Banner - Hide this banner





Author Topic: Now that I know what's wrong, does anyone have suggestions?  (Read 818 times)

0 Members and 1 Guest are viewing this topic.

Offline Sarahjaye

  • MINIgeek (20-50 posts)
  • **
  • Posts: 35
  • Liked: 2
Now that I know what's wrong, does anyone have suggestions?
« on: February 20, 2015, 01:43:15 PM »
Okay, so after 6 weeks I have finally been told that I have a simple, non displaced crack on my patella. Apparently the vertical crack went all the way through my patella but the two halves are held together at the bottom by a bit of patella bone. I've been doing some reading and it sounds like I should have been in a cast these past 6 weeks so my leg muscles don't pull at the patella? Does that sound right to anyone? Also, I've got a lot of torn cartilage on the anterior side, below the patella, although none of it is floating everyone I speak with (aside from my surgeon) asks when I'm getting it "cleaned out." My surgeon didn't discuss a cast or having this torn cartilage clean out/trimmed (not really sure what they do). He said he knew what hurt and poked my kneecap-that really hurt! Then he went over my MRI, showing me the broken cartilage and the crack, and telling me my ligaments were fine and I've given myself early arthritis, but that was it. He said I could return to normal activities but my knee is killing me, waking me up all through the night. I think I was just so grateful I didn't tear a ligament I didn't ask the right questions at the time before I was rushed out of his office. Damn. I guess I'm wondering if I should be moving around as much as I am-I'm just using a cane, and if I should be pushing for something to be done about this torn cartilage, or should I just suck it up, and everyone deals with this that has knee arthritis (and I'm just a big wimp)? Thanks :-)

Offline vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 4861
  • Liked: 409
  • Neelie knee!
Re: Now that I know what's wrong, does anyone have suggestions?
« Reply #1 on: February 20, 2015, 03:11:25 PM »
When the doctor said cartilage did he specify that it's the meniscus (presumably lateral anterior) or the articular cartilage.  The damage to the articular cartilage equates to an arthritic change (but this cartilage is on the back of the kneecap, posterior not anterior, so perhaps he means the shin bones?), removing the lateral meniscus may also.  If it settles down, surgery may not be needed to trim the meniscus cartilage (the shock absorber between the bones)

You'd be best to get tailored rehab advice from a physio under instruction from the surgeon.  You'd be best to go back to him with your questions as necessary

There are good meniscus and joint cartilage/arthritis primers in the information hub (and a video on the meniscus too) but you need to clarify what cartilage is damaged as they aren't the same

I've just had my lateral cartilage, fat pad, lateral femur and patella tidied up...will only get worse with time but I'd had worsening pain for 6 months

Try sleeping with a pillow between your knees if a side sleeper or under your calf/ankle (not knee) if a back sleeper, might make it more comfortable.  And don't be afraid to take painkillers and anti-inflammatories if needed
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 Sarahjaye

  • MINIgeek (20-50 posts)
  • **
  • Posts: 35
  • Liked: 2
Re: Now that I know what's wrong, does anyone have suggestions?
« Reply #2 on: February 20, 2015, 04:31:24 PM »
Thanks Vickster! Yeah the doctor wasn't very specific. He said he saw a slight tear in the left side of the meniscus but didn't think it was an issue, in fact the person who did the MRI said both meniscus were clear. I don't have any pain on the left side so I'm okay with that part. The cartilage damage is on the right side of my knee, behind the patella (between the patella and the femur & tibia). It looks very jagged. I don't really know what to call this area, the doctor just said "that section of cartilage there (and pointed)". It is so ridiculously hard to get access to a doctor, nevermind going back to a specialist with questions. I will make an appointment with my family doctor and see what she can do for me in addition to my PT. The orthopedic surgeon didn't give me anything to give to my PT, even a written explanation or copy of the MRI results. I guess that's another example of how disjointed the health care system is in Canada. The pillow is a good idea-thank you!

Offline mmrocker13

  • Forum Faithful
  • ****
  • Posts: 367
  • Liked: 7
Re: Now that I know what's wrong, does anyone have suggestions?
« Reply #3 on: February 20, 2015, 04:59:46 PM »
I don't know about in Canada, but in the U.S. you can make a records request and get copies of anything/everything you'd want to see. Sometimes there's a small copy fee, esp. if it's a lot of pages, but it's typically minimal.

For my current ortho's office, I just fill out the "request for records" form and fax it to the HR/Billing department detailing what I want (e.g. "All notes pertaining to 12.20.14 visit" or "All left knee records" or "radiology reports from 01.15.15 scan"). It used to be you had to pick up in person, but now they send stuff via secure email.

Typically, if you tell them it's for continuation of care or another opinion, the charges are minimal.
89: Pat. dislocation, lat. meniscus tear, femoral OCD lesion
89: debridement, chondroplasty, lateral partial menisectomy
02: partial lat. menisc., debride
02: mfx
09: subtotal menisc., debride, c'plasty
10: scope/debride
10: varus DFO
13: HWR
15: total menisc., debride, c'plasty, notchplasty

Offline Sarahjaye

  • MINIgeek (20-50 posts)
  • **
  • Posts: 35
  • Liked: 2
Re: Now that I know what's wrong, does anyone have suggestions?
« Reply #4 on: February 20, 2015, 05:32:31 PM »
Thanks for the suggestion MMRocker13, I'll give the office a call and see what they'll do.

Offline Snowy

  • SuperKNEEgeek
  • *****
  • *
  • *
  • *
  • Posts: 2555
  • Liked: 93
Re: Now that I know what's wrong, does anyone have suggestions?
« Reply #5 on: February 23, 2015, 03:51:09 AM »
Yes, you should be able to get a copy of your records in Canada too. I've had to do this a couple of times and didn't have any problems obtaining what I needed.
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA















support