Need surgery for knee ligament injury?

2019-03-10 11:45:01
Recently had a slip while playing badminton 5 weeks back. Did MRI today 10th Feb. Do I need surgery or can do with strengthening excercises? ACL/PCL/MCL and LCL are normal as per the report. 1. Near complete tear in the proximal fibres of Anterior Cruciate ligament near femoral attachment site showing intrasubstance hyperintensity. 2. Patellar Chondromalacia. 3. Minimal marrow edema in the posterolateral aspect of proximal tibial plateau. 4. Oblique tear in the posterior horn of lateral meniscus extending to both superior and inferior articular surface.  5. Horizontal tear in the posterior horn of medial meniscus. 6. Mild joint effusion. Thanks..
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Wear a knee brace. Keep knee protected for 4 weeks. Do knee quadriceps exercises . Apply.ice packs.
Next Steps
After 4 weeks, remove brace, if you have instability I.e. ACL issues or Locking,pain I.e. meniscal issues then they will be addressed specifically with arthroscopy.

Answered2019-03-14 08:22:46

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Since there is partial tear of ACL, a trial for  conservative treatment must be given.

Answered2019-03-12 00:46:20

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Adequate examination and arthroscopic surgery is usually necessary. Physiotherapy has minimal role

Answered2019-03-10 13:40:36

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Femoral attachment of ACL is Brocken as you mentioned , so it needs clinical evaluation for arthroscopic ligament repair , early meniscal tear repair saves knee from developing osteoarthritis
Next Steps
consult scopy surgeon for evaluation. and surgery
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physio helps but not a definitive measure

Answered2019-03-10 11:51:44

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You need further evaluation of your knee. Consult sports medicine doctor

Answered2019-03-14 18:33:59

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