What kind of symptoms would I have if I damaged the ACL?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Symptoms with a damaged ACL will be pain, swelling and a feeling of instability. Often times the knee can buckle underneath you and “give way.” If twisting, stopping, turning sports are attempted with a torn ACL, these buckling and “giving way” episodes will recur – a “trick knee.
What kind of surgery would I have if I damaged the ACL?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....The damaged ACL cannot be sewn back together as it will not heal. A torn ACL will require a reconstructive procedure using transplantable tendons from your body (autografts) such as the hamstring, bone-patella-tendon-bone (BTB) or quadriceps tendons, to reconstruct this torn ligament. Allograft (tissue bank cadaver tissue) tissue is often used with less pain to you and earlier return to function. Both autograft and allograft tendons are acceptable to use for ACL reconstructions.
What kind of symptoms would I have if I damaged the meniscus?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Symptoms of a damaged meniscus are pain and catching, clicking, or locking during certain twisting knee activities. These mechanical sensations are very commonly felt by the patient. The knee can also have swelling. Generally, meniscus tears do not heal because they have a poor blood supply. However, they can occasionally become asymptomatic.
What kind of symptoms would I have if I damaged the patella?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Generally, this pain can go away and heal on it’s own. Body mechanics and control of the femur from above with your hip muscles are important. Stretching and strengthening the quadriceps and hamstring muscles are also important.
What kind of symptoms would I have if I damaged these ligaments?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Symptoms include instability and “giving away.” Occasionally, you can feel the tibia slipping underneath the femur. The inside medial collateral ligament (MCL) can heal on its own and rarely requires surgery. Injury to the outside lateral collateral ligament (LCL) is different altogether. This usually requires surgery, but is a rare injury.
What kind of symptoms would I have if I damaged the PCL?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Feelings of instability with certain motions about the knee can occur with a damaged PCL. Occasionally, with a long standing injury, the knee cap can be painful.
What are the symptoms of an ACL injury?
Frequently Asked QuestionsA key feature of a serious ACL injury is a feeling of instability (i.e. that the knee may collapse from underneath you).
What kind of surgery would I have if I damaged the meniscus?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Surgery for the common meniscus tear is an outpatient arthroscopic surgical procedure. A couple of portals (holes) are made in the knee so that an arthroscope and the trimming instrument(s) can be inserted. Often a motorized or radiofrequency (electro-thermal) device is used to help trim and contour the torn area of the meniscus to create a smooth surface.
What kind of surgery would I have if I damaged the patella?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Surgery about the knee cap can be controversial with no exact reason when to operate or consensus about the type of procedure that should be done.
What kind of surgery would I have if I damaged the PCL?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Surgery for the PCL involves either an autograft or an allograft reconstruction of the ligament. Either a bone-tendon-bone, hamstring autograft, an achilles tendon or bone-tendon-bone allograft is used to reconstruct the posterior cruciate ligament.
What kind of symptoms would I have if I had adhesive capsulitis?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Patients with “frozen shoulder” have symptoms of pain and often times they cannot do simple everyday life activities such as combing their hair, reaching behind their back, or putting their hand in their back pocket, etc. Pain is usually increased with attempts to lift their hands overhead as this motion is limited. Generally studies show that “frozen shoulders” will “thaw” (tightness lessens), but this can take many months.
What kind of symptoms would I have if I have instability?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Symptoms of instability are pain and weakness in the shoulder in certain arm positions. Often times, specific positions are avoided as you, the patient, know when the shoulder will come out of socket. This is often present when the arm is raised up behind the ear in the throwing position. Generally speaking, shoulders with instability do not get better on their own.
What kind of symptoms would I have if I had a labrum tear?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Symptoms involve sensations of clicking and catching with certain motions in the shoulder. Often times they can become very painful. The labrum does not generally heal on its own. The mechanical symptoms can increase over time and can become painful.
What kind of symptoms would I have if I had impingement?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Symptoms are simply pain when you lift your arm. It is really when the arm goes overhead that pinching of the bursa is encountered. It often times can get better with good shoulder mechanics, proper exercises, and anti-inflammatory medicines. Physical therapy and occasionally cortisone injections can help. Non-steroid anti-inflammatory drugs (NSAIDs) can help reduce the “-itis” of this bursitis.
What kind of symptoms would I have if I had calcific tendonitis?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Symptoms of calcific tendonitis can involve painful bursitis and painful forward flexion impingement. Simple movements when using the shoulder can cause pain.
What kind of symptoms would I have if I have arthritis?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Symptoms of arthritis are stiffness, pain, and swelling of the joint. Morning stiffness is very common.
What kind of symptoms would I have if I have bursitis?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....Bursitis is an inflammation of the bursal tissue about the knee. There are several different bursas about the knee that can become inflamed from either trauma or repetitive activities. Generally these can heal on their own. Initial icing followed by heat can help. Anti-inflammatory drugs can help decrease the pain. Steroid injections can be given to help decrease the inflammation.
What are the signs and symptoms of a possible ACL tear?
Frequently Asked Questions: Anterior Cruciate Ligament (ACL)...The famous "pop" is the most telling symptom of an ACL injury, although you may have a tear without ever experiencing the pop. The injury is usually followed by considerable pain and swelling within the first several hours. You may develop a feeling of instability in the knee or "giving way", making walking difficult.
What is a torn ACL?
Phoenix Orthopedic Evaluation Arizona Treatment Consultation...The ACL (Anterior Cruciate Ligament) is a ligament in the center of your knee. The ACL gets damaged when twisted too far, which makes it a common injury in relation to sports or other physical activity. ACL Reconstruction is performed using a combination of open surgery and arthroscopic surgery. Before ACL reconstruction process begins, your surgeon will examine your knee arthroscopically, and repair any additional damage to the knee, such as a torn meniscus, or worn articular cartilage.
What is an ACL tear?
FAQ Knee - Howard J Luks,MDThe ACL is the Anterior Cruciate Ligament. There are more than 4 major ligaments that essentially hold the knee together. Without one of more of these ligaments the knee would be loose and you would perceive that the knee was giving way or buckling. The ACL is the most commonly torn knee ligament. The ACL is usually torn as the result of a non-contact twisting injury. You will usually feel or hear a pop, the knee will buckle and within a short period of time, significant swelling will occur.
