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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Injured Foot, Pain In Knee. Using Splint And Crutches. X-ray Shows No Damage. Advise?

hi, I was wrestling two days ago and my training partner picked me up and tried to slam me down. I put my left foot on the floor and I heard a loud popping sound and my training partner heard it too. I had some pain but this increased over the next few hours I went to A & E they did an XRay which did not show any damage but they put a splint and gave me crutches. My knee does not feel stable at all and feels its going to give way and fall inward. the pain I am getting is on the inner side of the knee I can bend it with a bit of pain. Any idea what happened please as I managed to get an appointment only after two weeks
Mon, 15 Jul 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.
From the description, it looks to me that you might have injured MEDIAL COLLATERAL LIGAMENT (MCL) or MEDIAL MENISCUS (as bony injury has been ruled out by xrays taken for you). Both these structures are necessary to maintain the stability and integrity of the knee joint.

Incomplete or partial tears of both MCL and meniscus are treated conservatively by the following means -
* temporary immobilization (by splint or POP cast)
* Use of crutches for pain control
* Isometric, isotonic, and eventually isokinetic progressive resistive exercises are begun within a few days of subsidence of pain and swelling
* If the knee is not too painful, a hinged brace is used, and quadriceps strengthening exercises and straight leg raises are encouraged after few days.

If your symptoms are not improving with the above measures, an MRI scan is mandatory to assess the extent of damage to these structures.

Consult an orthopedic surgeon and follow his advice.

Hope this information is helpful. Good day

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Injured Foot, Pain In Knee. Using Splint And Crutches. X-ray Shows No Damage. Advise?

Hi, thanks for writing to HCM. From the description, it looks to me that you might have injured MEDIAL COLLATERAL LIGAMENT (MCL) or MEDIAL MENISCUS (as bony injury has been ruled out by xrays taken for you). Both these structures are necessary to maintain the stability and integrity of the knee joint. Incomplete or partial tears of both MCL and meniscus are treated conservatively by the following means - * temporary immobilization (by splint or POP cast) * Use of crutches for pain control * Isometric, isotonic, and eventually isokinetic progressive resistive exercises are begun within a few days of subsidence of pain and swelling * If the knee is not too painful, a hinged brace is used, and quadriceps strengthening exercises and straight leg raises are encouraged after few days. If your symptoms are not improving with the above measures, an MRI scan is mandatory to assess the extent of damage to these structures. Consult an orthopedic surgeon and follow his advice. Hope this information is helpful. Good day