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Message
OT Docs... LCL Reconstruction surgery
Posted on 10/27/16 at 9:00 pm
Posted on 10/27/16 at 9:00 pm
In May, I took a pretty awkward kick to the inside of my left shin with my leg planted. Long story short, being military, I had to go on a work trip starting the next Monday (injury happened on a Saturday) that lasted two weeks and couldn't get an MRI done for three and a half weeks because I needed a referral.
MRI showed scarring on the LCL. Physical examination showed a high degree of laxity on the varous stress test.
Three questions:
1). In what way is laxity measured (degrees of flexion or by distance of flexion)?
2). With the hamstring option being the one I chose, what kind of recovery time am I looking at?
3). What are the chances my knee is as strong as it was pre-injury once I have my surgery?
MRI showed scarring on the LCL. Physical examination showed a high degree of laxity on the varous stress test.
Three questions:
1). In what way is laxity measured (degrees of flexion or by distance of flexion)?
2). With the hamstring option being the one I chose, what kind of recovery time am I looking at?
3). What are the chances my knee is as strong as it was pre-injury once I have my surgery?
4
Posted on 10/27/16 at 9:11 pm to DByrd2
Well these seem like good questions you should have asked your actual doctor during the examination...
Posted on 10/27/16 at 9:38 pm to DByrd2
What was the grade?
You just said scarring, if you have a grade 3 year it may be a long road ahead. If it is a grade 3 chances are you may have an acl tear as well
You just said scarring, if you have a grade 3 year it may be a long road ahead. If it is a grade 3 chances are you may have an acl tear as well
Posted on 10/27/16 at 9:47 pm to lsucoonass
quote:
By the way recover time may not be as long as a full blown acl and definitely not as long as if you tore the unhappy triad (acl,lcl and I think medial meniscus)
Unhappy triad or the O'Donoghue Unhappy triad is mcl, acl and medial meniscus
This post was edited on 10/27/16 at 9:49 pm
Posted on 10/27/16 at 9:48 pm to Tigerpaw123
Oops lol
Posted on 10/27/16 at 9:49 pm to lsucoonass
Posted on 10/27/16 at 9:50 pm to Tigerpaw123
Good thing I'm no pt or orthopedic dr
Posted on 10/27/16 at 9:51 pm to lsucoonass
Jay, I didn't think to ask him, honestly I had several things I was juggling that day. You are right, but I am not going back to him just to ask.
I was "on the line" in his words between Grade 2 and Grade 3. Every other major supporting structure in my knee was undamaged, which he said was a fairly uncommon occurrence (referencing the fact that you did, lsucoonass, re:other ligaments going with the LCL).
As far as the laxity question, I am just wondering how that is judged. Obviously I could tell it moved way more during the varous test than did the other knee, but I am not sure what measuring process they use to declare it a Grade1/2/3.
ETA: By the way, thanks for engaging in an actual conversation!
I was "on the line" in his words between Grade 2 and Grade 3. Every other major supporting structure in my knee was undamaged, which he said was a fairly uncommon occurrence (referencing the fact that you did, lsucoonass, re:other ligaments going with the LCL).
As far as the laxity question, I am just wondering how that is judged. Obviously I could tell it moved way more during the varous test than did the other knee, but I am not sure what measuring process they use to declare it a Grade1/2/3.
ETA: By the way, thanks for engaging in an actual conversation!
This post was edited on 10/27/16 at 9:53 pm
Posted on 10/27/16 at 9:57 pm to DByrd2
Thanks for serving. Hope you get the best care out there.
Posted on 10/27/16 at 9:59 pm to DByrd2
I don't want to say anything wrong
If I recall laxity is how loose. If it's very loose then your rom of motion may be greater than average.
Luckily I never tore a ligament only pec and hamstring muscle and I rehabbed those on my own for the most part. I don't recommend that for any ligaments however
If I recall laxity is how loose. If it's very loose then your rom of motion may be greater than average.
Luckily I never tore a ligament only pec and hamstring muscle and I rehabbed those on my own for the most part. I don't recommend that for any ligaments however
Posted on 10/27/16 at 10:09 pm to lsucoonass
I appreciate the support, 58!
And yes, laxity is the "looseness" of the ligament, with the varous stress test being holding the ankle and applying outward pressure to the inside of the knee. It almost seems like one of those things a doctor would discern via eye test.
In comparison to my other knee, I was a little freaked out by how much it moved during that test.
And yes, laxity is the "looseness" of the ligament, with the varous stress test being holding the ankle and applying outward pressure to the inside of the knee. It almost seems like one of those things a doctor would discern via eye test.
In comparison to my other knee, I was a little freaked out by how much it moved during that test.
Posted on 10/27/16 at 10:14 pm to DByrd2
Well you always have to do a physical exam especially the unaffected side first so you can get what should be a normal measurement.
Your knee probably moved a half an inch or so if it's between a grade 2 or 3.
Your knee probably moved a half an inch or so if it's between a grade 2 or 3.
Posted on 10/27/16 at 10:16 pm to lsucoonass
Ok cool. Yeah, it definitely wasn't feeling normal.
I am going to ask my doc if he doesn't mind recording my surgery so that's i can check it out afterwards while I am too high on pain pills to care how gross it is. Haha
I am going to ask my doc if he doesn't mind recording my surgery so that's i can check it out afterwards while I am too high on pain pills to care how gross it is. Haha
Posted on 10/27/16 at 10:21 pm to DByrd2
Good luck with the surgery and rehab.
Hopefully you get a good pt after the surgery.
I was lucky to work with my brigade pt when I was still in the military. I spent time with some troops correcting their movement patterns (especially squatting) to prevent further injury.
Hopefully you get a good pt after the surgery.
I was lucky to work with my brigade pt when I was still in the military. I spent time with some troops correcting their movement patterns (especially squatting) to prevent further injury.
Posted on 10/27/16 at 10:25 pm to lsucoonass
I appreciate your service, lsucoonass.
And I am lucky to have a very good pt clinic at my duty station. They have been great about building muscle strength to compensate for the instability as much as feasible. I suspect that they'll want to continue on that path leading up to my surgery.
And thanks for the well wishes.
And I am lucky to have a very good pt clinic at my duty station. They have been great about building muscle strength to compensate for the instability as much as feasible. I suspect that they'll want to continue on that path leading up to my surgery.
And thanks for the well wishes.
Posted on 10/28/16 at 7:21 am to DByrd2
Yeah and that is the route they should go.
I would even ask about your running "gait" to see if they recommend a more efficient way to run which could help with your pt test.
Strengthen those quads and hamstrings just in case you have to make a very urgent stop or pivot when you run or doing sports in order to avoid a potential acl tear
Thanks for your service too!
I would even ask about your running "gait" to see if they recommend a more efficient way to run which could help with your pt test.
Strengthen those quads and hamstrings just in case you have to make a very urgent stop or pivot when you run or doing sports in order to avoid a potential acl tear
Thanks for your service too!
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