New Posts  All Forums:Forum Nav:

ACL/MRI Diagnosis & Suggestions

post #1 of 13
Thread Starter 
10/23/08: Injured knee is simple fall at A-basin. Doctor & ski patrol said the popping sensation I described sounded like an ACL, but the examination they performed did not convince them that it was necessarily an ACL. The doctor noted that an ACL usually has more pain and swelling (which was minimal the day of injury, but more swelling came later). Dr said it was important to try and keep up range of motion and said it won't harm things to put weight on my leg.

I started to gently straigten and bend the knee and was off the crutches with increasing range of motion when I went back in for my MRI.

10/28/08: The tech who performed my MRI told me off the record that he saw some fraying of the ACL, but that I had more left than he did as his was hanging on by a hair.

10/30/08: Got the official diagnosis from my doctor he said that it was a complete tear of the ACL, partial tear of the MCL and a slight tear of the meniscus that was easy to fix. The MCL will heal on its own, but it looks like full reconstructive surgery for the ACL.

This doctor likes to use a cadaver for the reconstruction. He want me to come in again next week, but wait 2-3 weeks for surgery. In the meantime, he wants me to work on range of motion and suggested a stationary bike.

10/31/08: Gently rode stationary bike for 15-20 minutes. Eventhough this is a mostly up/down motion, there seemed to be a few moments of very slight instability (as well as another leaving the gym when I changed my mind as to which door to exit).

Questions-
How difficult is it to read an MRI?
Should I be worried that the knee seems more swollen and tender with less range of motion after riding the stationary bike?

Found some good info at
http://forums.epicski.com/showthread...ht=partial+acl
http://forums.epicski.com/showthread...ht=partial+acl

Any other thoughts or suggestions?
post #2 of 13
Hi Matt. There is a good article covering ACL injuries on WEBMD.com It does provide an overview and several additional links on dealing with the treatment and rehab. Good luck , James.
post #3 of 13
Thread Starter 
Thanks James...I also found this interesting
http://forums.epicski.com/forumdisplay.php?f=16
post #4 of 13
My friend, Ice Lady, tore her acl, mcl and meniscus skiing and had similar symptoms, as you've described. Do what the doctors say, follow the PT instructions, ride that bike as noted and you'll be back on the slopes again.

Here is IceLady, enjoying Abasin with me after her recovery~
post #5 of 13
Thread Starter 
Thanks for the encouragement...surgery tentatively scheduled for Nov 19, so hopefully I will be able to catch a bit of spring skiing.

Range of motion has been improving and I had no issues taking my daughter out to the magic carpet at Copper today.
post #6 of 13
MRI is a matter of interpretation, not unusual to be not fully accurate for ACL injury.

Consider delaying surgery until swelling has subsided and you have full range of motion. Keep your muscle strength up.
post #7 of 13
Thread Starter 
Quote:
Originally Posted by kawo View Post
MRI is a matter of interpretation, not unusual to be not fully accurate for ACL injury.

Consider delaying surgery until swelling has subsided and you have full range of motion. Keep your muscle strength up.
Thanks...Doctor reviewed the MRI with me and I could see what appeared to be a gap (complete tear) in the ACL.

I was lucky not to have excessive swelling intially and it has gone down the last few weeks looking almost normal now. Range of motion is pretty good- bit stiff feeling, but I can straighten the leg pretty well and bend it close to 130 degrees.
post #8 of 13
If you want more anecdotal experience: http://forums.epicski.com/showthread...highlight=ts01

bottom line:
1 - beware the "partial" tear diagnosis
2 - good you're set for surgery already
3 - take it easy and try not to bang things up even worse before they tighten it back up
4 - good luck!
post #9 of 13
MRI interpretations are never 100% so there is always room for surprises and change of direction when they get in there for real. Ur experience sounds similar enuf to mine tho. I actually skied for 7 hrs on what turned out to be a complete tear 3 days after the event. But skiing on it wasn't a long term option as it was too unstable to have much fun. I was somewhat concerned going into surgery that they would find only a partial and decide against recon. I wanted to be back on full without worrying about a frayed acl letting loose.
post #10 of 13
Mefree: It takes a good 9-12 months for an ACL to heal completely. I saw your mention of spring skiing. You will not want to go through surgery and rehab twice - be careful about going back to early.
post #11 of 13
Quote:
Originally Posted by skier31 View Post
Mefree: It takes a good 9-12 months for an ACL to heal completely. I saw your mention of spring skiing. You will not want to go through surgery and rehab twice - be careful about going back to early.
I guess it depends what "spring" means. I was back on skis in December, 6 months after June allograft (cadaver) ACL reconstruction. Theoretically if there's still skiing in May that means Mefree theoretically could look forward to that. But I would [u]notU] want my first post-op outing to be heavy mashed potatoes or other spring conditions like I'm used to here in the east. To the point where I would hang it up and just wait it out to get stronger and get better conditions the following winter. On the other hand if you're high and dry in Colorado maybe there's something nice and easy to ski in May, I dunno, maybe it's a go, but no sense in fixating on it now.
post #12 of 13
Thread Starter 
I couldn't have dreamed of skiing 3 days after my injury (although I skied 1 legged down the moutain at the time), but could see myself doing an easy groomer now (almost 3 weeks later) if I had a gun to my head.

I know I am getting ahead of myself, but I would like to be able to go out with my 5 year old before the end of the year...
post #13 of 13
Quote:
Originally Posted by MEfree30 View Post
I know I am getting ahead of myself, but I would like to be able to go out with my 5 year old before the end of the year...
That would be nice, and I hope you can.

Not to be a total downer though: it would be just as nice if not nicer to go out in 10 years and keep up with your ripping 15 year old.

YMMV but having been there and done that, without going into details, I had and continue to have problems and pain that could have been avoided if I had been more conservative both pre and post-op and considered long term risks as well as short term rewards.
New Posts  All Forums:Forum Nav: