I am 26 years old and I ended up twisting my knee 2 months back on 25th of March while dancing due to bad landing and since then I have been struggling to find what the injury actually is. I went for an MRI as advised which showed mild effusion in knee bones and no tears in ligaments and fracture in bones after taking rest for 3 weeks I consulted another doctor who asked to repeat the MRI as the knee was not healed and there was lot of fluid surrounding the knee due to which lot of swelling was there. In 2nd MRI it showed partial tear of ACL grade 2 and break of muscle fibres and mild joint effusion. Please suggest me the best option as the fluid has again surrounded after removing once by Doctor. Doing my exercises but hardly any recovery. Knee is quite stiff and pain is experienced only on the bones part so confused if it is bone injury or ACL injury. Moreover 2 doctors have advised for ACL surgery and 1 advised against it as it is more of a bone injury and a small partial tear of ACL.
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Hi lybrate-user Here is the answer to your query Any injury to knee has combination of bone and soft tissue (ligament/ meniscus /muscle etc.) Acute phase MRI has less specificity of diagnosis due to tissue swelling /edema. So we should rely more on second mri. Treatment involves two or three objectives First priority is for following Reduce swelling Increase movement to full knee flexion. Once you achieve full movement of knee U should be reassessed for ligament laxity clinically and subjective symptoms of knee instability that ie give away sensation If you don't have any evidence of instability you may just continue with agressive rehab If evidence points to instability then ACL reconstruction Hope this helps Get well soon.
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