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Author Topic: no knee cartilage?  (Read 2776 times)

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Offline Fiba

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no knee cartilage?
« on: October 13, 2014, 05:04:28 AM »
what is the problem if one has no knee cartilage?

what can happen? why is it bad to have thin knee cartilage?

Offline Vickster

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Re: no knee cartilage?
« Reply #1 on: October 13, 2014, 08:53:50 AM »
What cartilage do you mean?  Meniscus (shock absorbers between the bones) or articular cartilage (shiny stuff on the bones)
Presumably if you have been told the cartilage is thin, it's the articular cartilage?

There are meniscus and arthritis primers in the information hub which will be informative
« Last Edit: October 13, 2014, 09:03:16 AM by Vickster »
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 Fiba

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Re: no knee cartilage?
« Reply #2 on: October 13, 2014, 06:28:43 PM »
What cartilage do you mean?  Meniscus (shock absorbers between the bones) or articular cartilage (shiny stuff on the bones)
Presumably if you have been told the cartilage is thin, it's the articular cartilage?

There are meniscus and arthritis primers in the information hub which will be informative

yes articular cartilage sounds about right.

i'm only 24 =S

Offline Vickster

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Re: no knee cartilage?
« Reply #3 on: October 13, 2014, 06:30:35 PM »
Do your bones not track properly, hence its been worn away so young, or anther medial condition?
You may need to see a knee specialist who has expertise in realignment if so to protect what's left....which bones are affected?
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 Fiba

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Re: no knee cartilage?
« Reply #4 on: October 13, 2014, 06:34:57 PM »
Do your bones not track properly, hence its been worn away so young, or anther medial condition?
You may need to see a knee specialist who has expertise in realignment if so to protect what's left....which bones are affected?

patella alta, and I have patella maltracking issues, these things go out to the side.

knees have always dislocated, ever since I was a child. I also play a lot of sports like b-ball and soccer.
I was born with these knees.

I have gotten an x ray and ultrasound done, and learned I have osteoarthritis. I bought a J-brace and it helps.

Was referred to a physio and he gave me stretching exercises.

Offline ema_b85

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Re: no knee cartilage?
« Reply #5 on: October 13, 2014, 06:45:18 PM »
Hi
I have patella Alta, patella maltracking and a ruptured MPFL as a result of 15 years of dislocations, I am now 29 years old and now have no cartledge left, and very thin cartledge behind knee cap.
I've just had TTO and mpfl and Microfracture. My orthopaedic consultant said physio alone was not enough to prevent things worsening.
Fall whilst kickboxing aged 14yrs (2000)
subluxations >10 over 15 yrs
MRI scan: 12/13
Diagnosis 02/14: trochlea dysplasia, lateralisation of the patella, patella Alta, mpfl rupture, damage to back of knee cap ++
22/09/14 - Fulkerson osteotomy, MPFL Reconstruction, Microfracture, chondroplasty

Offline Fiba

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Re: no knee cartilage?
« Reply #6 on: October 13, 2014, 06:51:40 PM »
Hi
I have patella Alta, patella maltracking and a ruptured MPFL as a result of 15 years of dislocations, I am now 29 years old and now have no cartledge left, and very thin cartledge behind knee cap.
I've just had TTO and mpfl and Microfracture. My orthopaedic consultant said physio alone was not enough to prevent things worsening.

hi ema  :)

dam, do you have a lot of pain? I was also told that nothing can be done to prevent the wearing away as well. I personally don't have pain, but when I play basketball or run and sometimes soccer

I start to feel it. This is preventing me from joining the police force. Many tell me to go for it anyways, but it does not sound very smart.

But yeah what is TTO? and mpfl? have you been told to do the stretches and to strengthen the VMO muscle??

Offline ema_b85

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Re: no knee cartilage?
« Reply #7 on: October 13, 2014, 07:03:29 PM »
Hi,
I went through years of physio to the point when my knees were crunching when walking up and downstairs and painful popping when going from sitting to standing.
Physio started aged 14 and I'm now 29.

I too wanted to join the police force but failed fitness test due to subluxations.

A TTO is a tibial tubercle osteotomy (or transfer) it's a procedure they do if your knee sits too far to the outside of your knee and suffer frequent dislocations. They cut a slither of bone with muscle attached and move it more centrally and then screw it to hold it in place.
MPFL is the ligament on the inside of your knee which holds knee cap in place,
I had significant maltracking and kneecap pulled to the outside of knee when bending/straightening.
Pain wise post op was fine, didn't need any pain relief stronger than ibuprofen and paracetamol after the 1st day.
I'm currently in a hinged brace locked at 0 - 90 degrees and non weight bearing for 4 weeks.
I'm currently having physio who is working on quad muscles
Hope this helps emma   :)
Fall whilst kickboxing aged 14yrs (2000)
subluxations >10 over 15 yrs
MRI scan: 12/13
Diagnosis 02/14: trochlea dysplasia, lateralisation of the patella, patella Alta, mpfl rupture, damage to back of knee cap ++
22/09/14 - Fulkerson osteotomy, MPFL Reconstruction, Microfracture, chondroplasty

Offline Fiba

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Re: no knee cartilage?
« Reply #8 on: October 13, 2014, 07:16:04 PM »
Hi,
I went through years of physio to the point when my knees were crunching when walking up and downstairs and painful popping when going from sitting to standing.
Physio started aged 14 and I'm now 29.

I too wanted to join the police force but failed fitness test due to subluxations.

A TTO is a tibial tubercle osteotomy (or transfer) it's a procedure they do if your knee sits too far to the outside of your knee and suffer frequent dislocations. They cut a slither of bone with muscle attached and move it more centrally and then screw it to hold it in place.
MPFL is the ligament on the inside of your knee which holds knee cap in place,
I had significant maltracking and kneecap pulled to the outside of knee when bending/straightening.
Pain wise post op was fine, didn't need any pain relief stronger than ibuprofen and paracetamol after the 1st day.
I'm currently in a hinged brace locked at 0 - 90 degrees and non weight bearing for 4 weeks.
I'm currently having physio who is working on quad muscles
Hope this helps emma   :)

wow interesting,  what age did you apply for the force? so you did the actual fitness exam??

Don't know about your knees, but I know that when it comes to do judo training, that is where I will feel really uncomfortable in my knees probably a lot of pain  since they dislocate and what not.

I took judo class once and found it to be a lot of pressure in the knees and when trying to do that hip throw I was not able to, the officers told me it has to do a lot with you hip and putting the weight on your quads.

which I know are weak due to the patella alta. really sucks.  how are you strengthing your quads? everytime I make a movement past a certain degree it dislocates.

lol i did the squat machine once and just fell,  knees buckled on me.

Offline ema_b85

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Re: no knee cartilage?
« Reply #9 on: October 13, 2014, 08:39:45 PM »
I applied 2005 ish, trained with a PT to try and get strength up for fitness exam etc and had to with draw application as knee kept giving way so there was no way that I would be able to continue application.

Prior to op I couldn't do any exercise really even cycling my knees Pop and squats Ect were out of the question.
Physio exercises iv been given are
- bottom squeezes,
- static quads (sitting on a bed with your legs staight forward push down your knees into the mattress and pull your foot towards you at the ankle hold for 5 seconds and relax
- straight leg raises. As above then holding knee straight lift leg 6 inches off the bed hold for 5 seconds then gently lower back down
Hope this helps  :)
« Last Edit: October 13, 2014, 09:55:35 PM by ema_b85 »
Fall whilst kickboxing aged 14yrs (2000)
subluxations >10 over 15 yrs
MRI scan: 12/13
Diagnosis 02/14: trochlea dysplasia, lateralisation of the patella, patella Alta, mpfl rupture, damage to back of knee cap ++
22/09/14 - Fulkerson osteotomy, MPFL Reconstruction, Microfracture, chondroplasty

Offline Fiba

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Re: no knee cartilage?
« Reply #10 on: October 17, 2014, 07:40:23 AM »
knee kept giving out dam!, that has not happened to me yet lol.

yeah the straight leg raises are something I found on my own through youtube videos and I do feel a huge burn when doing those, maybe it's strengthening my quads.

the tto surgery you said was done on you sounds intense.
yeah and I'm also seeing physio as well.

but yeah, thanks for sharing your story Emma.   :)