Last Friday i fell down from bike while driving back home. Got scratch wound in right knee and leg. And I was not able to walk properly, right leg was wobbling. Next day Observed swelling around knee. got x-ray and MRI scan x-ray showed no damage in knee bones. but MRI report they mentioned ACL ligament is not visualized and minor fracture in bone. After this my doctor removed bleeding from knee. Is this indicates ACL is completely tron ? what will be side affects of this ACL tron. Doctor is planning to apply plaster of Paris (cement) molding around the knee for 6 weeks. What will state of my walking after 6 weeks ?.
Person's Gender: Male
Person's Age: 35
The ACL was not visualized because of fluid and edema in the joint, or did the report say that it actually wasn't there as in a complete tear? Are you seeing an orthopedic surgeon?
extract of MRI report notes1) ACL is not visualized2) PCl appears normal3) Iliotibal tract appears normalBoth Infrs and supra patella pads of fats appear normalboth quadriceps and patellar tendons appear normalImpression note in MRI: MRI of knee shows1) Features suggestive of tear of ACl2) Features suggestive of tear of antterior horn of medial meniscus notes3)feature suggestive of vertical tear involving periparal part of body of lateral meniscus4) festures suggestive tar of medical patellar retinaculum and medial patellofemoral ligament.5) features suggestive of grade 1-2 tear of femora segment of medial collateral liagment6) feature suggestive of communicated fracture of head of fibula and marrow contusion of both condyles of tibia7) features suggestive of tear of posterior horn of medial meniscusYes I consulting orthopedic
OK--you've had a very bad injury to the knee. While you might do all right with just the meniscal tear and perhaps with the patellar tendon tears, the loss of the ACL means that your knee will be unstable in walking and could dislocate at any time. While immobilizing the knee for six weeks will help a bit, I don't see how you can get by without surgery and you may need a cadaver ligament transplant to replace the ACL unless it can be reattached.
Thanks for answer. Is there is chance ACL is not visualized might be due lot of fluid/bleeding ? Now i don't have any pain or swelling. only while walking in uneven surface i feel slight discomfort. Is It helpful to get MRI done once again after six weeks treatment ?.
Yes, that is possible and a repeat MRI in a few weeks might show that the ACL is still intact. Seeing as how you don't have the disability I'd expect with all the MRI results, you might get by without surgery.
Over 20 yrs of Family Practice