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Suggest Treatment For Severe Knee Pain Post An Accident

Posted on Mon, 11 Jul 2016

Question: My 17 year old son got in a car accident on May 29th. He banged his knee pretty hard on the dashboard. We have seen an orthopedic doctor on XXXXXXX 4th . She looked at his X-rays and said she doesn't see an obvious fracture. She gave him a knee brace and said to come back in 3 weeks for another xray. He still can't put weight on it for more than 10 minutes and it does swell a little if he's on it too much and there is fluid surrounding it. The pain is located on the inside part of the knee. Could it be a growth plate fracture?

Answered by Dr. Ronald Schubert (26 minutes later)

Brief Answer:
fractured tibia

Detailed Answer:
Thank you for contacting HCM with your health care concerns

I am sorry to hear that your son was involved in a MVA and that you has continued knee pain. It is entirely possible he has a fracture of the growth plate or of the tibia plateau. I think he should see his medical provider for another x-ray and then if needed a CT scan or an MRI. There could also be contusion within the bone and edema or damage to the cartilage so he definitely needs further imaging studies.

I hope I answered your question. Please contact us again if you have any additional questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ronald Schubert (1 hour later)

Thank you. The orthopedic doctor said we couldn't do more x-rays too soon because if it's growth plate fracture we typically wouldn't see that until it starts to heal? We are supposed to go back to her on XXXXXXX 22nd
If it is a fractured tibia or damage to the cartilage wouldn't we have seen that on the first set of x-rays done on XXXXXXX 1st?
Thanks.Also the pain he is having is directly next to his knee in the inside not below the knee

Answered by Dr. Ronald Schubert (12 minutes later)

Brief Answer:
knee x-rays

Detailed Answer:
Knee x-rays will not show any soft tissue or cartilage damage so an MRI would be the best option to see if there is any ligament damage, or cartilage damage and can also see minute fractures within the tibia plateau. Your sons pain sounds like it is a tibia Plateau fracture. I would follow up next week with the orthopedist and see what they say and if they order additional xrays or MRI

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ronald Schubert (15 minutes later)

Ok thank you. He is supposed to get a second set of x-rays on XXXXXXX 22nd. She didn't mention anything about doing an MRI. I guess we will start with the x-rays first.
Thank you

Answered by Dr. Ronald Schubert (1 minute later)

Brief Answer:
Your welcome

Detailed Answer:
Your welcome and best wishes

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar