ACL Misdiagnosis or Not??

I was in a race, rider cut in front of me on a small jump, was at a slow speed and hit small jump. Thought I was going to hit other rider, instinctively put my leg out and took the brunt of the suspension into leg. It was like a jam to the knee, very slight, don't know if I felt a pop. Pulled off, checked the leg, then decided not to push it just in case. Got off the bike and it did buckle slightly. This was the only time it felt unstable. This was early in the morning. The knee got fairly sore for the next few hours, but very mild swelling if at all. Iced it all day and elevated. Overnight swelling happened, but not very much. It also swelled my calf and foot slightly. Saw a doctor mid-day to check it out. Again, swelling was not very bad. He performed lachman's and anterior drawer test and results were negative, he did not think there was any ligament damage, but wanted an MRI to double check. I never stopped walking on the leg, but walked with a slight limp. Two days later, full weight, but I was still favoring it, probably mental since I really didn't know the final outcome.

Got an MRI 4 days later, and yesterday (day 8) went to see doctor. He now says a ruptured ACL, then tries to go for surgery in 4 weeks. This guy is a PA-C, not an MD first off. Second, he is backing up on the Lachman's test saying he now "might" see a little movement. I am concerned. Today I can walk normal, I exercised at full pace last night pain free. Rode recumbant cycle, no pain. The only pain I have is some stiffness in back of knee, slight pop when I straighten the leg at full extension, and I can't squat completely yet. I am putting full weight on it. Twisting, etc, etc..still favoring because I am not sure how much to do.

I have had incidents in my area in the past of misdiagnosis that could have cost me major surgery and money unnecessarily. I have read that Lachman's and Anterior Drawer Tests are more reliable than an MRI, so I'm in a bind here. I lost last season to an injury, I don't want to lose another back to back if I can help it.

Can you give me any advice at all on this? Sent an email to your website, but thought I'd try here as well.

There is nothing wrong with going to see another doctor(s) for a second or third or forth opinion.

There is nothing wrong with going to see another doctor(s) for a second or third or forth opinion.

X2

I had no ACL and a general practioner did not find it. The PT on the other end of the clinic just about fell over when she did it and my knee came right out of joint. Go see another doctor, perferably an orthopedic specialist, and bring your MRI's.

I had the same experience about 3 weeks ago. My left leg took the impact, although I did not crash it was painful at the moment.

I rested and took it easy however I still feel a little "sloppyness" in the knee when fully extended and locked straight. The pain has subsided and almost feels normal.

I just don't trust any doctors in my general area..

For everyone's benefit, the examination of the awake patient with an acutely torn ACL is unreliable because of hamstring and quad spasm associated with the injury.

A KT-1000 or an MRI will be definitive. The KT-1000 costs a lot less and gives better information on knee stability. The MRI will showcase other injuries when present.

The forces the knee is subjected to in MX are far greater than the forces the doc exerts on the knee in the clinic.

I was in a race, rider cut in front of me on a small jump, was at a slow speed and hit small jump. Thought I was going to hit other rider, instinctively put my leg out and took the brunt of the suspension into leg. It was like a jam to the knee, very slight, don't know if I felt a pop. Pulled off, checked the leg, then decided not to push it just in case. Got off the bike and it did buckle slightly. This was the only time it felt unstable. This was early in the morning. The knee got fairly sore for the next few hours, but very mild swelling if at all. Iced it all day and elevated. Overnight swelling happened, but not very much. It also swelled my calf and foot slightly. Saw a doctor mid-day to check it out. Again, swelling was not very bad. He performed lachman's and anterior drawer test and results were negative, he did not think there was any ligament damage, but wanted an MRI to double check. I never stopped walking on the leg, but walked with a slight limp. Two days later, full weight, but I was still favoring it, probably mental since I really didn't know the final outcome.

Got an MRI 4 days later, and yesterday (day 8) went to see doctor. He now says a ruptured ACL, then tries to go for surgery in 4 weeks. This guy is a PA-C, not an MD first off. Second, he is backing up on the Lachman's test saying he now "might" see a little movement. I am concerned. Today I can walk normal, I exercised at full pace last night pain free. Rode recumbant cycle, no pain. The only pain I have is some stiffness in back of knee, slight pop when I straighten the leg at full extension, and I can't squat completely yet. I am putting full weight on it. Twisting, etc, etc..still favoring because I am not sure how much to do.

I have had incidents in my area in the past of misdiagnosis that could have cost me major surgery and money unnecessarily. I have read that Lachman's and Anterior Drawer Tests are more reliable than an MRI, so I'm in a bind here. I lost last season to an injury, I don't want to lose another back to back if I can help it.

Can you give me any advice at all on this? Sent an email to your website, but thought I'd try here as well.

Your scenario sounds alot like mine. Had acl reconstruct last thurs. I was very gaurded in my exam. and didn't test as if I had a torn acl. The mri showed diff. I remember feelingsome instability afterward, but not longterm. I was working out until two days prior to surgery.

Your scenario sounds alot like mine. Had acl reconstruct last thurs. I was very gaurded in my exam. and didn't test as if I had a torn acl. The mri showed diff. I remember feelingsome instability afterward, but not longterm. I was working out until two days prior to surgery.

that's pretty much the same story as mine. honestly the event I believe actually tore the acl didn't even stop me from riding for a couple more hours, it was when i came up short on a jump and the knee basically became dislocated that I really realized something was REALLY wrong.

Bryce

I have only felt a moment of instability at the time of the incident, no swelling until maybe 12 hrs after or better, then it went down to almost normal within 8hrs. I was putting full weight on it the very next day, and it has gotten better every day since. It's the craziest "major" injury I've had. The back of my knee feels tight, but I can extend fully. I cannot squat completely yet though. I gave it a week, then started working out again (just in case!) I really feel no pain, just some tightness in the knee. I'm just hoping that I may be the very rare case of some guy misreading an MRI...I doubt it though. When I went back at 8 days to see the doctor and talk about the MRI's, he performed Lachman's Test again, but didn't get any significant movement (there was no swelling at all this time). Who knows, doctors in my area are complete boneheads. I just need some peace of mind by getting a real MD to tell me it's snapped, then I'll believe.

So what ended up happening with your leg up in Deleware? Any luck?

So what ended up happening with your leg up in Deleware? Any luck?

I haven't been back on the bike due to the weather, but have been doing normal activites in and around the house with no problems at all.

I think I might have been lucky this time.

But if a problem were to arise I would be on the plane to Texas, Had great success with my wife's surgery down there.

I believe I'll be in TX at some point. I may wait it out until Oct though. I had a severe injury last year and lost the MX season, this one's a major disappointment. I don't want to be rehabbing through the summer. If I can't ride, I might as well spend as much time as I can at the beach drinking beer and eating crabs. What a waste of a summer...again. I'm bummed, man. Worked my ass off for this race season to have this happen. After two major injuries in back to back seasons, makes you think about it twice next time you get on.

I believe I'll be in TX at some point. I may wait it out until Oct though. I had a severe injury last year and lost the MX season, this one's a major disappointment. I don't want to be rehabbing through the summer. If I can't ride, I might as well spend as much time as I can at the beach drinking beer and eating crabs. What a waste of a summer...again. I'm bummed, man. Worked my ass off for this race season to have this happen. After two major injuries in back to back seasons, makes you think about it twice next time you get on.

amen brother, I'm on my second season off the bike for the major part.

about this time last year it was my schaphiod now the acl.

Bryce

Im thinking about getting a ktm 530exc (street legal) to hit some spots I normally wouldn't be able hit due to legal issues and to stay off of the crappy a$$ tracks around us..

Looking forward to some crabs myself!

You should beat feet down to Tomahawk in hedgesville, wv. Alot of guys from up your way come down to the track. I also recommend Rocket Raceway in McConnellsburg and for a nice camping weekend hit Breezewood Proving Grounds.

As for me...just trying to decide when to have this ACL recon done, and what the F can I do all summer!

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