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Author Topic: Meniscus/ACL tear  (Read 917 times)

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Offline frankdp23

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Meniscus/ACL tear
« on: February 01, 2012, 08:07:45 PM »
Several months back I was playing basketball and felt a pop in my left knee.  It felt familiar since I tore my right acl 5 years ago.  This time though, it did not swell, and after only a few weeks, it felt nearly fine.  I never really had much pain.  My knee would sometimes get locked for a few seconds, but even that went away.  I am able to do almost everything on that knee, but just can't run side to side that great.  I can even bend it all the way to my butt.

I got an MRI, and my primary DR said it looked like a meniscal tear.  I went to a Orthopedic, and he said ACL.  I'm wondering if I should get another opinion.  With my last ACL tear in my other knee, I couldn't do pretty much anything after it happened, so this has gotten me a bit confused.  I am 33 and pretty active, so if it is a tear I will get the surgery.  I'm just confused to why I feel no pain and am barely hindered when doing activities. 

Thanks so much for any answers.  I'm a newbie here.

Offline DennisKnee

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Re: Meniscus/ACL tear
« Reply #1 on: February 08, 2012, 01:13:34 PM »
Hey there,

I have no idea where you're from but it seems kinda odd that your primary Dr (I'm assuming it's a GP and not a specialist) is doing trying to interpret your MRI in the first place although, an ACL tear is relatively easy to see. It must be very different from the health system that I am fortunate enough to have access to in that, the MRI comes with a comprehensive report from the radiologist and gives a full breakdown of everything he can see.

Given that these types of injures are the bread and butter of an orthopaedic surgeon, I'd be inclined to go with that however, in my experience, there's nothing wrong with getting a third or even fourth opinion.

Keep me posted with how it goes and best of luck. I wouldn't dismiss the possibility of an ACL tear even though you have good ROM. I was getting around on a knee with a full-thickness ACL tear for 10+ years without even knowing it.
Sep 10 - confirmed ACL & medial meniscus tear
Dec 11 - chronic patellar dislocation - MPFL tear
23 Feb 12 - scope, MUA & 50% medial meniscectomy
17 Apr 12 - ACLr and MPFLr

Offline frankdp23

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Re: Meniscus/ACL tear
« Reply #2 on: February 09, 2012, 01:28:33 AM »
I've seen two orthopedic surgeons, and both confirmed the ACL tear.  They both had slightly different opinions though.  Both said that I have an ACL tear, but everything else was fine, my meniscus, mcl, etc.  The first Dr. said you need surgery, the other left it open to me.  He said that if I was playing high impact sports for hours a week than I would definitely need it, but since I don't, he said it was more up to me.  He let me know that I am 25% more likely now to tear my meniscus if I was to play high impact sports.  I pretty much am only going to play slow pitch softball besides some light exercizing.  So right now I think I am going to hold off on the surgery.

One quick question though.  Last time I tore my other knee, I used a piece of my patella tendon for the acl.  Is that better than a piece of my hamstring?  I have read about both, and it seems like there is a plus and minus for each.  I was just wondering what opinioins are from people on here.

Thanks for responding!  This is a great site for info!

Offline DennisKnee

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Re: Meniscus/ACL tear
« Reply #3 on: February 11, 2012, 04:04:57 AM »
I think choice of graft just comes down to personal preference. My surgeon for example isn't a huge fan of the patella graft as he thinks it's a little too barbaric and there's apparently more post op pain and reports of pain associated with kneeling. I've read that there's also an increased risk of patella fracture with this type of graft.

He's a hamstring man. I was initially keen on LARS but there just aren't enough long term results to confirm whether or not the old issues with artificial ligaments have been addressed.

It's tough because I've also had friends who have had problems with hamstring strength and recovery from using hamstring but they admit to have not followed their rehab programs to the letter!

I have both an ACL and MPFL reconstruction (same knee) coming up soon and the issue here is that hamstring would normally be used for both. For me, that would mean taking hamstring from both legs which I'm not too keen on. Lots of thinking to do but I just keep reading and asking my surgeon plenty of questions. At this stage, I'm leaning towards hamstring for my ACL and cadaver hamstring for my MPFL so that way, I don't need to touch my good leg. We'll see.

At the end of the day, just make sure you've read as much as you can and are fully aware of all the risks, possible complications and benefits of each different type of graft and choose what's best for you and your knee in the long term.

Good luck :-)
Sep 10 - confirmed ACL & medial meniscus tear
Dec 11 - chronic patellar dislocation - MPFL tear
23 Feb 12 - scope, MUA & 50% medial meniscectomy
17 Apr 12 - ACLr and MPFLr