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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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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
posted on Thu, 9 Aug 2012
Twitter Mon, 2 Jun 2014 Answered on
Twitter Tue, 3 Jun 2014 Last reviewed on
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Orthopaedic Surgeon,  's  Response
HI,
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 )

TREATMENT:
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.
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Knee Swollen And Bruised Due To Fall. Could I Have Damaged A Tissue Or Hurt A Cartilage?

HI, 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 ) TREATMENT: 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.