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Author Topic: Please Help Diagnose  (Read 1153 times)

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Offline MacAttack

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Please Help Diagnose
« on: July 05, 2010, 08:48:52 PM »
I've been to ortho once & read tons of threads, but I'm not positive what's wrong with my knee.
Was playing basketball and shuffling backwards and made a slight turn and heard a pop and felt immense pain and instantly dropped to the ground.
Ortho thinks I dislocated my patella, but I've had no MRI or anything.

Five days later here are the symptoms.
1.  All pain is on the inside of knee.
2.  Extremely tender when I touch the left perimeter of my kneecap
3.  Very tender when I rub the large bone on the inside of the leg just left of the kneecap
4.  I can stand straight or lay down straight and have no pain.
5.  There is pain however whenever I bend my leg or engage muscle to move it in any direction.
6.  I can sort of walk for a little while, but if I'm not extremely careful I can feel the knee move wrong and want to buckle.
7.  After 5 days the pain is not any better.  I would say it's worse today than yesterday.

I know you're not doctors here, but what does it sound like I did to my knee?  I wanted to go to a dif't doctor today, but I called and they're all closed for the day after the holiday.

Offline crankerchick

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Re: Please Help Diagnose
« Reply #1 on: July 05, 2010, 09:15:27 PM »
It's hard to say what actually happened. It's certainly possible you subluxed the patella (a true dislocation would have left your kneecap needing to be reset in the ER!) but it could be any number of things too. You've been to the ortho already, did they do an x-ray??

What's more important then what happened is what to do now that whatever has happened has happened. Did your ortho give you any instructions as far as exercising and stretching and getting the swelling down? Any talk of physical therapy or anything?
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 psych_kt

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Re: Please Help Diagnose
« Reply #2 on: July 05, 2010, 09:20:28 PM »
I agree with Crankerchick. You may have subluxed the patella. I hear the popping sound when ever mine subluxes (which is, sadly, very frequently). I also think it may be worth getting an MRI to rule out anything being torn. Have you had any knee problems before this?

Offline readinggal

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Re: Please Help Diagnose
« Reply #3 on: July 05, 2010, 09:43:39 PM »
hi the injury you received sounds just what happened to me
when i had a fall in may - my right leg buckled -my knee made a loud pop and i had severe burning sensation which was the most excruciating pain i have ever experienced.my knee swelled immediately to 5x the size of my 'good knee' I  was taken to hospital and xrayed - there was no break so they sent me away in a high thigh to ankle splint and crutches and an appointment for 1 week later when they gave me an ultra sound and told me that i had completely ruptured my quadricep tendon and needed surgery to reattach the mechanism. i had that surgery 2 days later and today i am  37 days post surgery. i started physio last week and my splint has now been set to give me a 30 degree bend- next week it will give me 60 and 2 weeks later 90 -not sure what happens then. i have an appointment on friday with the specialist so will have a list of questions ready for him.
i have crutches and cant walk far so ot gave me a wheelchair with a leg rest and a device called a leg lifter really dont know how i would have managed without the leg lifter....
there is a dedicated area on kneegeeks for ruputered quad tendons if you read the posts on there this really does sound like your injury
Ruptured quadricep tendons - accident 20-05-10
Repair tendon mechanism operation 29-05-10
was signed off work for 6mths---really didn't think id walk again - now almost 16 mths later i am approx. 85% back to 'normal' and thinks this is how its gonna be from now on....

Offline MacAttack

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Re: Please Help Diagnose
« Reply #4 on: July 05, 2010, 09:49:45 PM »
I had x-rays, but they didn't see anything noteworthy on them.

The doctor moved my leg around testing dif't areas, and he said after ruling out a lot of things & hearing my story that it was probably a dislocated patella.  He didn't suggest an MRI and told me not to wear the brace I got at the ER.  He said to get a cane which I did.  I'm supposed to go to rehab this evening and check back with the ortho in 2 or 3 weeks.

It's just driving me nuts though because I don't know exactly what's wrong inside me knee.  He was just making an educated guess really.  There has to be some stuff ripped in there.  It's 5 days later and I've slept a ton and every morning I wake up and it's exactly the same as the day before.  Is just going to rehab for the next 2 or 3 weeks good advice?  It doesn't seem like it; that's why I wanted to go to another dr for a 2nd opinion just to be sure.

In the past I've twisted or sprained my knees 3 times each, but nothing like this.  Knees have always felt a bit unstable ever since I started twisting them.  I'm 38 by the way.

Offline Netball Nat

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Re: Please Help Diagnose
« Reply #5 on: July 05, 2010, 10:02:46 PM »
Hey

I reckon you definately need an MRI scan just to check your ligaments and tendons, stay persistent with the docs and orthos as how do you know you are not doing more damage whilst you are walking etc on it.

My pain was similar to yours on the inside of my knee extremely sore and tender and I have torn my Meniscus having repair on Friday.

Good luck with getting a scan!

Offline crankerchick

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Re: Please Help Diagnose
« Reply #6 on: July 05, 2010, 10:08:07 PM »
I would say adequate rest, getting the swelling and pain under control, and starting physical therapy is good, that is regardless of if there is more going on in the knee or not. If it was a subluxation (if you didn't have to put your kneecap back in place, it wasn't a dislocation) and you have no real history of patella problems or subluxations/dislocations then depending on what doctor you see, the exact course of treatment prescribed to you is what some, maybe most, doctors would prescribe.

You could most certainly get a second opinion and then push for an MRI if necessary. Know though, that an MRI isn't the be all end all. It's possible upon examination to get an idea of if there is ligament damage or not and whether it makes sense to get an MRI or not.

But that needs to happen in parallel with getting the swelling under control and the leg strong again. Even if something is going on like torn ACL or meniscus or what have you, you will still want full range of motion and a strong knee going into surgery.
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 psych_kt

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Re: Please Help Diagnose
« Reply #7 on: July 05, 2010, 10:14:08 PM »
In my personal experience, it never hurts to get a second opinion (or third... or fourth in my case)! A lot of the orthopedic doctors I saw before my current doctor would suggest treating my knee problems with PT. This is usually the conservative approach taken by most doctors. If the PT doesn't work then they tend to start looking at other things. Usually surgery is the last resort. For me, the PT never helped because I had an underlying problem with my knee so the PT was just a "band-aid" in a sense and I needed surgery. But I have a friend who dislocated her patella and using an immobilizer and PT worked for her. So really it depends a lot on the person. Either way, it can't hurt to strengthen your muscles! Good luck, I hope your knee gets better soon! I know how frustrating it can be!

Offline MacAttack

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Re: Please Help Diagnose
« Reply #8 on: July 06, 2010, 01:19:32 AM »
Thanks for the replies.

What was possibly the sound I heard when I hurt my knee?  It sounded like if you took 2 hollow sticks and hit them together, or maybe 2 bones hitting together.

The dr said it was probably bones hitting each other when it subluxated, but I can't find anything on the internet saying that sound is usually heard during a subluxation.  That sound seems to be more common with something like a MCL tear.

Offline KW

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Re: Please Help Diagnose
« Reply #9 on: July 06, 2010, 02:05:47 AM »
Hi,  I really don't think you are going to find a web site that says if you have a patella sublux it sounds like (A) and if you tear a ligament it sounds like (B).  I can tell you from personal experience that I have had patella subluxations that have made horrible noises and some that have made no noise at all.  Each one is different and the recovery from each was different.

Follow Crankerchick's advise..."adequate rest, getting the swelling and pain under control, and starting physical therapy is good".  A good PT will take a good look at the knee and give you a honest opinion on the treatment plan.  If you still don't feel comfortable... Go get another opinion and don't leave until everything has been explained.

Best of luck,
Karen

Right Knee
2000 - 2002 - Scope,LR,TTT,Unscrewed
01-10-12 - PFJR

Left Knee
04/07 TTT/LR
08/07 Bone Grth Stim
10/07 Loose/Bent Screw
1/08 Unscrewed/MRI~NON-UNION
02/19/08 Lt  TTT Revision W/Graft
12/09/08 Scope
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