AM by Jennifer34 »