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Doctor insights on: Patella Tendon Vs Hamstring In Acl

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Tendon (Definition)

Tendons are made up of collagen and are the functional tissue that interfaces between muscles and bone. Muscles generate force that is transmitted through its tendon that inserts on a specific bone that is moved in the plane of the connecting joint made ...Read more


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Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more

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MRI of knee shows "Oblique tear posterior horn medial meniscus, lateral patellar plica and minimal synovial knee effusion" will I need surgery? or ?

MRI of knee shows "Oblique tear posterior horn medial meniscus, lateral patellar plica and minimal synovial knee effusion" will I need surgery? or ?

Possibly: It depends on the degree of tear, how much it is effecting your daily activities and whether it responds to conservative treatment. If the plica does not get better with anti inflammatory meds you will most likely need arthroscopic surgery to remove it, although your orthopedic surgeon will be the best MD to determine that. ...Read more

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Is patellar tendonitis after ACL surgery common?

Is patellar tendonitis after ACL surgery common?

Varies : It does vary somewhat. Anterior knee pain is more common if the graft was taken from the patellar tendon itself as opposed to the hamstring or an allograft. I would let your surgeon know you are having problems. ...Read more

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For post patellar dislocation, can knee supports really support the knee from recurring patellar dislocation?

For post patellar dislocation, can knee supports really support the knee from recurring patellar dislocation?

Patellar dislocation: If you do your rehab and utilize your brace you have a chance for recovery without recurrence, but you are more at risk for redislocation than individual that has not had a dislocation. There are multiple structural factors which come into play. This is something for you to discuss with your orthopedist ...Read more

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Acl and meniscus tear reconstruction cost?

Acl and meniscus tear reconstruction cost?

Tough to answer...: In the usa orthopaedic surgeons fees for that procedure are typically around $2000. The expensive part of the surgery is the hospital cost, anesthesia, etc. And it can be substantial ie >$20k if you dont have insurance. ...Read more

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Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella, subcutaneous edema

Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella,  subcutaneous edema

When nonop tx fails: Surgery is not usually the first line of treatment for chronic injuries such as you described: degenerative (chronic) PHMMT, and patellar tendinosis (vs partial inferio pole tear). Nonoperative management: physical therapy, stretching program, NSAIDs, rest, ice, may all help considerably. Arthroscopy to debride a degenerative meniscal tear due to persistent mechanical symptoms may be needed later. ...Read more

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Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?

Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?

? Patellar dislocate: Sounds more like a patellar dislocation. Rx varies with traumatic, 1st time, no trauma involved, also depends on ur alignment . Could b surg repair 2 realignment procedure , soft tissue or boney or both. A lot needs 2 b taken into evaluating the cause & then deciding on a rx. ...Read more

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What is the recovery time for ACL reconstruction using hamstring, plus MCL repair plus lateral meniscus repair plus impact fracture of tibial plateau?

What is the recovery time for ACL reconstruction using hamstring, plus MCL repair plus lateral meniscus repair plus impact fracture of tibial plateau?

Difficult to say: You describe a fairly significant knee operation and set of injuries. It's hard to say without examining you and reviewing your studies. Your orthopedic surgeon is in the best position to answer this question. It's safe to say that your recovery will last for several months with a lot of physical therapy. ...Read more

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Mri comes back with grade II to III chondromalacia patella , knee joint effusion with ganglion, longitudinal partial tear.Mcland lcl strain. ?

Mri comes back with grade II to III chondromalacia patella , knee joint effusion with ganglion, longitudinal partial tear.Mcland lcl strain. ?

Conservative Rx: Depends upon your primary complaint and whether there was a mechanism of injury. Chondromalacia(i.e.Cartilage wear=arthritis) is common and can cause swelling and pain. Collateral ligament strains/partial tears (mcl+lcl) should be managed well conservatively. Recommend seeing a pt for motion, strengthening, edema control. Am a fan of a stationary bike as well (nonimpact knee motion+strengthening). ...Read more

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Can the knee's ACL and PCL ligament injuries heal naturally?

Can the knee's ACL and PCL ligament injuries heal naturally?

Acl/pcl healing: If an acl and PCL tear these ligaments do not typically heal; this is due in part to the synovial environment in which these ligaments reside as well as the demand that is exacted on these ligaments. Whether one is symptomatic with these injuries is in large part measured by the degree of activity in which a patient participates in and the number of hours one is actively engaged. ...Read more

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MRI Diagnosis of Horizontal undersurface tear posterior horn medial meniscus and Grade II Chondromalacia patella with trace knee effusion . Surgery?

MRI Diagnosis of Horizontal undersurface tear posterior horn medial meniscus and 
Grade II Chondromalacia patella with trace knee effusion . Surgery?

Obviously you have -: -symptoms, so if the trouble is locking, giving way, the findings indicate a mechanical problem in the knee. You need to follow the advice of your orthopedic surgeon who is familiar with your case, especially if you have treated with him/her for a while. The surgery is only driven by your symptoms. The thing to remember is there is no orth prob so severe that it can't be made worse by surgery. ...Read more

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What exercises strengthen the acl, MCL and PCL in knee?

What exercises strengthen the acl, MCL and PCL in knee?

Check out this paper: This is a great paper - but it might be hard for you to download it "A training program to improve neuromuscular and performance indices in female high school soccer players." Noyes FR1, Barber-Westin SD, Tutalo Smith ST, Campbell T. J Strength Cond Res. 2013 Feb;27(2):340-51 http://www.ncbi.nlm.nih.gov/pubmed/22465985 ...Read more

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Most preferred knee brace for dislocating knee cap?

Most preferred knee brace for dislocating knee cap?

Patellar brace with-: A doughnut in it to keep the patella reduced in its place, preventing it from dislocating again. ...Read more

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MRI for my knee. The results: - ACL sprain with full thickness disruption, chronic proximal mcl sprain, patella alta w/o pf malaligment. English?

 MRI for my knee. The results:  - ACL sprain with full thickness disruption,  chronic proximal mcl sprain, patella alta w/o pf malaligment. English?

Stretch of ligaments: Sprains occur when ligaments (tissues holding joints together) stretch. The ACL is a ligament in the inside of the knee. The MCL is on the middle side of the knee. Disruption os ACL means it was probably/partially torn. Patella alta means that your knee cap is higher than usual. You should discuss these findings with the ordering physician so she/he can determine appropriate treatmen ...Read more

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Knee injury seems related to patellar tendon rupture. Xray?

Knee injury seems related to patellar tendon rupture. Xray?

Physical exam: An xray will not directly show a patellar tendon rupture, however, typically your knee cap will be further up your leg than normal. The xray will also show if a piece of bone was pulled off of the patella or tibia. The diagnosis is made clinically - you cannot raise your leg straight up while keeping your knee straight. You may also feel a defect in the tendon. ...Read more

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Any jumper's knee (patellar tendinitis) treatmenet?

Any jumper's knee (patellar tendinitis) treatmenet?

Inflammed tendon: Chronic inflammation of the patella tendon, commonly known as "jumper's knee"/ typical treatment options consist of rice, antiinflammatories, physical therapy, counterbrace supports, massage, injections... For more info http://drmarkgalland.Com/platelet-rich-plasma-may-have-edge-in-jumpers-knee/ rarely requires surgery. ...Read more

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What works best for an ACL repair? Hamstring, patellar tendon or a cadaber

What works best for an ACL repair? Hamstring, patellar tendon or a cadaber

They all work well.: The three types of grafts all are acceptable in acl reconstruction. It really depends on what graft your surgeon is most comfortable using. As well as, whether you want to use your own tendons or if you care about a cadaver. Long term results are excellent using auto or allografts. ...Read more

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Dr. John Michalski
667 doctors shared insights

Patella (Definition)

Patella is a thick piece of bone, more commonly known ...Read more