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Dodgy kneecap

 Poster: A snowHead
Poster: A snowHead
3 years post ACL reconstruction with a knee that's been pretty strong and taken plenty of skiing and hiking abuse without complaint.

In the past week I've starting "popping" the kneecap. This feels like the kneecap is collapsing mildly inside the tibial plateau (i.e. a mild hyperextension) but obviously nothing this traumatic is actually happening. Very weird happened about 10 times in the space of about 200m walk yesterday but had previously been OK and not done it yet today. Any clues? Cartilage instability?
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fatbob, Age Embarassed
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dry, uneven surfaces. Soon you will be able to play tunes on it.
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fatbob, Experienced a similar issue, and it was eventually identified as a cartlidge issue. Unfortuantely, it took a long time to be confirmed and it required an op.
Maybe you should try and get a MRI scan?
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Bump - 2 years on and this shizzle has started happening again. Thought I'd posted on it before and just trawled it up to remind myself when I last had it.

June knee goblin playing tricks - certainly feels like it's stretching the ACL graft when the kneecap pops?
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Completely random thought - did you have a patella autograph? Is there much scar? Cwondering if it could be some scar tissue from that causing you issue inside? If it is causing you grief I would see a good Physio.
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fatbob, I have the same, if it is not causing any pain just go with the flow. Mine is partly due to the imbalance between the strength of the muscles around the knee so my patella is not tracking properly and basically is worn down on one side. I use a patella support for skiing which helps the tracking but for the rest of the time I just get on with it. Might be an idea to have a Sports injury specialist physio take a look see and possibly advise on a few things that may help.

My ankle (broke it in 2 places 3 years ago) is the biggest noise maker - it pops and creals like an old door! Again there is no pain, so I just accept it and apologise to any one who comments!
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fatbob, The popping and etc on the ACL/knee fix sounds grim.

Had my accident January 2012 meniscus injury. Subsequent arthroscopy fixed the cartilage, however the ACL was apparently detached and I continue to do physio at the hospital gym twice a week. Can ski pretty well using a ski mojo. Knee now clicking a bit every now and again but not really locking up. NHS advised that I'm too old for a reconstruction although I'd like to consider one if it was a viable option.
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Jivebaby, dare I ask, how old are you? I am surprised that the say you are too old if you are still physically very active.

I had my ACL reconstruction in 2005 and although it was a lot of hard work I do not regret having had it done I am back skiing and playing hockey.
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Jivebaby, more than viable option - get back to your GP and moan how much the quality of your life is affected etc. I had my last recon when I was 57 and my surgeon told me he had replaced the ACL on a very active 80 year old. Whoever told you that your were too old was either way behind the times or chickening out of telling you something else.
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fatbob wrote:
This feels like the kneecap is collapsing mildly inside the tibial plateau (i.e. a mild hyperextension) but obviously nothing this traumatic is actually happening.?


exactly what mine feels like in these last few days. I'm putting it down to lack of muscle around the knee and the meniscus repair. I'm hoping that the upcoming exercise programme will fix it because it doesnt half make me flinch when it the shooting pain happens
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And love to help out and answer questions and of course, read each other's snow reports.
holidayloverxx wrote:
fatbob wrote:
This feels like the kneecap is collapsing mildly inside the tibial plateau (i.e. a mild hyperextension) but obviously nothing this traumatic is actually happening.?


exactly what mine feels like in these last few days. I'm putting it down to lack of muscle around the knee and the meniscus repair. I'm hoping that the upcoming exercise programme will fix it because it doesnt half make me flinch when it the shooting pain happens


I've had similar - physio mentioned it might be a patellar tracking issue (see below for a quick google definition). I've been having a session of manipulation physio once a week and trying to fix it has and have been told to move the knee cap around whilst the leg is relaxed to help with returning normal movement (mine is sticking at the moment)

From a quick google search of this...
"...What are the symptoms?
If your kneecap is out of alignment, you may have discomfort or pain, especially when you go down stairs, sit for a long time, stand up from sitting, or squat. This kind of pain, also known as patellofemoral pain, may be caused by patellar tracking disorder.

You also may feel a popping, grinding, slipping, or catching of the kneecap when you bend or straighten your leg. Or you may feel that your knee is buckling or giving way, as though the knee suddenly cannot support your body weight...."
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Batman_123, Yep that's it, thanks. will pick up with my physio when I go
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 You know it makes sense.
You know it makes sense.
fatbob wrote:
3 years post ACL reconstruction with a knee that's been pretty strong and taken plenty of skiing and hiking abuse without complaint.

In the past week I've starting "popping" the kneecap. This feels like the kneecap is collapsing mildly inside the tibial plateau (i.e. a mild hyperextension) but obviously nothing this traumatic is actually happening. Very weird happened about 10 times in the space of about 200m walk yesterday but had previously been OK and not done it yet today. Any clues? Cartilage instability?


Most likely cause of catching and noise is patella( kneecap) maltracking.

Patella maltracking is caused by a number of risk factors coming together.

Many people "carry" a number of risk factors for developing it, even if not having symptoms eg a tendency to roll in on the foot( pronation), tight quads, tight calves etc. Some people have enough going on that they are only just avoiding clinically significant( ie when you start to get symptoms) patella maltracking. So the trigger can be often very small.eg a slightly too big step up in a quads strength programme. I used to be inundated with patients who had just started British Military Fitness Bootcamps.

Often sorted by physio alone so that is first place to go. If you do have patella maltracking. You will probably be given a set of exercises that involve stretch , strength, control/posture.

If not responding after 4 to 6 sessions you need it looking into in more depth.

Hope that helps

Jonathan Bell
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Jonathan Bell, Thanks Jonathan - if it doesn't resolve in a week or two as it did last time I'll be looking at physio.
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 Poster: A snowHead
Poster: A snowHead
I had something similar recently and the physio (who I was seeing anyway re : back op / microdiscectomy ) quickly had it down to muscle tightness in the abductor/calf causing or caused by Patella Maltracking - resolved by lots of v painful rolling of calf and abductor (and IT Band and piriformis). Also had a sport massage when I could nt do anymore rolling pain. Seems to have worked. Also coincided (As per Jonathan Bell's post) with stepping up a level in my gym routine.
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You could try strapping the knee cap and patella tendon just off its normal line/position a couple of times to see if that improves it. I used to get a similar problem in my rugby playing days and the physio (at a professional Premier League club not some joe shmo amateur!) used to do this for me and it worked a treat. It is a common remedy for patella tendonitis but who knows it may do a job for you but don't pull it out of line too much.
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