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Posterolateral Corner (PLC)/ACL injury - any experience or recommendations?

post #1 of 5
Thread Starter 

So I've been getting very different opinions from various knee doctors as to what exactly is wrong with my knee following my Feb. 22 accident.  I was told partial ACL tear, but then today saw Dr. Stone at the Stone Clinic in San Francisco. They did a KT 1000 test, which only showed a 3mm difference between the two legs, but he said he thinks it's a full ACL tear. He also thinks I have a tear of the PLC complex, and that any ACL graft would be likelyto fail unless I also have the PLC reconstructed. He showed me the huge difference between the lateral rotation on the two knees, and it makes sense that the PLC is injured, since that is where I've felt the most pain.  Problem is, PLC reconstruction is much less common than ACL, and not that many doctors are experienced in the procedure.  Dr. Stone is very expensive and doesn't take any insurance, and my insurance would pay 100% if I went to anyone in the Blue Cross/Blue Shield network.  I'd prefer to stay in California, but if necessary I could go out of state.  It looks like Dr. LaPrade at the Steadman clinic is an expert in this procedure, and I think he is in network.  I'm also seeing Jason Dragoo at Stanford, he trained at the Steadman Clinic as a fellow.  Any other recommendations or feedback anyone can send me on doctors or on the injury/surgery/rehab would be most welcome. 

post #2 of 5

Have you had an MRI?

post #3 of 5
Thread Starter 
I've had two MRI's. First said full ACL tear but was a little fuzzy, so then I got a higher resolution one. It said high grade partial acl rear, moderate contusion of tibia, and very minor contusion of lateral meniscus (3mm). Neither mentioned the posterolateral corner structures, but I've heard it's often not spotted on MRI unless the radiologist is very experienced.
post #4 of 5

After watching my doc navigate around my MRI results, I suspect the data on the PLC is there.  You may just need someone to take another look, paying special attention to the PLC, rather than a whole new MRI.

post #5 of 5
There is a lot of variability between different doctors and radiologist interpretations of an MRI. Sounds like it might be time for a 2nd opinion.
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EpicSki › The Barking Bear Forums › Ski Training and Pro Forums › Fitness, Health, Nutrition, Injury, and Recovery › Posterolateral Corner (PLC)/ACL injury - any experience or recommendations?