Doctor insights on:
What Is Medial Retinacular Reefing
Let me help: If you see the picture of the knee, we could see the knee cap controlled by 4 muscles, when they are in balance, the knee cap will be in good position, when they are not we have problem. So we do release on outside muscle (lateral retinacular release), and tinting the inside muscle (medial retinacular reefing) to correct that imbalance. This way the patella will function correctly. Thank you. ...Read more
What treatment is used for medial patellar partial retinaculum tear. How long must I wait until resuming normal activities?
Depends: The severity of your knee injury that caused the tear of the medial patellar retinaculum tear will determine the length of your recovery. Physical therapy can be very beneficial to aid your recovery and speed your return to "normal" activities. If you have not seen an orthopaedic surgeon yet, it would probably be worthwhile for you. ...Read more
Almost complete tear medial patellar retinaculum need surgery or can heal by it self? Takes how long to heal? I feel stiff n painnful
It depends.: If it's your first time tearing it, it may have the potential to heal. If it's happened repeatedly, then you may need surgical stabilization. ...Read more
Takes time: You most likely had a hemarthrosis (blood on your knee) and this can take 8-12 weeks to resolve depending on your activity. Continue ice and activity modification but it's like watching paint dry. If swelling or pain persists I would see an orthopedist. They could possibly remove the fluid from your knee (needle aspiration). ...Read more
Does a high grade partial tear of the medial retinaculum require surgery or is physical therapy a better option?
Try Pt first: I assume u dislocated your kneecap (patella). If u tore your medial patellofemoral ligament (mpfl) (medial retinaculum) the initial tx is geared to strengthening your quads (specifically the vmo). If your patella continues to 'slip' despite quad strengthening / patellar brace see an ors adept at knee injuries. Surgery can involve repair/ reconstruction of the mpfl. Gl! ...Read more
How long will it take to get back to playing soccer after a tear of the medial retinaculum in the knee?
Depends: The only person who can give you a reasonable time line is your orthopedic surgeon because there are many variables in the healing. ...Read more
How to overcome knee stiffness after medial patelar retinaculum almost complete tear. It is too painful wen bending my leg n feel stiff n hard?
Retinaculum Tear: You should see an orthopedic surgeon that specializes in knee problems. You may require surgrery to repair the tear ...Read more
I dislocated my knee cap and tore my medial retinaculum. I feel like my knee needs to pop when I walk, especially when I turn my knee. Will it go away?
Probably not: You need to have this evaluated by an orthopedic surgeon. ...Read more
Does a high grade partial tear or the medial retinaculum in the knee require surgery or is physical therapy a better option?
Therapy 1st: If u have dislocated your patella and injured the medial patellofemoral ligament (retinaculum) then physical therapy to strengthen the quads is a good first choice. If your patella continues to 'slip' or dislocate despite aggressive vmo strengthening/patellar brace then see a board certified ors. Surgical procedures (including repair/ reconstruction of mpfl) can be discussed. Gl! ...Read more
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
I feel a horizontal throb in the area of my inferior extensor retinaculum. What may be causing this? There was no injury to the site.
What retinaculm?: Wrist, finger toes, ankle? B more specific. ...Read more
Depends on how bad: Small tears are observed and heal. Large tears may require surgical suturing repair. ...Read more
Inferior peroneal retinaculum severe pain, comes and goes worst at night, left side. Had caudaequina aswell and nerve damage. Help!
Pain around the retinaculum/fore ankle areas during jogging. It stopped for a few months after changing to a new pair of shoes, but its hurting again.
Can ankle superior extensor retinaculum be replaced/reconstructed? 1 year ago after fasciotomy remaining retinaculum completely tore away/bowstringing
Yes.: Yes, it can be repaired, replaced, or reconstructed. ...Read more
Hi, I got back my MRI results and I have torn my lateral retinaculum in knee. Some doctors say its not important. Is it true? I am a pro. Athlete
Lateral retinaculum: This leashes your kneecap and keeps it from sliding off to the other side. It will heal but be looser. If your anatomy is favorable with a deep patellar groove in the femur & if you maintain a strong VMO, the medial part of the quadriceps, with short arc quad exercises & most important, if your knee cap does not tend to wander sideways, it does not need replacement. ...Read more
I feel a horizontal throb in the area of my inferior extensor retinaculum of the foot. What may be causing this? There was no injury to the site.
LigamentsDon't Throb: Inferior extensor retinaculum is an anatomic label for ligaments, clear in anatomic illustrations, not so much in reality. By definition ligaments attach bones to bones. Throbbing would likely be associated with either pulse (esp. If in sync.) or muscle contractions. All muscle (& associated tendon) movements are controlled by brain, via spinal cord motor neurons. Use this info to sort out clues. ...Read more
Completely torn ankle superior extensor retinaculum - read case where fascia lata used to replace. What else can be used - auto, allo or synthetic?
Foot now cavus after increase in activity. Untreated CS since April and torn retinaculum. Surgeon said no operate this year. How protect foot until?
Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?
Yes: The cavus is the bone position typically as in your condition at the heel. A bone cut can be made to align the heel. The retinacular repair can be done at the same time. ...Read more
Are there any surgeons in NYC area experienced in reconstructing superior extensor retinaculum of ankle? Being told to wear AFO instead.
Do you have an MRI: Specifying damage? Can you relay results of it..... ...Read more
I was diagnoses with acute complete tear of peroneal retinaculum and subluxation of the perneous longus and brevis tendons what's the treatment?
The retinaculum is a band that holds the peroneus muscle tendons down against the outside aspect of the foot. It provides a tunnel through which the tendons maintain their position and fulcrum action.
Surgery is the only way to correct this problem. Since the retinaculum is ligamentous and has no true blood supply it cannot heal itself and thus surgical repair is necessary.
See you foot doctor!! ...Read more
I tore patellar fibers/lateral retinaculum. What can I do for pain if I can't have antiinflammatory? Should I immobilize? RICE? Elevate? Can't walk.
Heat, exercise, imagi: A physical therapist can help if you can not/or do not want to take antiinflammatory medications We need more clarification about the extent of your imaging findings, when this occurred, why you can'y walk. You need to see your orthopedic surgeon to understand your diagnosis and extent of the involvement ...Read more
Ankle ext retinaculum torn after fasciotomy & injury in PT. Tib ant bowstringing. How can reconstruct retinaculum w/o causing CS pressure to return?
Reconstruction?: Plantaris tendon (if you have one) overlay may do the trick as a static wrap between tibialis posterior and Achilles tendons. Talk to your Orthopedist or plastic surgeon at a University setting ...Read more
Is cutting thru ankle extensor retinaculum standard procedure for extending leg fasciotomy for repeat compartment syndrome? What are consequences?
Result: Swelling, tendon instability, some time weakness due to lose of pulley effect ...Read more
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