Knee Question - Meniscal Tear

jessie_sanders

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If you can’t trust the person tasked with possibly saving your life, who can you trust?

Yes, she needs surgery—unless you don’t like your daughter

Yes, this is a surgery I do every day for the past 20 years

Yes, I can spend endless hours talking your ear off about the surgery, recovery, long term prognosis—anything you need to know




No—I’m not going to help you. Take your “suspicions” and google it, my man. Have a great day.
You can trust the person that's not getting commission to prescribe pills.

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03Sssnake

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She sure did, and I enjoyed every minute of it!
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kirks5oh

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Who did you use for your recovery? I just had an MRI done a couple days ago on my left knee. Unsure if I'll need surgery or not, but the report mentioned tears multiple times. Waiting to hear back from my orthopedic.

this is what mine says

"PCL demonstrates split tear from femoral to tibial attachment with trace edema at the insertion. Medial meniscus with posterior root stretching/low-grade partial tear with edema at the insertion and no meniscal extrusion. Lateral meniscus with anterior interstitial root degeneration and meniscal femoral Wrisberg ligament sprain without a respect tear. ACL sprain. There is no tibial translation patellar tendinitis. Quadriceps intact. Medial collateral ligament and posterior medial corner intact with distal semimembranosus tendinitis. Posterolateral corner intact Patellofemoral articulation with lateral tilt. Retinacula are intact. Bony structures and hyaline cartilage surfaces with mild edema at the posterior tibial eminence and minimally along the posterior lateral femoral condyle. There is a moderate volume joint effusion and no popliteal cyst.

IMPRESSION:
1. PCL high-grade longitudinal partial tear with posterior capsular sprain and mild edema at insertion
2. Medial meniscal posterior root ligament low-grade partial tear with stretching and edema at insertion
3. Lateral meniscal anterior interstitial tear at root without extrusion
4. Mild ACL sprain
5. Patellar tendonitis/interstitial nonretracted tear with large retropatellar tendon bursitis
6. Grade 2 chondral thinning periphery medial femorotibial compartments "
You need a second opinion, likely. This is an mri that shows some possible tears, but might be non-surgical. It’s a crappy read by the radiologist. Don’t know your age, or injury that you had—but repairing a PCL injury is not common, unless you had a major injury. And PCL injuries that need repaired, are more common with big meniscal tears, in younger patients. Totally different injury compared to an acute acl tear, or a meniscal tear in a younger patient. If you talk to 3 different surgeons, you might get 3 different answers as to the treatment.


The original poster could talk to 10 different surgeons, and he’s going to get the exact same answer—a knee scope is needed, and hopefully the meniscus tear is repairable given his daughter’s young age, and involvement of the meniscal root. He just needs to make sure the doc is fully comfortable doing repairs, and is not just someone who scopes knees in people who are 40+ (like me), where the meniscus tear is never repairable.
 

NateDogg

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You need a second opinion, likely. This is an mri that shows some possible tears, but might be non-surgical. It’s a crappy read by the radiologist. Don’t know your age, or injury that you had—but repairing a PCL injury is not common, unless you had a major injury. And PCL injuries that need repaired, are more common with big meniscal tears, in younger patients. Totally different injury compared to an acute acl tear, or a meniscal tear in a younger patient. If you talk to 3 different surgeons, you might get 3 different answers as to the treatment.


The original poster could talk to 10 different surgeons, and he’s going to get the exact same answer—a knee scope is needed, and hopefully the meniscus tear is repairable given his daughter’s young age, and involvement of the meniscal root. He just needs to make sure the doc is fully comfortable doing repairs, and is not just someone who scopes knees in people who are 40+ (like me), where the meniscus tear is never repairable.
Appreciate the incite. I'm 36 and really didn't have a significant event that would have cause this. My knee has been bothering me for a while and then about a week ago it became inflamed and very painful.

I haven't heard from my Dr yet, I just pulled the report from my patient portal. Not sure what he is going to recommend. I'm sure I'll find out on monday.
 

365 Saleen

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I am due to get a knee replacement in the next few months.
I have no cartilage left on the inside, 2 tears of the meniscus, and the ACL is torn.
Lots of fun getting around. Can't bend the knee more than 90* at best and can not put any weight on it when it is bent. Still go to work every day and dead leg it around the shop.
I wish I was 15 again. Lol.
 

NateDogg

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I am due to get a knee replacement in the next few months.
I have no cartilage left on the inside, 2 tears of the meniscus, and the ACL is torn.
Lots of fun getting around. Can't bend the knee more than 90* at best and can not put any weight on it when it is bent. Still go to work every day and dead leg it around the shop.
I wish I was 15 again. Lol.
That's kinda how I feel right now. Hurts to drive the cobra. I've been shopping for a GT350, but don't want to pull the trigger if I'm not going to be able to drive it for 6+ months
 

kirks5oh

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I am due to get a knee replacement in the next few months.
I have no cartilage left on the inside, 2 tears of the meniscus, and the ACL is torn.
Lots of fun getting around. Can't bend the knee more than 90* at best and can not put any weight on it when it is bent. Still go to work every day and dead leg it around the shop.
I wish I was 15 again. Lol.
All that gets fixed with the knee replacement, my man. Just keep in mind there’s no giving you the knee you had when you were 20. As long as you work hard with therapy, and have realistic expectations, you’ll do fine
 

tistan

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All that gets fixed with the knee replacement, my man. Just keep in mind there’s no giving you the knee you had when you were 20. As long as you work hard with therapy, and have realistic expectations, you’ll do fine
I'll take the knee I had at 35.


I had mcl replaced and meniscus repaired when I was 19. I had my meniscus tear again two years ago and they cleaned out part of it. I will say I am pretty sure my doctor appointed therapist maybe pushed too hard and re injured it a little. It felt great for about 4 weeks then I started getting pain right after one of the therapy sessions. Tell your daughter to aware of any odd feelings or pain during the therapy stage.

I now pay for a private therapist once a week in the hopes that I can have a healthy life until I'm 60, and then I can get my new knee. We work on building muscles to support the knee and also trying to I think lengthen the hamstrings because I mountain bike 4-5 days a week when it is in season and that plays hell on my knee.
 

biminiLX

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You can trust the person that's not getting commission to prescribe pills.

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‘Commission to prescribe pills’ eh?
Ignorance pretty thick around hear.
I will say the outcome tends to have as much to do with the patient as it does the surgeon in my experience.

To the OP I hope your daughter does well. Definitely consider some extra therapy/sports training if she is an athlete or plays sports regularly. Girls have some additional risks for knee injury and if she’s going to compete after a maniacal injury, it may save her from future problems.
My daughters are 15/13 so I get it.
Good luck!
-J
 

jessie_sanders

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‘Commission to prescribe pills’ eh?
Ignorance pretty thick around HEAR.
I will say the outcome tends to have as much to do with the patient as it does the surgeon in my experience.

To the OP I hope your daughter does well. Definitely consider some extra therapy/sports training if she is an athlete or plays sports regularly. Girls have some additional risks for knee injury and if she’s going to compete after a maniacal injury, it may save her from future problems.
My daughters are 15/13 so I get it.
Good luck!
-J
...

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JPKII

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To the OP I hope your daughter does well. Definitely consider some extra therapy/sports training if she is an athlete or plays sports regularly. Girls have some additional risks for knee injury and if she’s going to compete after a maniacal injury, it may save her from future problems.
My daughters are 15/13 so I get it.
Good luck!
-J
Thank you. She is a track runner. So her season is pretty much over. She'll loose her freshman year. Which sucks. She has some legs and with more discipline she likely would've done quite well. She ran the 100,200, 4x400, and 4x800.

But, as you said, we will be doing a lot of therapy and rehab.

Doc appt is at 2:15 today. Will updated afterwards.
 

93Cobra#2771

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She says she fell out of bed.

She’s pretty fit. Runs in track. Is tall and lanky.

Tonight she says it’s hurting her. We haven’t told her what doc says. Mostly because we don’t want her freaking out all weekend long. We do have another orthopedic guy lined up for second opinion. The guy we’re seeing on Monday has operated on my wife a couple of times so she has a high trust level with this guy. I have trust issues, so…. Lol

Thanks everyone for the comments and wishes.

@kirks5oh much appreciated. Thank you for the offer. After doc appt on Monday, we may take you up on that.
Falling out of bed didn't do it. It was most likely an existing injury from her track. Unfortunately, long and lanky is a bad combination for a high school athlete when it comes to knees unless they work out a lot. Even just running can cause issues if their gait or technique isn't on point. A good coach can sometimes spot issues but they have a lot of ground to cover with usually one coach and lots of athletes.

It's not a bad surgery, my late FIL had one done and recovered nicely from it in his 50's. And that was 25 years ago.

Good luck in your decision and her recovery. It probably wouldn't be a bad idea to work with a personal trainer (after recovered) and build up muscles around the knee to increase her durability and add some muscle mass.
 

JPKII

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Doc was a good dude. He previously did several surgeries for my wife. And she's still kickin. So he must be doin something right. lol.

He has been doing surgery for 23 years. A large piece of experience is high school and college age athletes.

Repairing the tear and the root damage. Scheduling will happen today. Surgery likely next week.

Daughter lost her shit when she heard surgery. Through the tears: "I don't want any extra holes in my body". lol. Doc didn't have great bedside manner and thought it would be a good idea to show us an animation of the repair of the root. Where they drill a hole through the bone and loop the stitches from the root through this tunnel. Wife and I are both signaling to the doc to shut it off. Daughter was pale as a ghost. lol. All good now.
 

03Sssnake

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Yeah, sometimes too much info is too much info. At least it wasn't an ACL. Lot longer recovery time.
Definitely, have had some endoscopic procedures done and those details didn’t really bother me, little nauseating, but not too bad. However when I looked into and saw footage for the cervical spine discectomy and fusion I had scheduled. I really wished I hadn’t done that, actually ended up canceling the procedure with one doc.. Ultimately I had it done, but jesus christ, think I was better off not knowing that much detail.
 
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JPKII

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Definitely, have had some endoscopic procedures done and those details didn’t really bother me, little nauseating, but not too bad. However when I looked into and saw footage for the cervical spine discectomy and fusion I had scheduled. I really wished I hadn’t done that, actually ended up canceling the procedure with one doc.. Ultimately I had it done, but jesus christ, think I was better off not knowing that much detail.

Right. That's how I'd feel. When I draw the lucky card and require surgery, I plan on telling the doc to keep it to themselves. lol.

My wife?? The doc will go through all the post-ops symptoms, complications, etc. She will *get every single one*....
 

kirks5oh

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Doc was a good dude. He previously did several surgeries for my wife. And she's still kickin. So he must be doin something right. lol.

He has been doing surgery for 23 years. A large piece of experience is high school and college age athletes.

Repairing the tear and the root damage. Scheduling will happen today. Surgery likely next week.

Daughter lost her shit when she heard surgery. Through the tears: "I don't want any extra holes in my body". lol. Doc didn't have great bedside manner and thought it would be a good idea to show us an animation of the repair of the root. Where they drill a hole through the bone and loop the stitches from the root through this tunnel. Wife and I are both signaling to the doc to shut it off. Daughter was pale as a ghost. lol. All good now.
That’s the correct way to repair the meniscal root tear—as opposed to simply removing it, or using darts or staples to fix it. If you’re comfortable with the doc, I’d proceed with surgery. I hate to minimize the complexity of any surgery, and people are always entitled to get multiple opinions, but this should be fairly routine. Getting multiple opinions doesn’t always get you a better surgeon or outcome.
I’ve been on both sides of the 2nd/3rd opinion and can tell you people get sent to the wrong doc for the second opinion plenty of times, or the doc giving the second opinion might be fantastic, but purposely sniffs out a problem patient they simply don’t want to deal with and recommends something they know the patient won’t go for, etc.
 

03Sssnake

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Right. That's how I'd feel. When I draw the lucky card and require surgery, I plan on telling the doc to keep it to themselves. lol.

My wife?? The doc will go through all the post-ops symptoms, complications, etc. She will *get every single one*....
Lol…Guess I am just lucky…that’s what I say when someone asks how I ended up with a 3 level fusion while still kinda young…
 

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