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Author Topic: 13 year old son partial rupture patellar tendon  (Read 3199 times)

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Offline buffamazon

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13 year old son partial rupture patellar tendon
« on: March 25, 2014, 03:04:03 PM »
Hey gang,

I am so glad I found this board. I am coming from a slightly different angle, as my son in the injured party here. He came off a long board at high speed and stuck the landing, partially rupturing his patellar tendon. Immediately after the injury (he was on his was to practice), he limped around and played soccer for an hour. Over the weekend, things didn't get better and the area below his knee was inflamed and black and blue. I got him to an ortho specialist Tuesday and they confirmed the rupture.

I am familiar with PT and rehap, as I have rehabbed both shoulders for rotator cuff injury, as well as a high ankle sprain and a total rupture of my right ulnar collateral ligament (thumb).

I am trying to best support my son, knowing he is YOUNG and wants to get back into things REALLY quickly. I would love some input from you all in terms of keeping him appropriately reigned in, allowing him to push his PT without obliterating his knee. Our first PT is tonight, and I am hoping to get a better idea of where he is at. Thanks again!

Offline carkeltom

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Re: 13 year old son partial rupture patellar tendon
« Reply #1 on: March 25, 2014, 03:33:17 PM »
Hey Buff, sorry about your son's injury.  Was it a mid tendon tear or tear off the patella (kneecap)?  I am a double tendon rupture, both off the kneecap. Have they suggested surgery, because tendons do not heal like other tissue.  You will find if you read the RPT board, that most of us had full ruptures and spent at least 6-8 weeks immobilized in braces or a cast, with our legs extended.  I am not sure how his age, the type of injury he sustained, surgery vs. no surgery and his rehab will be different from an adult, but it is a pretty severe injury.  My OS was "happy" to see that mine had ruptured off the kneecaps instead of mid tendon and that he was able to operate quickly, because as he explained it to me, the mid tears, if left untreated or to "heal on their own," the ends of the tendons where torn can be like spaghetti/pasta and harder to repair.  13 would be a hard age to be cooped up, but the tendon needs to heal.  If he is immobilized, passive stretching of the tendon after repair is about all he can do at times without fear of reinjuring the tendon.  Keep his spirits up and have him keep his quad muscles as strong as he can. 

And by long board, are we talking surfing or skating.  God bless young surfers if that is what he was doing.  I grew up in Southern CA and had to move to Missouri, so I miss the ocean and surfing.  Right now though, I would be happy to be able to go up and down steps without minimal pain and soreness after a workout.

Good Luck to you and your son.

Tom
Bilateral patellar tendon rupture 7/19/13

Offline John42

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Re: 13 year old son partial rupture patellar tendon
« Reply #2 on: March 25, 2014, 04:24:42 PM »
Hi Buff

Welcome to KneeGuru =  You have found the best web page to answer all questions - lots of buddies to give you advice, so keep asking questions

I would suggest that you click on the undermentioned webpage, where you will find a collection of documents which I have drawn up together with KneeGuru.

Have a look and post on "Ruptured Patella Tendon Surgery "

PATIENCE is required and listen to the knee - DONT push it, despite that your son is so young

Keep posting

JohnK/ Manchester UK 

https://www.facebook.com/QuadricepsPatellarTendonRupture
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline buffamazon

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Re: 13 year old son partial rupture patellar tendon
« Reply #3 on: March 25, 2014, 05:30:54 PM »
Hey Buff, sorry about your son's injury.  Was it a mid tendon tear or tear off the patella (kneecap)?  I am a double tendon rupture, both off the kneecap. Have they suggested surgery, because tendons do not heal like other tissue.  You will find if you read the RPT board, that most of us had full ruptures and spent at least 6-8 weeks immobilized in braces or a cast, with our legs extended.  I am not sure how his age, the type of injury he sustained, surgery vs. no surgery and his rehab will be different from an adult, but it is a pretty severe injury.  My OS was "happy" to see that mine had ruptured off the kneecaps instead of mid tendon and that he was able to operate quickly, because as he explained it to me, the mid tears, if left untreated or to "heal on their own," the ends of the tendons where torn can be like spaghetti/pasta and harder to repair.  13 would be a hard age to be cooped up, but the tendon needs to heal.  If he is immobilized, passive stretching of the tendon after repair is about all he can do at times without fear of reinjuring the tendon.  Keep his spirits up and have him keep his quad muscles as strong as he can. 

And by long board, are we talking surfing or skating.  God bless young surfers if that is what he was doing.  I grew up in Southern CA and had to move to Missouri, so I miss the ocean and surfing.  Right now though, I would be happy to be able to go up and down steps without minimal pain and soreness after a workout.

Good Luck to you and your son.

Tom

Tom,

Thanks for the reply! His kneecap is still in place, and we didn't do an MRI. This doc works on the US Ski Team so I feel pretty confident.

My son, Ethan, was on a skateboard..lol. I wish we were closer to the ocean!

We just did xrays physical diagnosis, the doc said we are 85% certain to find nothing more and gave me the option to do an MRI. Kneecap was in place, matched the uninjured one when compared, so I think the tear is minimal (while still very painful).

He could bear weight on it but is in a lot of pain, and has since been put in a full extension brace and is currently on crutches (when I can force him to use them!). They do not feel surgery is needed, but said 4-6 months to full recovery, including the usual PT. As a soccer player, he has good quads (and genetics are strong there as well). He does tend to push, so I am eager to get a physical therapist into the dialogue as the voice that is 'not his mother.' His step-father hasn't had an injury in some time and tends to want NOT to baby him as well, so I am mediating that as well. He has a step-brother who is taunting him and calling him "gimp," since he has been fortunate enough to live until 12 without major injury.

John, thanks for that reference. I have already read a LOT of what is there and appreciate the time you took compiling it. I am an information hound anyway, so I have to have intelligent dialogue with all care providers and like knowing terminology and options.

I hope the PT can give me a better idea of what he is seeing movement-wise and how it relates to Ethan's injury, since we didn't get an MRI. His pain and swelling was all down low, for what that is worth. I can still opt for an MRI as it has been less than 2 weeks since the injury, so any input on that is appreciated too.

Offline John42

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Re: 13 year old son partial rupture patellar tendon
« Reply #4 on: March 25, 2014, 06:52:24 PM »
Hi Biff

Would suggest you go ahad and get a MRI, might find something hidden

Take care

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline JC55

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Re: 13 year old son partial rupture patellar tendon
« Reply #5 on: March 26, 2014, 12:02:28 AM »
Buff,
I had RPT Sept '13.  6 months out and doing fine,  My suggestion is get MRI to remove doubt and do what it takes now to heal so it doesn't affect him later.  This needs to be addressed ASAP.  I had broken left elbow at his age and missed all of basketball season so I know its no fun to get hurt and not play, but not healing correctly and addressing any issue now will probably be short-sighted.  Anyway, that's my two cents.  Good Luck!
Jerry, Kentucky, USA
Complete tear of left patella tendon, Sept 8, 2013
Surgery Sept 9, 2013, no wire

Offline Stuart Rulka

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Re: 13 year old son partial rupture patellar tendon
« Reply #6 on: May 19, 2014, 11:29:17 PM »
Buffamazon. Haven't seen any updates, so take this to mean Ethan is doing well. Did you get the MRI?
I had my surgery(RQT) done out of town so had no follow up with the Surgeon. Only found out  now, 9 months later that I have bone chips around the injury. One more reason together the best info possible!

Hope all is indeed well.
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013