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Knee swollen and bruised due to fall. Could I have damaged a tissue or hurt a cartilage?

I hit my knee really hard last Tuesday and is bruised and painful and swollen, I had an x-ray and the patella is fine, but they refused an MRI s the Nhs hospital don t do that, so they couldn t see whether I have damaged any soft tissue , as I had a previous arthroscopy on the same knee I am quite anxious , do u think if there is any chance if I hurt my cartilage or meniscus? Thanx
Asked On : Thu, 9 Aug 2012
Answers:  1 Views:  61
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Orthopaedic Surgeon 's  Response
Since the knee had a direct impact, and fracture was ruled out , the possibilities are
1) Contusion of the knee
2) ACL tear ( since the force was from ant to post.)

( Meniscus tear is unlikely since there was no twisting injury )

1) Rest
2) Immobilization ( knee brace )
3) Ice pack
4) After 5 days ,once swelling comes down, repeat clinical assessment to check for ACL.If strongly suspected, MRI SCAN is the plan.
Answered: Mon, 2 Jun 2014
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