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Author Topic: Patella alta  (Read 2702 times)

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Offline kscope09

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Patella alta
« on: April 29, 2010, 02:43:20 PM »
I've got a slightly high patella dn a shallow trouchlea.  I've had tracking problems in the past that were corrected with taping.  Before I injured my acl at 26 i never thought there was anything strange about my knees until I had the scope.  I've had 26 years of amazing knee function which included 14 years of Karte and I've never had a single disclocation.  The thing is that now I'm more aware of these deforminties I'm concerend that a dislocation could happen.  My knee has always looked normal enough, so I don't think the alta is so severe.  I'd like to know if other people have lived with shallow trouchleas and patella alta and never had problems their whole lives, especially dislocations.

fpr those who've read my thread on patella dislocation questions, I;m sorry  that I seem a bit winey and annoying, but it really is frightning.  What I'd like to know is; do most patella alt sufferes live without dilocations or is it unusual for them not to have them.
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline crankerchick

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Re: Patella alta
« Reply #1 on: April 29, 2010, 03:02:28 PM »
I have patella alta, shallow trochlear groove, and twisted femur and tibia in both legs. All bad combinations for patella instability. My right leg has NEVER dislocated or subluxed in 29 years on this earth. I can feel it tracking off sometimes, but no instability and relatively little pain or problems as compared to the other leg.

Also, now that my bad leg has had the patella lowered, the patella alta is very noticeably on my right leg. My patella was lowered ~16mm on the left leg. I can feel and see the difference in the 2 knees.

Your other thread isn't whiney. I think paranoid is a better description. Just do what you need to do get your supporting muscles strong and deal with the rest as it comes, if it ever comes.

You need to stop thinking about your knee and go live your life. I hope my post helps you some, but I think I'm done with this because I'm tired of repeating myself answering the same question over and over.
« Last Edit: April 29, 2010, 03:13:15 PM by crankerchick »
Mar '07 - plica excision
Oct '09 - femoral + tibial derotational osteotomy & TTT
Aug '10 - hardware removal
"You control your leg. Don't let it control you." -Smart trainer
"Get your a$$ in gear and go for it! Nothing will happen until you make it!" -Smart doctor

Offline kscope09

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Re: Patella alta
« Reply #2 on: April 29, 2010, 03:47:16 PM »
Sorr aobut me acting apranoid, but with regards to exercise; I'm doing that already and my quads are strong enough now that my knee is almost as stable as it waspre-op.  I do go out and I do live now, more so than a coupe of months ago because I've got much better function.  Thankyou though for teeling me that you've had these prboelms all you life and not had a disclocation, I find it very encouraging.  Just out of interest; did you always know about thsoe deformities before having symptoms and have you always taken part in high impact sports.,

Seriously, I really feel I'm doing well, but worrying about this patella thing is like a barrier because I can't help feel that I should someohow be prepard for the worst.

Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline crankerchick

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Re: Patella alta
« Reply #3 on: April 29, 2010, 04:21:43 PM »
No I didn't always know about the deformities. I always knew my knees hurt though, but never knew why really. The doctors along the years just always said it was the structure of my legs and that was it, that I needed to keep my quads strong and live with it.

Many doctors and MRIs and x-rays later, I finally just stopped playing sports (basketball, soccer, volleyball) around age 20. From then I took up less impact activities, mostly hiking, mountain biking (since cycling never really hurt my knee), and I got serious about bowling. My day to day pain improved, but the instability in the left leg remained.

Last year the instability really got out of control, affecting me daily. A Fulkerson and LR surgery was suggested and while getting input on this site about that procedure, I learned of rotational deformities. That is when I started getting opinions from patella specialists. I had a CT scan and learned that I had the twisted bones, the shallow trochlear groove, and the patella alta. No doctor had ever mentioned these things prior in all my years and with all the different orthopods i saw.

i'm glad you are able to do more and hope you can get back to karate soon. as you do more and gain confidence, you will worry less about your knee, as it should be.

Now that my leg is straight, I'm sure when I'm all rehabbed I will think about some sports again, but probably not on a competitive level but just for fun. I will definitely get back to mountain biking and bowling as soon as I can. Thinking of getting a motorcycle, so that should be fun.
Mar '07 - plica excision
Oct '09 - femoral + tibial derotational osteotomy & TTT
Aug '10 - hardware removal
"You control your leg. Don't let it control you." -Smart trainer
"Get your a$$ in gear and go for it! Nothing will happen until you make it!" -Smart doctor

Offline smillie

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Re: Patella alta
« Reply #4 on: April 29, 2010, 04:48:15 PM »
I am 41, have patella alta in both knees, and have never dislocated.  I have nasty tilt and tracking problems and IT band issues, but no dislocations.  Your issues don't guarantee that you will have dislocations.  Before '94 when I got bad enough to give the surgery a try, I swam competetively, was a lifeguard, played softball every summer, played intramural sports in college including football, played volleyball regularly, walked 3 miles a day, jogged on occasion, rode my bike, etc. etc. etc.  I was active and in shape and the only problems I had were the occasional flare up from the tracking problem. 

You're strengthening and dealing with your other issues.  Don't let the patella alta drive you nuts.
patella pain began early teens
'94 TTT/LR/VMO adv.
'94 MUA
'10 tried PT again
1/11 scope/hardware removal
4/11 (Finally!) dx medial instability due to LR
5/9/11 LPFL reconstruction scheduled

Offline Lottiefox

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Re: Patella alta
« Reply #5 on: April 29, 2010, 09:00:48 PM »
kscope,

Most people have something a bit weird going on with one or other of their joints. When you get an MRI or an op you suddenly become aware of it. Most of the time, the human body and mind compensates for our shortcomings. I don't know if you're make or female, but us laydeeez are prone to bizarre leg and knee issues, wide hips, Q angles, shallow grooves, etc etc. We were built to breed and raise children not hunt the bears you see. In 2010 though we want our own bears and our knees sometimes get a bit twitchy with that.  ;)

 I too have madly tilted patellas, chunks of missing cartilage, OA at the age of 41 and a bloody great change to my lifestyle and career plans. But, I refuse to let me knees dictate who I am. Every so often I whine, cry, throw things, drink gin, shout at my husband and collaspe with a bar of chocolate and then go to bed. The pity pit traps us all. But - my life isn't about my knee. I have SO many other things in me. I refer back to someone on the TKR threads who inspires me a lot - her signature reads "I will not be defined by what I cannot do". So, I keep plodding on with PT, OS opinions, procrastinating/research, trainign at the gym, finding things I still love and enjoy, and I know my career plans won't be stopped, just deviated slightly. I'll be a better trainer with my understanding than without. Nothing worse than a trainer who has never been injured!! (You want to kick them - in the knees).

I know you are worried but you are in danger of letting your knee rule your life - and thats pretty pointless. You might dislocate your knee tomorrow. You might do it next week. You might do it when you are 70 and skiing down a mountain. You might get run over by a bus tomorow, have a brain haemorrhage, win the lottery, fall down the stairs or break your arm. Who knows what tomorrow brings! Keep up your exercises, you are doing so well from the sound of it, but please stop driving yourself mad with constant knee obsessions. Cut yourself some slack.

Now, get some chocolate and relax.

Lottie  :)

Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....