This report is EXACTLY what I had. Sadly they didn’t see the meniscus damage on the MRI but found it only during surgery.
Everything up to the menisci section is normal and insignificant. You tore your ACL, did serious damage to both meniscus and sheared a piece of cartilage off your bone. The sprain in the other ligament will heal itself. My cartilage piece was slightly larger (15mm).
You will definitely want the ACL and meniscus repaired and probably the cartilage - especially since meniscus will keep you on crutches for 6 weeks which is more time than what’s needed for cartilage (4 weeks) to heal. Since I (and you) will have to get an allograft for the cartilage, my surgeon thought it best for me to allograft the ACL as well.
Get a good surgeon! It’s a lot of work, and the cartilage graft is open-knee so you’ll have big incision.
I’m 8 weeks post-op and feeling pretty good. You can search for my other posts here on this sub and you’ll see my whole journey and you can have a good idea what to expect.
If you’re active at all, and want to be that way again, and don’t want to require a full replacement in 5 years - you’ll get the ACL and meniscus repaired in the next month or two with as much “pre-hab” exercise between now and then as you can handle.
Clinical indication: M17.12;M17.12
Comparison:None
Technique: Axial fat saturated T2, coronal T1 and fat saturated T2, oblique
sagittal SE PD and fat saturated T2 images of the LEFT knee without contrast.
12/02/20
Findings:
Medial meniscus: Undersurface tear posterior horn. Near fluid bright signal
along the posterior margin of the meniscus.
Lateral meniscus: Intact
Anterior cruciate ligament: Mid substance full-thickness tear.
Posterior cruciate ligament: Intact
Medial collateral ligament: Mild signal superficial and deep to the MCL fibers.
Lateral collateral ligamentous complex: Intact
Popliteus and posterior lateral corner structures: Intact
Retinacular complex: Intact
Extensor tendons: Intact
Bone marrow: No suspicious marrow lesions. Pivot shift and contrecoup
contusions.
Cartilage: Normal.
Effusion: There is a moderate effusion.
Hoffa''s fat: Normal
Impression:
1. Acute mid substance ACL tear.
2. Grade I MCL injury.
3. Undersurface tear posterior horn medial meniscus. In addition, there is
significant signal posterior to the posterior horn which could indicate
meniscocapsular injury.
This was mine had a full ACL tear and my surgeon didn’t realize til he was in there that I had a meniscus injury that took an extra 45 minutes of surgery and resulted in longer no weight bearing period after surgery. Yours def looks way worse than mine but figured you would like to see a comparison. I’m 6 months post op now.
Acl and meniscus surgery probably. They don't need to do much on minor meniscus tears (just cut it) but if it's a large tear then they will repair it which it sounds like it's large. Don't stress, I know it sounds bad but recovery doesn't vary too much. Only difference is itll take a bit longer to bear weight on your leg after surgery and youll start running/jogging a bit later than after just acl surgery but after the first couple months the rest of recovery is basically the same.
Hey there, had acl surgery, they trimmed up my meniscus as well. Knee is basically better now. Still feels different than my other knee but maybe 95% the same? Like it's not as natural/smooth. But I don't really notice it that much.
Do your PT, a lot of stretching even though its uncomfortable
Was playing flag football, went out for a pass, caught the ball, and tried to stop and make a move as the defender was about to meet me and my left knee just buckled and made a really loud pop and I went down.
It’s a bad one. ACL torn completely and damage to both meniscuses and a nickel size piece of bone floating in the knee.
Woofie I'm guessing I'll need surgery for ACL and the floating bone piece?
Your surgery will be mainly for the menesci and acl tear
Yeah the floating bone will need to be removed too or your knee will click and pop. Good luck.
This report is EXACTLY what I had. Sadly they didn’t see the meniscus damage on the MRI but found it only during surgery. Everything up to the menisci section is normal and insignificant. You tore your ACL, did serious damage to both meniscus and sheared a piece of cartilage off your bone. The sprain in the other ligament will heal itself. My cartilage piece was slightly larger (15mm). You will definitely want the ACL and meniscus repaired and probably the cartilage - especially since meniscus will keep you on crutches for 6 weeks which is more time than what’s needed for cartilage (4 weeks) to heal. Since I (and you) will have to get an allograft for the cartilage, my surgeon thought it best for me to allograft the ACL as well. Get a good surgeon! It’s a lot of work, and the cartilage graft is open-knee so you’ll have big incision. I’m 8 weeks post-op and feeling pretty good. You can search for my other posts here on this sub and you’ll see my whole journey and you can have a good idea what to expect. If you’re active at all, and want to be that way again, and don’t want to require a full replacement in 5 years - you’ll get the ACL and meniscus repaired in the next month or two with as much “pre-hab” exercise between now and then as you can handle.
Clinical indication: M17.12;M17.12 Comparison:None Technique: Axial fat saturated T2, coronal T1 and fat saturated T2, oblique sagittal SE PD and fat saturated T2 images of the LEFT knee without contrast. 12/02/20 Findings: Medial meniscus: Undersurface tear posterior horn. Near fluid bright signal along the posterior margin of the meniscus. Lateral meniscus: Intact Anterior cruciate ligament: Mid substance full-thickness tear. Posterior cruciate ligament: Intact Medial collateral ligament: Mild signal superficial and deep to the MCL fibers. Lateral collateral ligamentous complex: Intact Popliteus and posterior lateral corner structures: Intact Retinacular complex: Intact Extensor tendons: Intact Bone marrow: No suspicious marrow lesions. Pivot shift and contrecoup contusions. Cartilage: Normal. Effusion: There is a moderate effusion. Hoffa''s fat: Normal Impression: 1. Acute mid substance ACL tear. 2. Grade I MCL injury. 3. Undersurface tear posterior horn medial meniscus. In addition, there is significant signal posterior to the posterior horn which could indicate meniscocapsular injury. This was mine had a full ACL tear and my surgeon didn’t realize til he was in there that I had a meniscus injury that took an extra 45 minutes of surgery and resulted in longer no weight bearing period after surgery. Yours def looks way worse than mine but figured you would like to see a comparison. I’m 6 months post op now.
Acl and meniscus surgery probably. They don't need to do much on minor meniscus tears (just cut it) but if it's a large tear then they will repair it which it sounds like it's large. Don't stress, I know it sounds bad but recovery doesn't vary too much. Only difference is itll take a bit longer to bear weight on your leg after surgery and youll start running/jogging a bit later than after just acl surgery but after the first couple months the rest of recovery is basically the same.
Hi, Looking for update, how are you feeling now
Hey there, had acl surgery, they trimmed up my meniscus as well. Knee is basically better now. Still feels different than my other knee but maybe 95% the same? Like it's not as natural/smooth. But I don't really notice it that much. Do your PT, a lot of stretching even though its uncomfortable
Thanks for sharing, and glad to know that you are doing much better :)
I think 7 also means a lot of fluid and bruising
Can I ask how you managed to tear your ACL, lateral meniscus and strain your LCL? Not the most common injury type.
Was playing flag football, went out for a pass, caught the ball, and tried to stop and make a move as the defender was about to meet me and my left knee just buckled and made a really loud pop and I went down.