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Often a torn ACL is a degenerating piece of tissue, the breakdown products of which cause inflammation and scarring within and of the joint capsule of the knee. This causes pain and loss of range of motion. Surgery always involves debriding (removing) this unhealthy and useless tissue. Sometimes also, due to the abnormal motion at the knee after the ACL tears, the meniscus (cartilage cushion) in the knee is also damaged. This may also need partial debridement at surgery.
I would suggest that you get a x-ray and MRI of the knee joint to confirm the ACL tear. I think there is a tear of the graft. Also with ACL tear surgeries it is common to have knee arthritis, so work up in this direction is also important in your case.
After ACL reconstruction surgery rehabilitation is the most important part of treatment. Swimming and cycling are excellent methods of strengthening the muscles around the knee.
Has anyone else experienced a joint capsule tear without an associated ligament tear? I cannot seem to find information about how serious it is, how it compares to a typical ligament tear, if there is a possibility I might need surgery to repair it in the future, etc. It has been 6 1/2 weeks since my original injury. Any information/insight you could provide would be helpful. Thank you!
I had a my left knee scoped on Aug 22nd and I returned to work Nov 23. My Dr had me limited to 6 hrs shift, but I work retail so of course I've been having to work longer hours than that. So know my knee is swollen and I'm having pain in the again shooting through the back of my knee and sharp shooting pains in the inner knee joint. I'm also having numbness in my foot as well. I called the Dr office and they bumped up my Dr visit. Any advice?
I got on the forums because I fear I have reinjured my ACL. I tore it about 7 years ago. This time, I heard the loud "pop" sound and it was deja vu. I just knew and the ER doctor confirmed. However, after seeing an orthopedic surgeon, he said otherwise. He seemed to think maybe I tore some cartilage but nothing turned up on the MRI. The Lachman's test, he said, did not show much disturbance in my ACL.
Well you have a tear of the meniscus (which is cartilage in your knee that acts as a shock absorber). You have a tear on the inside of your knee and the outside. You have a bone bruise on the front inner portion of the top of your tibia and fluid in your joint (effusion). You really need a knee scope!
sudsha
One of the most common knee problems an Orthopedist sees in the office is a degenerative meniscus tear. A meniscus is a cushion inside your knee. It aids in stability of the knee and minimizing the stress across the knee, thus minimizing the risk of developing osteoarthritis.
Meniscus tears are incredibly common. Although meniscus tears occur in all age groups, they are most common in adults over 50. There are many different types of meniscus tears.
Hi, I suffered a fall twisting my leg. MRI showed an undersurface tear in the posterior horn of the medial meniscus. The MCL was mildly thickened and edematous. I had an arthroscopy 3 weeks ago and the doctor said there was no tear. I am still having significant pain in the medial knee when standing up. Is it possible the tear was missed ? I'm not sure what to do. I golf quite a bit in the summer and I'm afraid with my knee pain I won't be able to. What do you suggest?
The one that would be necessary for your dog would be an injection into the joint capsule of the affected knee. It requires two procedures: a surgery to extract fat that contains the stem cells, and than the injection two to three days later. This would require two anesthesia's. I would not inject into the knee of any dog without anesthesia (it can be done without anesthesia in horses and humans {outside USA}).
Ligament injury causes pain to worsen on walking, bending and stretching the knee. Meniscii too if torn or injured, result in joint instability—that is you are not confident the knee joint will take your weight. Often the person feels a popping sensation on moving the joint. Pain worsens on walking. It can also be tendinitis due to inflammation of tendon at the knee joint. You will need X-rays and MRIs of the knee to find the exact. Treatment will follow correct diagnosis.
Also, repair vs debridement (trimming away the tear) depends on age and area of the tear. A meniscal tear can only be repaired if there is blood flow to the area. If there is no blood flow, a repair will be unsuccessful and a debridement would be the standard of care. Your Orthopaedic Surgeon will go over all options with you (I used to work for one) but I'm sure that arthroscopy is in your best interest. Good luck!
Myxoid degeneration of medial meniscus posterior horn with knee joint effusion and suspected partial tear of the anterior cruciate ligament for which clinical correlation is adviced". I get only right knee MRI due to its cost, but I'm suffering of similar pain on both knees. What does this mean? Is there any treatment I can do at home to relief the pain? Thanks!
Ever since then, I have had a bad, achy pain in the right side of my knee on the joint line, especially when standing and I pick my foot up. The worst pain is when I rotate my toes outward with my knee bent. It occasionally hurts when decelerating, and definitely when going down stairs. I got an MRI today and am waiting the results, but does this sound like a tear? I know it's not large since the knee hasn't locked, but I do feel a small pop on that side of my knee when I straighten it.
It is like a tear in a piece of paper and it continues to tear without intervention. An orthopedic sx preforms a knee arthroscopy and debrides or cuts out the tear/smoothing the area. Popping,clicking and pain are symptoms of a tear. OTC anti inflamatories and elevating the knee reduces the swelling and pain.but will not heal the condition. If tear/damage is severe enough arthritis develops as menisci acts like a cushion between the knee joint.
Hi,
Thanks for writing in. The knees are the most commonly injured part of the body. The largest joint, the knee is used for everything from standing up, sitting, to walking, running, etc. It's a weight-bearing joint that straightens, bends, twists and rotates. All this motion increases your risk of acute or overuse knee injuries.
As you already have a history of trauma there is a chance of ligament injury or meniscal tear or tendinitis.
Hello,
The various possibilities for popping, clicking joints are a cartilage tear or rotator cuff tear that is rubbing with the joint, arthrosis or degeneration of the joint and arthritis esp osteoarthritis and rheumatoid arthritis.
The exact cause can be found out only after x-ray or blood tests. Please consult an orthopedician or rheumatologist for that.
There is abnormal hyperintense signal within the posterior body and horn of the medial meniscus with appearance of associated meniscal body extrusion, thickened MCL as well as meniscocapsular injury both superiorly and inferiorly. Disrupted posterior capsule and appearance consistent with a tear within the anterior medial meniscal root.
No high grade lateral meniscal tear identified with preserved articular cartilage. LCL intact as is popliteus.
With restrictive movements and also by using a brace at your knee joint you can have an elective surgery after 4 months. It is not an emergency and you can explain your surgeon about this and take a suitable date and take the necessary tips from your orthopedician so that you do not damage it any further.
Take care!
This procedure utilizes an arthroscope, or a small camera about the diameter of a pencil inserted through a small incision in the knee joint. The camera displays the interior portion of the knee joint and allows accessed by additional endoscopic tools that are then manipulated by a surgeon watching a monitor to remove or fix the torn cartilage in a minimally invasive surgical technique. In some cases, a torn meniscus can be repaired utilizing traditional sutures or absorbable plastic staples.
This is likely to occur due to injury and instability of some of the major supports of the knee joint, while reconstruction of the ligaments may just be possible in a few cases. You could try using a knee brace for additional support and avoiding exercise. It would be best to discuss the situation, the management plan and the expected, prognosis in detail with your treating orthopedician.
Hope this is helpful.
Take care!
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