Doctor insights on:
How Bad Does A Broken Knee Cap Usually Hurt
See a doctor: First, if you have a "broken" or fractured knee cap, then you should be under the care of an orthopaedic surgeon and asking your doctor is the right thing to do. Having said that, rest, ice, and a knee immobilizer can be helpful. Also, over the counter medications such as tylenol, (acetaminophen) advil or aleve can all provide some pain relief. ...Read more
O.R.I.F. Or open reduction and internal fixation is when an orthopedic surgeon identifies the fracture fragments (with open surgery), then places the pieces back in their anatomic positions (reduction) and then holds the pieces in place with various devices (screws, plates, wires) - - - (internal fixation).
This is often the preferred treatment for displaced patella or kneecap fractures. ...Read more
Too many variables-: -to give a specific answer. such as 2 pieces, transverse, comminuted & # of fragments, quality of bone, open or closed. high or low velocity injury. also many co-morbidities add to poor healing: diabetes, thyroid R a couple. obesity also. each presents one with the question how best to treat this, open, closed & cast, if open what 2 use, pins, wires, both, screws or all 3. each case is different. ...Read more
??: Everyone perceives pain and injuries differently. These are both horribly painful, terrible injuries. If i had to guess i would say kneecap, but i know they are both very painful. ...Read more
What are the criteria for being put in a SNF and can a SNF become a permanent residence?
Dementia pt. w/broken knee cap to be put LTC at SNF.
Ask director: States vary a bit, but the Dir of the SNF can tell you in detail. Yes, it can be permanent if that is the 'best' decision. The staff who handle admissions will be knowledgeable and help w/ this. Shop around if possible for a place that's a good fit for him. ...Read more
Elderly pt w/broken knee cap. Sleeping excessively at SNF. Can use of pain killers cause excessive sleep? If so, what kind of pain killers are it?
Pain relievers: There are several common types of pain killers, ranging from acetaminophen/paracetamol to NSAIDs to tramadol to opioids. Side effects of the last 2 include sedation & sleepiness. Plus death in overdose. Acetaminophen can be bad for liver in excess while NSAIDs are worrisome for kidney disease & stomach ulcers. Best to discuss w/patient's doctor. ...Read more
Elderly dementia pt had broken knee cap surgery 3 weeks ago. Found walking a little w/no walk aid. Is it possible? Would there still be pain? Aware?
Possible: The knee cap is not load bearing. If you really want to make sure everything is ok, call he surgeon and ask about weight bearing status. Hope this helps! ...Read more
Elderly dementia pt not excessively sleeping prior to going to a SNF but now is. Reasons? Had surgery for broken knee cap. On pain killers.
Discuss w/attending: Chat w/attending physician & express your concerns about change in status. Review medications looking for ones that show up on Beers list (https://www.scanhealthplan.com/media/1743/printablebeerspocketcard.pdf) - excess opioids can cause confusion & sedation. Review labs. Since knee caps don't typically break spontaneously but as result of trauma, consider repeat head CT for subdural hematoma ...Read more
Motorcycle accident. I flew and my knee and wrist bore the most impact.
A doctor took a CT scan of my leg, said nothing broken. knee cap tingles?
My knee hurts bad when i bend it. I can touch it and it doesn't hurt. Have not hurt it in any way. Just feels like the knee cap itself hurts when bent.
I heard something tear underneath my knee cap when I bent down to pick up a towel. It hurts bad! what happened?
I fell on my knee cap really hard on the concrete four days ago. It's very hard to walk because it hurts so bad. Should I seek medical attention?
Yes: Direct contact to the knee can injure the 'kneecap'( patella);and most commonly result in contusions and injuries to the bursa(e) that protect the kneecap( and allow the tendons to move easier).'pre' and 'infra' patellar bursitis are common and self- limiting.However, more severe direct falls on the knee can fracture the patella and occasionally injure the posterior cruciate ligament( PCL).GL! ...Read more
Pain and swelling in my right knee it hurts really bad after sittting for s long time it hurts to straighten it out I've never had this kind of pain before and it seems like fluid is around the knee cap what should ido?
Why does my right knee cap top right corner hurt badly when I hit it on the corner of the wall it is warm and hurts a lot I don t even have to move it for it to ache its also very sore and to touch can someone tell me maybe what I have done ?
X-rays required: If you are lucky, you just bruised the bone. However, you need to see a doctor to get some x rays to make sure you didn't fracture your patella (knee cap). Another, less likely cause is that you have a bipartite patella that is now inflammed. To find out what this is- go see an orthopedic physician. ...Read more
I got hit in the side of the knee cap with a softball. It bruised bad, & it has been a week now & it keeps swelling & bruising worse . Hurts to bend?
Contusion: A week later and still symptomatic; be examined. It is likely more than a simple bruise. All the best. ...Read more
Can falling on a knee that has osgood schlatters disease make thhe condition worse? I had osgood schlatters disease in my left knee. I tripped and fell on concrete today, and right on the botton of my knee cap it is badly bruised. It hurts pretty bad, i c
Painful Ossicle: Osgood schlatter's is from repetitive traction injury of the patellar tendon attachment to the tibia when growth plates are open. Once growth is completed there may be a persistent bony "bump" and in some patients a small ossicle. If this is impacted, there may be more pain and persistent pain than someone without o.S. History. Bruising at the bottom of the patella is different: it needs an eval. ...Read more
Orthopedic eval: You should see an orthopedist. A pop sound and impaired ability to bear weight are suspicious for a soft tissue injury to the ligaments or tendons in the knee. In the short term, you can ice it, elevate it, compress it with an ace wrap, and take some Motrin or advil (ibuprofen). ...Read more
My knee is hot and alittle swollen under the knee cap. It hurts ! I did not fall , or twist it. Last time I fell was in Feb on ice. ?
Trekking jungle borneo, fell few times, hurt knee, after really hurt when bending, like upstairs, went swollen just above knee cap, just hurts little?
Use: common sense. take rest until your aches and pains go away. some injuries if not healed may become permanent. ...Read more
I recently fell hard on my knee, and now I have a swell building just below my knee cap. The swell occasionally hurts, and is hardening. What do I do?
Sounds like a hematoma due to the injury
it could get better on it's own but if it does not improve rapidly then it would be best to seek medical attention. ...Read more
My knee just started hurting above the knee cap when I sit, stand or go up or down stairs. The pain is about a 7 out of 10. It does not hurt when I wa?
Quad tendon: There are many potential causes and I would not hesitate to be seen. One possibility is a tendinitis of the quadriceps tendon, which inserts on the kneecap and would be typically worsened with going up stairs. Physical therapy can potentially be very helpful. Again, I would not hesitate to be seen. ...Read more
I woke up this morning with pain around my left knee cap on the bottom right side of it. It hurts to bend and i didn't do anything to it. What is this?
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