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Author Topic: Knee Issue  (Read 955 times)

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Offline KyleSmith

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Knee Issue
« on: December 05, 2013, 06:56:59 PM »
Hi,

I'm new to here but I'm desperate for a diagnosis.

I'm 18 years old and I've got a knee problem, my left knee locks up when it is near/touching the back of my thigh or when it is at a 90 degree angle. I can be in extreme pain for sometime and can move my knee further back without pain, but moving it forward is a problem as the muscles lock up too. Sometimes, when walking I can feel pain in the back of my knee.

I'm writing to get a possible cause for my left knee, but while I'm here I might aswell say about the right knee. The right doesn't lock up but I do get the same pain as I do with the left when walking.

I had an X-Ray and showed nothing. I was sent to a consultant who was unsure and said it is probably a cartlidge tear and would send me for an MRI.

I saw him today and he said the MRI results don't help locate/diagnose the problem as he cannot see anything wrong, nor does the MRI Report say so either.

He said he would add me to the waiting list for a knee arthroscopy but would do 6 weeks of Physio to see if it fixes/repairs the knee.

I was wondering if anyone has any view on this or what?

I saw a similar thread which exact same symptoms but no fix: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=60806.0

thanks.

Online Vickster

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Re: Knee Issue
« Reply #1 on: December 05, 2013, 07:24:09 PM »
Did you have an injury, in the young like yourself you need quite a twisting force to tear the meniscus cartilage.  In us oldies, it's less hard!

I would take the specialist's advice, do the physio religiously and see how you go.  At your age, without a definitive diagnosis, you want to avoid surgery if you can, certainly at 18 you are better off not losing meniscus tissue as often this opens you up to issues with the bones later in life - the tissue doesn't grow back and arthritis is common as you lose shock absorption between the bones.

Have a read of  this http://www.kneeguru.co.uk/KNEEnotes/primers/meniscus-primer

No one on the Internet can possibly diagnose you, even the specialist is not 100% sure and he has seen you, knows the issue, sees the imaging.  Meniscus tears are often hard to diagnose from scans unfortunately.  It sounds like you have seen a knee consultant

Avoid impact sport etc, or doing the types of exercise that cause the pain as you describe!

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 KyleSmith

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Re: Knee Issue
« Reply #2 on: December 06, 2013, 05:40:36 PM »
Did you have an injury, in the young like yourself you need quite a twisting force to tear the meniscus cartilage.  In us oldies, it's less hard!

I would take the specialist's advice, do the physio religiously and see how you go.  At your age, without a definitive diagnosis, you want to avoid surgery if you can, certainly at 18 you are better off not losing meniscus tissue as often this opens you up to issues with the bones later in life - the tissue doesn't grow back and arthritis is common as you lose shock absorption between the bones.

Have a read of  this http://www.kneeguru.co.uk/KNEEnotes/primers/meniscus-primer

No one on the Internet can possibly diagnose you, even the specialist is not 100% sure and he has seen you, knows the issue, sees the imaging.  Meniscus tears are often hard to diagnose from scans unfortunately.  It sounds like you have seen a knee consultant

Avoid impact sport etc, or doing the types of exercise that cause the pain as you describe!

Good luck :)

Firstly, thanks for replying.

I'd just like to say that I'm 80% certain it isn't a meniscus tear as I never do any sports for it to cause it.

Online Vickster

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Re: Knee Issue
« Reply #3 on: December 06, 2013, 05:56:00 PM »
Not only due to sport, maybe a fall, or a twist or a heavy stumble

Give physio a go and rest it
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 KyleSmith

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Re: Knee Issue
« Reply #4 on: March 26, 2014, 04:03:56 PM »
Hi guys,

I'm back.

I'm still non the wiser in terms of a diagnosis. I've been attending physio for 7-8 weeks and still, I'm having trouble.

I'm due to see the consultant on Wednesday coming to see where we go from here as I've been on the Surgery waiting list for about 16 weeks tomorrow, the usual waiting time is 18 weeks on the NHS.

I want to ask, could I have osteoarthritis? The physio woman also said when I bend my knees they go outwards rather than inline with toes.

Regards

Online Vickster

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Re: Knee Issue
« Reply #5 on: March 26, 2014, 04:15:23 PM »
If you had arthritis it would likely show up on the x ray and mri.  A meniscus tear is more likely, especially given your age.  If you are having locking still, and not "just" pain, an arthscopy to either repair or trim is the only option given no improvement.  If it can't be repaired and is trimmed, this may well open you up to arthritis down the line as the meniscus is the shock absorber that is between the bones

You need to discuss all this with the consultant

There is an excellent meniscus primer in the information hub, have a read before seeing the surgeon

http://www.kneeguru.co.uk/KNEEnotes/primers/meniscus-primer

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 KyleSmith

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Re: Knee Issue
« Reply #6 on: March 26, 2014, 07:20:25 PM »
But surely it a tear would have shown up on the MRI?

Offline rnm37

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Re: Knee Issue
« Reply #7 on: March 26, 2014, 11:30:26 PM »
Not necessarily, MRI scans sometimes get a bad rep on this site which can be unfair but the truth is that they really aren't infallible and do occasionally miss things, especially as the image produced has to be interpreted by a consultant.
My MRI scan did show up a meniscus tear but I was told there was no way of knowing the exact nature of the tear until the surgeon physically opened up my knee.
I would definitely read up on the links Vickster has given you and think of things you want to discuss with your consultant. My personal experience with medical professionals is that the more you make an effort to learn about and understand your situation, the more forthcoming they will be.

All the best!

Ross
June 2012 - ACL rupture and lateral meniscus tear

December 2012 - ACL recon (hamstring autograft) and meniscus trim

October 2013 - Retore ACL and tore medial meniscus :(!

January 2014 - Revision ACL recon (hamstring)















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