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Author Topic: Possible ACL and Menisci damage- What now please?  (Read 6504 times)

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Offline Snowy

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Re: Possible ACL and Menisci damage- What now please?
« Reply #30 on: November 28, 2011, 03:50:58 PM »
Aside from the all-important question about the graft, here's what I'd be asking:

- What's my rehab protocol?
- When does PT start?
- Are there any exercises I should be doing at home prior to starting PT?
- When can I shower?
- When can I drive?
- What are my instructions with regard to weight-bearing and crutch use?
- Will I be in a brace after surgery and if so, for how long?
- What painkillers will I be given and how often should I take them?

I think those are the most important things. If you can, get the answers in writing or have someone with you who can note them down - between all the stress and the anaesthetic, it's very hard to keep stuff in your head in the immediate aftermath of surgery! My surgeon gave me the critical details in writing, which was very helpful.

Best of luck! There's a lot of work to come, but once you're on the other side of surgery you'll be on the road to a final recovery. Hope all goes well and do let us know how you're doing afterwards.

K
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA

Offline buel

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Re: Possible ACL and Menisci damage- What now please?
« Reply #31 on: November 28, 2011, 05:20:15 PM »
Thank you Mrpenguin and thank you Snowy, that is some wonderful advice and i do appreciate it very much.
I shall write those down and ask him when i am there, as well as politely asking for them in writing.

Where would people be without people like you/this forum i wonder.

Offline buel

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Re: Possible ACL and Menisci damage- What now please?
« Reply #32 on: November 29, 2011, 03:23:54 PM »
Hi all.
Well good AND bad news.
 The surgeon manipulated my knee every way he could and said he doesn't think i've ruptured it but is sending me for an MRI scan.

The bad news is that it is an 8 week waiting list!
I enquired about paying for it privately at a cost of 560 and even though that would get me a much quicker appointment with the surgeon, he is still fully booked up for this year which kind of was the whole point for me as i was hoping to get it fitted in before the Christmas break so incorporating the 2 weeks i have off work.

Just out of interest, what's the procedure for a partly torn ACL please?









Offline Kaputt_Knee

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  • [Ed: Sue sadly passed away in 2016]
Re: Possible ACL and Menisci damage- What now please?
« Reply #33 on: November 29, 2011, 04:15:33 PM »
Where are you based? there are a couple of places offering them privately for way less than that. I think the price you had quoted was for that institution and was their Private Patient rate. Ask around there may be cheaper options in your neck of the woods.

Treatment depends on how much is torn: they tend to avoid surgery and work on building up the muscles around the knee to protect what is left. It will not heal as there is no independent blood supply in there. It may eventually tear completely.

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 buel

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Re: Possible ACL and Menisci damage- What now please?
« Reply #34 on: December 01, 2011, 10:55:44 AM »
Hi Sue,
Thanks for your answer.
Im in Shropshire in the UK.
When i last asked about for a private MRI i was quoted 430, cheaper but still same ball park.  :-[

Well that's a pain to hear about the 'treatment', what a bugger! And there i was slightly optimistic about the fact that it may not be ruptured completely!!



Offline Kaputt_Knee

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Re: Possible ACL and Menisci damage- What now please?
« Reply #35 on: December 01, 2011, 04:17:55 PM »
Ask on the General Board, but I think there are a couple of places in or around Brum that do them for about 180. I'm pretty sure that Clarkey paid for a private MRI and he does not have a great deal of money to spare.

The other thing to do is to make sure that the hospital know that you will come in at the drop of a hat for an appointment. People sometimes cancel really late then the appointment is farmed out by telephone. If you are able to just get to the scanner with a couple of hours notice you may get a cancellation appointment and save your pennies.

For now work on the principle that any muscle work around the knee will be good for you in the long run. I still have problems with both Vastus Medialis (the bulging muscle football players have on the inside of their thigh and knee. It particularly engages when they pass the ball, hence it tends to over-develop compare to us mere mortals!  ;D I am now using the strongest theraband strength possible and have tied it in a loop around my chairs in my office and my home office. As I work, I also practice passing the ball with the inside of my foot - just a short pass, 100s of times per day. I can really feel the VM engaging and working. I'm working both legs as I type just switching every 50 passes! You cannot do any harm doing this exercise as it is not load bearing. I just straighten the leg against the resistance of the theraband. I've been doing it about 2 weeks now and I am feeling a lot of difference in the fine control over my knees.

Good luck and keep updating us on here!

Sue  ;)

PS just back from a sneaky day's skiing on the Kitzsteinhorn Glacier - great day and no complaints from my knees for once!  ;D

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 buel

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Re: Possible ACL and Menisci damage- What now please?
« Reply #36 on: January 02, 2012, 12:56:32 PM »
Hi Sue (and Snowy),
Thank you so much for your reply.

Firstly, let me apologise for not replying sooner and thanking you for your helpful advice. I've had an awful lot going on since my last post, (non-knee related stuff).

Secondly, im very very pleased to hear that you went skiing and your knee/knees were fine! Wow! What a feeling.

Thirdly, thank you for educating me about the Vastus Medialis, oddly enough i do have a slightly bulging pair....although less so after my lack of football for the last few months. :-\

Ok, just a quick update.
I have received a copy of the letter the locum consultant has sent my GP.
Im interested in any comments/opinions you may have regarding the contents of the letter:

History:
Mr S was seen by Mr Smith about a year ago and was listed for an arthroscopy of his right knee for partial medial meniscectomy. For one reason or another this never took place.

Mr S is otherwise fit and well. He has had further troubles with his knee and has come back essentially for reassessmenmt.

Examination:
On examination he is a muscular chap, full range of movement, presenting today with an antero-lateral pain and symptomatic clicking on full flexation of his right knee. McMurray's test is negative today. His ligaments are stable. Hip and ankle movements free. No neurovascular deficit.

Plan and Opinion:

I think Mr S might very well have had a medial meniscal tear in the past but his symptoms at least on today's presentation are different and on balance i have decided to ask for an MRI of his right knee and we will see him with the results and will keep you up to date about my management plan.


Is it odd that it doesn't mention the ACL?
« Last Edit: January 02, 2012, 12:58:25 PM by buel »

Online vickster

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Re: Possible ACL and Menisci damage- What now please?
« Reply #37 on: January 02, 2012, 03:21:58 PM »
He says the ligaments are stable - including the ACL I assume - did you discuss it with him?  Hopefully the MRI will show something to explain the discomfort.  Specialist letters are usually a summary of the findings and discussion to keep the GP's records up to date

Good luck :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline buel

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Re: Possible ACL and Menisci damage- What now please?
« Reply #38 on: January 03, 2012, 08:25:57 PM »
Hi there and thank you.

Yes i did ask him about if he thought i had damaged my ACL and he said he had no idea until the MRI was done.
Rather oddly, i asked him about the clicking in my knee and he said "Clicking is part of life" and yet mentions in his letter "and symptomatic clicking on full flexation of his right knee.".

Hmmmm...

Offline buel

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Re: Possible ACL and Menisci damage- What now please?
« Reply #39 on: January 30, 2012, 06:47:41 PM »
Hi everyone,
Just to let you know I'VE HAD MY MRI SCAN!!!!! :) :) ;D

I now have to wait for my next appointment to see the sugeon.......which im a bit nervous about.
I know you wonderful people on here say that an MRI isn't 100% clear at determining what damage there is but i've got my fingers crossed.

I now wait every day for the letter telling me when the appointment is...... :-\

Offline arichmond64

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Re: Possible ACL and Menisci damage- What now please?
« Reply #40 on: January 30, 2012, 08:21:03 PM »
Hey Buel.

I have started my own thread, but have just found yours.

Will you have a quick read over my story and tell me if there are any similarities between the both of us?

I really am scared I have damaged my ACL after reading your thread.

What did you say about the denial stage?! :-[

Offline buel

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Re: Possible ACL and Menisci damage- What now please?
« Reply #41 on: January 30, 2012, 10:46:43 PM »
Hi there mate,
Im sorry to hear about your injury.
I have replied on your thread!!

Offline Snowy

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Re: Possible ACL and Menisci damage- What now please?
« Reply #42 on: January 30, 2012, 10:48:52 PM »
MRIs aren't always clear...but in some cases (like mine) they're pretty irrefutable! I will keep my fingers crossed that yours brings definite answers and good news...
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA















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