 Poster: A snowHead
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Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
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It sounds unpleasant, @adithorp. I have no idea about a TPF but I had an "undisplaced" fracture of my pelvis (upper and lower pubic rami fractured) and it mended itself in time - no treatment beyond crutches and (this being France) an improbable number of medications. So perhaps your fracture has mended itself - rather quicker than mine did, it had to be said. Doc said I'd be walking without crutches in 3 weeks but it took nearly 4. And then I was walking rather slowly!
Hope it continues to get better. There are some reports of much more problematical TPFs on SHs.
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Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
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| adithorp wrote: |
| I've looked at the x-rays and can't see anything. Opinions welcome. |
Are you a radiologist?
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You need to Login to know who's really who.
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@adithorp, oh come on -you've got to post the x-rays - it's the least you can do!
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Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
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@holidayloverxx, some people might be worried about falling short of the high standards of awfulness which have been set by some of the X rays we've seen. 
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You'll need to Register first of course.
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@pam w, yeah...but he egged me on!
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MRI scans can show up tibial plateau fractures not big enough to be seen on plain X-rays.
I suffered exactly same set of injuries in fall 7-8 years ago- last day of ski trip and other half had to drive all the way home next day so not happy! I was told initially by surgeon I would need meniscetomy but resisted as knee seemed to be getting better and seemed ok'ish after 3-4 weeks. However it stopped getting better and I finally went for surgery 6 months later as I realised it wouldn't be ski-able. It hasn't been up to running since but ok for tennis and cardio circuits- and importantly absolutely fine for skiing and infact at its very best after ski trips now so all good!
Hope that helps.
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You'll get to see more forums and be part of the best ski club on the net.
You'll get to see more forums and be part of the best ski club on the net.
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See no gore...
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@adithorp, appreciate it though
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snowHeads are a friendly bunch.
snowHeads are a friendly bunch.
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@adithorp,
Tibial plateau fractures are common injuries in skiers.
Sometimes they only involve the margin of the bone,usually at the front and lateral. These can be relatively pain free and people do manage to ski on.
Plain X-ray doesn't pick up all plateau fractures, especially if you only look at one view, there is usually at least two views taken.
Your film may show a small avulsion called a Segond fracture but it is difficult to say with the resolution. They are always associated with an ACL rupture. The Segond fracture doesn't need surgery .
Your next step is to get a diagnosis by getting a knee specialist to examine you. That way you'll know if ACL ruptured,then you'll possibly need a scan . The specialist will then a divide if you need physio,surgery,brace etc
Jonathan Bell
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And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
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You know it makes sense.
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@adithorp, If your GP knows less than you do, then I'd suggest you go back to her and to be referred to a knee specialist. And I wouldn't be doing too much exercise on it until you get expert advice.
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Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
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@Chamcham, +1
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Poster: A snowHead
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and why not pay for an early appointment yourself?
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Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
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@adithorp,
I wouldn't expect a GP to know much about the decision making of Tibial plateau#. Having seen your MRI report the clinical reasoning on how/ why the knee should be managed is very specialised. To illustrate one of my very competent consultant colleagues who does general fracture clinics and shoulders asked my opinion on management of a very similar injury this week.
The advice to get on with it may lead to a satisfactory outcome. Yours is a classic case of where too much information from the MRI scan ends up leading to increasing the complexity of the problem. This is because a normal X-ray leads to " get on with it, it's not broken" which would work very well most of the time . The MRI scan supplies a whole load of additional information to input into the decision making. Most of this information is very niche knowledge.
If you want more reassurance, explanation and a more detailed assessment about your knee injury, ligaments and length of time to recovery after tibial plateau fracture you need a specialist.
Jonathan Bell
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Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
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I've edited my post above as it was perhaps a bit misleading. My GP's surgery is 20m from my business and our relationship often revolves around "dissing" each others ability to fix things (I'm a mechanic). The senior partner walked/limped over this morning for a chat... partly about whether I could fit a grease nipple to his dodgy one (result of ACL reconstruction years ago... I suggested the angle-grinder might provide a more long term solution) and partly about my knee.
@Jonathan Bell, thanks again for the input.
Last edited by Well, the person's real but it's just a made up name, see? on Fri 4-03-16 15:16; edited 1 time in total
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@adithorp, My comments weren't intended for a moment as a criticism of your GP, and if that's the way it came over, I apologise. 90% of NHS patient contacts are with the GP, and they do an amazing job. Jonathan Bell makes the very reasonable point that this is a specialised area, and your GP wouldn't be expected to know the ins and outs of MRI scans, or even x-rays. They don't generally have MRI scanners in GP surgeries . But if there's something on your MRI with which, by definition, your GP is unlikely to be unfamiliar, it would be reasonable to ask her to refer you to a specialist. All professionals should recognize when they are reaching the limits of their knowledge, and take advice accordingly. GPs are very good at lots of different aspects of medical care, but orthopaedic knee surgeons are better when it comes to interpreting knee x-rays and MRIs 
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Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
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@Chamcham, no problem and wasn't taken that way. I just realised the way I'd expressed it could be misinterpreted.
I fully expect to be presented with a wad of knowledge printed from google next time her car comes in for repair as revenge
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You'll need to Register first of course.
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Update...
So the morning after my GP saw me, one of the practice receptionist called in to say she'd been reviewing my visit (hope she didn't google TPF and find this thread... and if you did, I'm sorry and feelfree to shout at me) and decided I should see a knee specialist (but it'd have to go via the Ortho dept so might not be first stop) so expect a call/letter from them...
Finally got through on the phone today and I've an appointment next Thu. I did point out that it's all taking too long (think the extra week is irrelevant now but...) and apparently they've looked at my file/scan and prioritised (or not) accordingly. I'll take some comfort from that.
Meanwhile I'm back in the brace as (a) it reminds me about my knee so I don't do anything silly without thinking, and (b) it seems to cushion my knee at full extention when walking (I get the slightest discomfort after 30-40 mins without).
Also saw my physio again last night and he's pretty sure given what I've been doing with it and the way it's progressed that the fracture must be stable and healing (7 weeks today from the accident) and I'd have buggered it by now if not. He still thinks my ACL isn't right as my knee is (just) too loose in 2 of his tests. He thinks it must have strained/stretched and given the other symptoms thinks only years of cycling and the timing of the binding release saved it. So pending the results of the ortho meeting I'm on exercises to (re)strengthen the muscles.
Just got to take the decision not to do the EosB now. Physio says probably best not to. I think he'd go which, knowing some of the things he's done while carrying an injury, is a good indication that it'd be a bad idea...
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You'll get to see more forums and be part of the best ski club on the net.
You'll get to see more forums and be part of the best ski club on the net.
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@adithorp, good update. Probably good call not to do the EoSB
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| adithorp wrote: |
| Just got to take the decision not to do the EoSB now. Physio says probably best not to. I think he'd go which, knowing some of the things he's done while carrying an injury, is a good indication that it'd be a bad idea... |
A tough decision but could be the right one. Better to sit out this trip and be able to carry on next season than it is to go, do something stupid and end up doing more damage. MInd you it's easy to say "don't go" but in a quite another to actually commit to not going!
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snowHeads are a friendly bunch.
snowHeads are a friendly bunch.
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@adithorp, sorry you're not going to make it to the eosb - but it does sound like you're doing the right thing.
3 bashes next year to catch up?
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And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
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Hi @adithorp, I agree I think it's for the best, even though I'm really sorry to hear that... Have a speedy recovery and catch up next year!
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Fracture clinic tomorrow so we'll see what they say... and then I'll probably ignore all negative advice and do something silly 
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You know it makes sense.
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So update time again...
Appointment with fracture clinic today at 2:25pm... consultant turned up at 4pm. Not looking good but then again you can't complain when he's been in an emergency op' on an 8yr olds smashed leg. I was first in and before looking at my notes knows about my injury (has spoken to the GP "Ah Dr K's mechanic" which surprised me). Examines the knee asks lots of relevant questions then shows me the scan and explains whats he thinks.
Fracture can be seen on scan. Single shallow crack but a fair contusion. Would have advised non-weight bearing in first few weeks but irrelevant now. Probably healed by now and nothing to suggest otherwise.
ACL intact but slightly stretched and he thinks might be partially pre-existing (I've hurt this knee before so quite possible) and probably contributed to the impact on the tibia.
Meniscus deterioration about 1/2 what he'd expect to see in a mechanic of my age and has been irritated in the fall. Nothing to do but wait and see and if it settles down and if not, he'll have to have a look inside but doesn't think he'll need to and doesn't want to if he can avoid. No alarm bells though.
Bakers cyst is no issue (hasn't been for last 20+yrs)
Long and short of it, it looks like I came within a hairs breadth of messing everything up and then the binding released. Lucky boy.
So I'm to strengthen the muscles and want's to see me in 2 months time.
"So, can I ski on it?"... no hesitation "Yes"... Hmm, didn't expect that... "Er, even next month?"... "Yes. Wear a brace. Don't push to hard"
Last edited by You know it makes sense. on Thu 17-03-16 23:58; edited 1 time in total
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Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
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@adithorp, Good news - pleased for you!
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Poster: A snowHead
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@adithorp, great news...although did you let him know that your skis are a pair of scaffold planks?  Sounds like you've had a lucky escape, narrowly avoiding doing enough damage to lead to a long rehab. Did he suggest physio or anything to help generally strengthen the area?
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Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
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@adithorp, great! 
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Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
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@adithorp, Yay!
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You need to Login to know who's really who.
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@SnoodyMcFlude, No but I think the 'dots would have to stay at home in preference for something easy and short (with low release settings).
@holidayloverxx, I feel like a bit of a fraud though. I nearly asked if they could dredge up my old collar bone x-ray just to keep you happy.
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Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
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@adithorp, Excellent! 😀
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You'll need to Register first of course.
You'll need to Register first of course.
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@adithorp, very happy to hear your good news! 
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After a couple of days to think about it... I might be able to ski on it but my sensible head says I'd rather not fall on it (yet) so going to call it until next season before skiing again.
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@adithorp, Good news
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You'll get to see more forums and be part of the best ski club on the net.
You'll get to see more forums and be part of the best ski club on the net.
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@adithorp, good call
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Second day on the bike today. Did an hour last Sunday and knee felt odd but no pain. It was slightly swollen and hot after. Today was 2hrs including a fair bit of climbing. Nothing from the knee, no swelling and its cooler than the good one... Fitness is rubbish though after almost three months off the bike. 
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FAQ
Fitzwilliam" when he saw the MRI images.
) thinks it'll be well on its way to healed by now and I don't need to do anything as long as have no pain... and the physio is happy. I'll see what he says...