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Need surgery for knee ligament injury?
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..
Answers (5)
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You need further evaluation of your knee. Consult sports medicine doctor
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Wear a knee brace. Keep knee protected for 4 weeks.
Do knee quadriceps exercises .
Apply.ice packs.
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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.
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Since there is partial tear of ACL, a trial for conservative treatment must be given.
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Adequate examination and arthroscopic surgery is usually necessary. Physiotherapy has minimal role
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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
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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.