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Author Topic: What could this be?  (Read 363 times)

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Offline sjdean

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What could this be?
« on: December 08, 2018, 04:19:22 PM »
Ten years ago I ruptured my quads tendon in my right knee. Three months later I done it again.

A couple of days ago I slipped outside and my left leg folded under me. I heard a pop and I was crumpled on the floor with instant swelling, not too much pain. Felt like a gap advice the kneecap and unable to do an SLR suggesting another quadricep tendon rupture.

A visit to the A&E and the X Rays look fine. They've pretty much ruled out meniscus or ligaments, no fractures and they think the tendon is fine.

48 hours later still a lot of swelling. A lot of bruising on the medial side of the knee cap, less bruising just above. Pain to the touch on the medial side, cross between electric shocks and a typical bruise.

There's a lump just above the knee which when I bend the knee short of feels numb or tight.

Reduced range of movement. Around 75 to 90 degrees.

Still unable to do an SLR. Muscles fire but very weak and start shaking if I try to raise.

Even at 75 degree flexion, kneecap seems palpable like I can physically move it up and down, but only slight.

X Ray allegedly showed some bleeding.

Any thoughts?


Offline Vickster

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Re: What could this be?
« Reply #1 on: December 08, 2018, 04:41:21 PM »
How have they ruled out tendon, meniscus, ligament with an X-ray? Even an MRI isnít foolproof

Iíd fully RICE for 2 weeks. If no better see a private physio or GP for re examination and referral to physio or specialist

Swelling will restrict ROM. Use ice, elevation and an oral or topical anti inflammatory (if not contraindicated for you) to manage

It could be a severe bone bruise, in which case it could take many months to resolve

Donít try to do any exercises like SLR without a diagnosis and physio supervision at the risk of doing more damage. Simply rest it. Use crutches if unable to bear weight
« Last Edit: December 08, 2018, 04:46:41 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 sjdean

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Re: What could this be?
« Reply #2 on: December 08, 2018, 04:54:05 PM »
I'm not entirely sure. Based on the fact that I can make.my leg straight, they said indicates not meniscus. They came out with something technical as to why it most likely isn't ligaments either. Something about being equivocal.

I have an appointment with the knee clinic on Monday so fingers crossed.

I don't know if I'm allowed to go out anywhere (with crutches and brace).

I still think tendon.

Thanks
Simon

Offline Vickster

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Re: What could this be?
« Reply #3 on: December 08, 2018, 05:31:55 PM »
I have a meniscus tear (or tears) and I can straighten to zero, but I canít bend the last 10-15 degrees

Why couldnít you go out with crutches and a brace assuming itís not to play football or base jump! Presumably however you're not attempting to drive if braced!

Good luck for Monday
« Last Edit: December 08, 2018, 06:44:17 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 sjdean

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Re: What could this be?
« Reply #4 on: December 10, 2018, 04:51:00 PM »
I had an ultra sound with the following findings:

There is a full thickness tear of the distal quadriceps tendon with a fluid filled gap of 0.7 cm. There is only a 1.2cm distal stump which is attached onto the patella. No bony avulsion.

Normal proximal tendon.
Intact patella tendon

Your thoughts appreciated?

They're indicating surgery required possible three weeks in a cast and three weeks in a brace. Oh glorious NHS. Would like to push for more aggressive rehabilitation.

Offline Vickster

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Re: What could this be?
« Reply #5 on: December 10, 2018, 04:58:21 PM »
Sorry to hear. Same knee? Or other? Do you have a connective tissue disorder placing you at higher risk? Or just bad luck?

Can you rehab privately out of pocket? Get the surgeonís advice

At least, we have access to the NHS for urgent and elective treatment, more than most if the worldís population (and that includes a large part of the developed world!)

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 sjdean

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Re: What could this be?
« Reply #6 on: December 10, 2018, 05:18:01 PM »
I know an excellent sports physio. Problem is when you're not supposed to bend your knees is getting out. My girlfriend has had to cancel tickets to a rock concert on Monday 😥😥😥

I have to lie across the back seat of a car.

Offline Vickster

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Re: What could this be?
« Reply #7 on: December 10, 2018, 05:23:39 PM »
Can you not contact the venue and ask for access to the disabled area? Iíve done that before when on crutches (and got a far better view)
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 sjdean

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Re: What could this be?
« Reply #8 on: December 11, 2018, 04:56:25 PM »
Are tendons no longer a major thing? I'm sitting at home waiting to be seen by the hospital. I've basically been told they're hoping they'll see me this week but cannot guarantee and it depends on availability of a surgeon.

I can't even begin to understand what's going on.

12 years ago I was admitted as an emergency. Now I'm being sent home and told to wait for a surgeon.

Simon

Offline Vickster

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Re: What could this be?
« Reply #9 on: December 11, 2018, 05:37:05 PM »
NHS is far more stretched nowadays especially in winter, the frail elderly and children will be a priority over young fit adults without a life threatening or to me critical injury. Also coming into Christmas, staff starting to go on leave, those remaining prioritise emergency cases. What was an emergency then is probably lower priority now so patience required.
Even if you have private healthcare or would self pay, youíd likely have to wait esp for a specific surgeon or hospital.. Larger older population, no more surgeons.

Where in the country are you?
« Last Edit: December 11, 2018, 05:44:16 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 sjdean

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Re: What could this be?
« Reply #10 on: December 11, 2018, 07:30:42 PM »
I'm in Birmingham.

Offline sjdean

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Re: What could this be?
« Reply #11 on: December 11, 2018, 09:07:16 PM »
I was wondering.... Do people live without a quadriceps tendon? Is it possible?

I mean, a cane and a knee brace, that might do

I seemed to be able to use the clutch in my car after my tendon rupture so that's got to be a good sign?