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Knee ACL ligament, Patella tendon
History: I had a patella tendon injury 6 years back while playing football.MRI was taken that time, showed sprain pattern and no tear. Blood was removed to reduce swelling. Didn't have any pain.Rested with brace for 3-4 weeks with normal walking. Later didn't face problem during running/sports (not every regular but I play like 1-2 times a month)
I was dancing and my knee twisted just like last time.
MRI showed interstitial tear but attachment intact for acl,patella (they didn't mention any grade tear. Does it mean that it's minor tear?) . Didn't have any pain in the knee.Now it's been 3 weeks of rest with brace and I'm able to walk without brace. Yesterday, my orthopedist performed anterior drawer test and my knee moved more than the other knee (he told that acl is torn but in the MRI it's not showing major tear). I'm confused because I know acl is a major ligament. Can someone review the MRI and tell me why I failed the anterior drawer test?
Answers (3)
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If you dont feel any instabilty and u are confortable then..
continue ur rehabiltation with knee excercise as advised for acl tear.
It could be partial acl tear and DRAWER COMES POSITIVE.IN.THAT and that can.be managed with consrvative treatment.
Imp is that u need to streghthen ur musles.
start ur activity gradually over 2 more monrh.
if u still.feel.any instability and pain...get done.MRI And show.to orthopaedic and sports Medicine surgeon
thank.u tc
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Hi,
The MRI shows a sprain pattern indicating a low grade tear. What your consultant advised is right. Get there after a few weeks or in case of pain.. Need regular followup. Avoid sporting activity and dance for atleast 3 months and you need closely monitored physiotherapy
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Dr. Yajuvendra Gawai
Orthopedist
25 yrs exp
Mumbai
MRI especially done immediately after injury can be misleading. Repeating the MRI after 3-4 weeks might help. Also , clinical evaluation by the doctor and feeling of instability while twisting the knee are signs of ACL deficiency.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.