Knee effusion with ACL & meniscus tear.

Wear a knee brace for 4 weeks. After 4 weeks, start walking... If you experience any instability, then proceed for reconstruction. Ideally 3 weeks rest is sufficient, 4 weeks in your case considering the tibial spine fracture.

Apply ice packs on knee. the ice daily and perform static quadriceps exercises to prevent quadriceps muscle atrophy.

Consult online.

MRI report is nt bad and as per report i can manage you medically (nonoperatively)  but MRI films and clinicsl examination more reliable than report so better if I can examine u to give best treatment

dr kamal bachani on practo in malviya nagar new delhi

we can do online video connect if any constraints for physicalmeeting. drkamalbachani.com

This is a significant injury as per your report. Immediate treatment: Rest, ice and commence gentle movement with the aim of recovering full bending. In young and active patients this would most likely require an arthroscopic surgery to address the ACL as well as repair the meniscus. Surgery is not urgent and can be deferred for a few weeks till situation is a bit better.

As described by you . As per Mri reports 1.tibial spine hair line fracture  - u need rest for another 4 week's with knee brace while walking on resting u can remove it. But no forceful knee bending  or jerky movements while bending knee . 2. Acl tear - Acl  ligament give stability to knee joint and it's attached where this tibial Spine is fractured so it corelated but question is - did it avulsed from base  ? so  it will be good  to  examine mri films for it and that mri film finding should match with clincial finding  3.medial meniscus injury - how bad is it again need to see on mri films is it injury or tear. As per treatment part :- 1.As hair line fracture is there  we can give it try for  4 more weeks with physiotherpy excersies to strong knee muscle and long knee brace for support And then u can strat walking after examining by ortho 2. If still pain is there , difficulty in walking and running , feel like your knee will give away (instability)  then u need diagnostic  arthroscopy  to check what are the findings inside knee and same time as per findings  :-   - Acl reconstruction can be done if required. Or repair Acl or fix it if avulsed fracture seen. - meniscus tear - if small then only trimimg  will help or if it's big  then that part of tear is shaved off( cut off) , if no tear only loosening then repair with specialized sutures is done. Hope that answer all to your queries

At this moment you need to give support to your right knee & neighboring parts with suitable material, do some specific exercises, take proper medication for relief from pain & swelling, later on some surgical procedures may be undertaken after proper evaluation. Do not bend your right knee forcibly till further advice.

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