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Doctor insights on: What Is Medial Retinacular Reefing

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What is medial retinacular reefing with lateral retinacular release mean?

What is medial retinacular reefing with lateral retinacular release mean?

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

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Does a medial retinacular tear require surgery?

Does a medial retinacular tear require surgery?

Not usually: An isolated medial retinacular tear of the knee does necessarily require surgery/ thorough evaluation by an orthopaedic surgeon will determine your specific needs, however. ...Read more

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Does a high grade partial tear of the medial retinaculum require surgery?

Does a high grade partial tear of the medial retinaculum require surgery?

Not usually: An isolated medial retinacular tear of the knee does necessarily require surgery/ thorough evaluation by an orthopaedic surgeon will determine your specific needs, however. ...Read more

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What treatment is used for medial patellar partial retinaculum tear. How long must I wait until resuming normal activities?

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

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Almost complete tear medial patellar retinaculum need surgery or can heal by it self? Takes how long to heal? I feel stiff n painnful

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

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Why hasn't the swelling in my knee gone down in a month of icing after a torn medial retinaculum?

Why hasn't the swelling in my knee gone down in a month of icing after a torn medial retinaculum?

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

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Does a high grade partial tear of the medial retinaculum require surgery or is physical therapy a better option?

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

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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

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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?

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

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Does a high grade partial tear or the medial retinaculum in the knee require surgery or is physical therapy a better option?

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

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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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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.

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.

Tendinitis: If you've had this before its time to see your physician.@ your age pain in the front of the ankles w/ jogging is likely tendinitis ; but a good examination and x-rays are indicated for a specific diagnosis to be made. Then appropriate treatment can begin. Good luck! ...Read more

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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

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

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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.

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

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Completely torn ankle superior extensor retinaculum - read case where fascia lata used to replace. What else can be used - auto, allo or synthetic?

Completely torn ankle superior extensor retinaculum - read case where fascia lata used to replace. What else can be used - auto, allo or synthetic?

Many options: The orthopedic surgeons has many option now to repair a tendon or a muscle from taking tissue from the patient to a graft from a cadaver they wi choose what ever the best for the patient thank you for using health tap and good luck ...Read more

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Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

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

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I was diagnoses with acute complete tear of peroneal retinaculum and subluxation of the perneous longus and brevis tendons what's the treatment?

I was diagnoses with acute complete tear of peroneal retinaculum and subluxation of the perneous longus and brevis tendons what's the treatment?

Surgery: 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

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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.

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

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Ankle ext retinaculum torn after fasciotomy & injury in PT. Tib ant bowstringing. How can reconstruct retinaculum w/o causing CS pressure to return?

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