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Author Topic: ROM 0degrees 10weeks post dislocation  (Read 621 times)

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Offline Comets

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ROM 0degrees 10weeks post dislocation
« on: September 18, 2018, 10:44:51 AM »
Iíve posted here before but things have changed. Iím now 10 weeks post dislocation (with rupture to MPFL) and no bend at all. My knee seems very stuck. My consultant thinks Iíve had a rare bad reaction to the dislocation but has not suggested anything new like MUA. He says just to keep going with physio which is having no impact. Iím in a very dark place at the moment just crying all the time. Iím losing my relationships, new house move and new job. I canít take much more.

Offline BornToRun

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Re: ROM 0degrees 10weeks post dislocation
« Reply #1 on: September 18, 2018, 10:51:22 AM »
Hi Comets, Iím sure youíve thought about this, but is there a way you can seek a second opinion? May I ask where you are based?
6 Mar 2018 - skiing fall, ACL rupture, MCL and LCL sprain, lateral meniscus tear and bone bruising
13 Apr 2018 - ACL reconstruction with hamstring autograft, small meniscus repair

Offline Vickster

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Re: ROM 0degrees 10weeks post dislocation
« Reply #2 on: September 18, 2018, 11:20:09 AM »
Did you ask him about MUA or anything else?

As above, it might be time to seek a second opinion. Talk to your GP perhaps, see if they can help in some way
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 Comets

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Re: ROM 0degrees 10weeks post dislocation
« Reply #3 on: September 18, 2018, 06:05:26 PM »
Thanks Vickster and Born to Run
Iím based in the north of England, my consultant is sending me to see a surgeon but as he says itís just to rule out surgery. If itís does rule out surgery as he suspects, he states that I will continue with physio which hasnít shown any improvement.
I mentioned MUA to the consultant as my physio had brought it up. My consultant kind of rushed over it saying it wasnít for me.

Offline Vickster

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Re: ROM 0degrees 10weeks post dislocation
« Reply #4 on: September 18, 2018, 07:21:50 PM »
So the Consultant isn't a knee surgeon? What's his specialty then?
Is he sending you to a knee surgeon with a specialism in patella problems, its best if you can see a super specialist if at all possible if your issue isn't straightforward.

There are a few specialist PF surgeons here, but none are particularly in the north (quite a big area, you've not been specific)

http://www.kneeguru.co.uk/KNEEnotes/primers/whos-who-knee-surgery/whos-who-patellofemoral-surgery

Good luck :)
« Last Edit: September 18, 2018, 07:24:27 PM 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 Comets

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Re: ROM 0degrees 10weeks post dislocation
« Reply #5 on: September 18, 2018, 10:18:32 PM »
My consultant is a Consultant in Emergency Medicine with a Post-Graduate Diploma in Sports and exercise medicine. His areas of clinical interest include; Musculoskeletal Medicine and Sports and Exercise Medicine. He runs a  musculoskeletal clinic, at the hospital I was sent to, Specialising in patients with acute and chronic injuries. At least thatís what it says online :) I was sent to his clinic.
He is sending me to see a knee surgeon on Thursday but as I said he thinks this will just rule out surgery.
Are there any questions or points you th8nk I should be making at this point?
Thanks for replying Iím extremely greatful.

Offline BornToRun

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Re: ROM 0degrees 10weeks post dislocation
« Reply #6 on: September 19, 2018, 08:40:52 AM »
Iím sure this is something you were going to ask anyway, but the first thing I would want is a clear explanation of why this is happening. Where is that resistance that youíre feeling coming from? And why is it happening more in some positions than others? Has he/she seen this in other patients before? What was done to resolve the issue, and what was the outcome?
Then I would want a clear treatment recommendation, with some sort of an idea of milestones/timeline- grantedof course that everyoneís recovery is different etc.
Then I would be very firm in making it clear how much distress this is causing you, and the way it is impacting your day to day life/ability to work/financial situation etc. Make it clear that as far as you are concerned this is very serious and an pretty urgent at this stage -i.e. if further treatment is needed, it needs to be sooner rather than later. You canít just wait around like this for an indefinite period. Be firm, clear, and do not be fobbed off.
Very best of luck, fingers crossed, and let us know how it goes.  :)
6 Mar 2018 - skiing fall, ACL rupture, MCL and LCL sprain, lateral meniscus tear and bone bruising
13 Apr 2018 - ACL reconstruction with hamstring autograft, small meniscus repair

Offline Comets

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Re: ROM 0degrees 10weeks post dislocation
« Reply #7 on: September 30, 2018, 06:30:17 PM »
So we have progress. I have seen a knee surgeon and he says I need first aid knee surgery (arthoscopy) and that my knee is fully locked. He has no idea what is causing the lock but hopes to find with the surgery. If he can solve it in one surgery he will solve it then and then manipulate my knee whilst I'm under general anesthetic. Has anyone gone this far after what seemed like a straightforward dislocation? I really want to one what my bend will be like if any afterwards? Thanks for everything so far guys.

Offline Vickster

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Re: ROM 0degrees 10weeks post dislocation
« Reply #8 on: September 30, 2018, 06:53:00 PM »
Good that you have a plan of action. When's the op?

Don't expect a miracle recovery and make sure you have a good physio to help you rehab which will take a few months at least.

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 Comets

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Re: ROM 0degrees 10weeks post dislocation
« Reply #9 on: October 01, 2018, 11:42:37 AM »
Thanks Vickster.
My ops on October 16th provisional date (nhs). Iím not that concerned about the op now at least something is getting done. Iím just terrified that my knee will still be locked after it or that I will be too scared to try to bend it if they leave it straight.

Offline Vickster

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Re: ROM 0degrees 10weeks post dislocation
« Reply #10 on: October 01, 2018, 12:05:47 PM »
Thatís not too long to wait  :)

It is important you get a good Physio, maybe privately if you have the funds because youíll be able to see them more often

I had a capsular release on my shoulder in Dec 2016!a couple of days before Christmas and had to have Physio every few days between Xmas and New Year to ensure it didnít freeze again. I used a private Physio as thereís no way I would have been able access the intense therapy needed on the NHS (even the local
Private hospital was closed).
Also, find out about hydrotherapy. The warm water is great for exercising stiff joints. Again may only be possible privately. Do some solid research before the op and get appointments in the diary

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 BornToRun

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Re: ROM 0degrees 10weeks post dislocation
« Reply #11 on: October 02, 2018, 07:36:49 AM »
Very very best of luck Comets, keeping everything crossed for you. Let us know how you get on.
I second Vickster on the physio, and if you can find a knee specialist, even better. Honesty, they are worth their weight in gold.
6 Mar 2018 - skiing fall, ACL rupture, MCL and LCL sprain, lateral meniscus tear and bone bruising
13 Apr 2018 - ACL reconstruction with hamstring autograft, small meniscus repair















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