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Author Topic: MRI Results - doc said my knee is "mangled" - how nice  (Read 976 times)

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Offline Newday

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MRI Results - doc said my knee is "mangled" - how nice
« on: April 04, 2013, 02:51:28 AM »
AGH - all this from taking the dog for a walk and taking a hit - dislocated kneecap. Doc says I might be able to WALK in July!!! WTF?
Seems like it's going from bad to worse. In a full knee brace - walking slightly with crutches.   

MRI results say..
- high grade partial tear of PCL at tibia attachment
- partial thickness tear of ACL
- grade three injury to MCL
- complete tear of medial patellar retinaculum ( i think this means knee cap is no longer attached to bone?)
- oteochondral injury involving apex of the patella
- lots of edemas (swelling?)
on a positive note the medial meniscus is normal

I see a surgeon on Friday - doc says he thinks I will need surgery to re-attach knee cap to bone. Any thoughts?
Advice appreciated - thanks 

Offline Kaputt_Knee

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  • [Ed: Sue sadly passed away in 2016]
Re: MRI Results - doc said my knee is "mangled" - how nice
« Reply #1 on: April 04, 2013, 09:42:22 AM »
The patella is a sesamoid bone, which means it develops within the tendon (upper part of the tendon is called the quadriceps tendon and the lower part is the patellar tendon). You are actually born without them I believe and they grow as you do!

Check out this link to start to inform yourself about the knee and your injury: http://www.kneeguru.co.uk/KNEEnotes/information/knee-anatomy/simple-knee-anatomy/patella

The medial and lateral retinaculums help stabilise the patella sideways so it stays in place. If one rips it can be repaired, as they can also be surgically released to help gain proper tracking of the patella over the two joint ends of the tibia and femur. If this procedure goes "wrong" surgeons can re-attach/stitch it to tighten it up again.

The bone oedemas are partly bone bruises which then cause a build up of fluids which in turn cause pressure, like someone constantly pressing on a deep bruise. These are real pigs to heal, sometimes taking many months to finally disappear. Most of your pain is probably due to the bone bruising.

A grade 3 tear to the MCL means it is torn completely and the surgeon may choose to surgically repair/reconstruct it.

Looks like you did quite a number on your knee!  Best advice is to try and keep the swelling down by icing as much as you can, elevating the leg when you rest by supporting it under the ankle/heel, not the knee and doing as many ankle pumps per day as possible to reduce the oedema and fluids around your knee. Then see what they offer you when you see the specialist!

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 Newday

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Re: MRI Results - doc said my knee is "mangled" - how nice
« Reply #2 on: April 04, 2013, 07:27:11 PM »
Thanks for the reply Sue! it is really helpful information, -- I am brand new to knee trouble and have no knowledge of these injuries and troubles. My heart sure goes out to everyone who does.

I'm glad to hear the knee cap can be re-attached and sounds fairly common. I will review the link some more and bone up on my understanding. Thank you again
Laura

 















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