Knee issues
Last week, I accidentally fell while playing basketball, and it felt like my knee dislocated with a popping sound when I hit the ground.
At that moment, it was very uncomfortable, but the pain subsided by the next day.
However, ever since then, I still feel something strange in my left leg.
I would like to know what might be the cause.
Zhu, 20~29 year old female. Ask Date: 2016/12/01
Dr. Shi Guozheng reply Orthopedics
It could be a subluxation; if the pain persists, you should see a doctor.
Reply Date: 2016/12/01
More Info
After a fall, especially one that involves a loud "pop" sound from the knee, it is crucial to take the situation seriously, even if the pain subsides quickly. The sound you heard could indicate a potential injury to the ligaments, cartilage, or other structures within the knee joint. Here are some possible reasons for your symptoms and what you should consider doing next.
Possible Causes of Your Symptoms
1. Ligament Injury: The knee is stabilized by several ligaments, including the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL). A "pop" sound during a fall can often indicate a sprain or tear in one of these ligaments. Even if you don't feel pain immediately, instability in the knee can develop over time.
2. Meniscus Tear: The meniscus is a cartilage structure that acts as a cushion between your thigh bone and shin bone. A fall can cause a tear, which might not present immediate pain but can lead to swelling, stiffness, or a feeling of instability.
3. Patellar Dislocation: If the knee cap (patella) dislocates, it can cause a popping sound and immediate discomfort. Sometimes, the patella can relocate itself, leading to less pain afterward, but it may still result in ongoing instability or discomfort.
4. Bone Bruise or Fracture: While less common, a fall can also lead to a bone bruise or even a fracture, which might not be immediately painful but can cause lingering discomfort.
Recommended Actions
1. Rest and Ice: If you haven't already, give your knee some rest. Avoid activities that put stress on it, and apply ice to reduce any swelling.
2. Monitor Symptoms: Keep an eye on your knee for any changes. If you notice swelling, increased pain, or difficulty moving the knee, these could be signs of a more serious injury.
3. Seek Medical Evaluation: Given your symptoms and the mechanism of injury, it would be wise to consult a healthcare professional. An orthopedic specialist can perform a physical examination and may recommend imaging studies, such as an X-ray or MRI, to assess for any ligament tears, meniscus injuries, or other structural damage.
4. Physical Therapy: If an injury is confirmed, physical therapy may be recommended to strengthen the muscles around the knee and improve stability. A therapist can guide you through exercises that are safe and effective for your specific condition.
5. Avoid High-Impact Activities: Until you have a clear diagnosis and treatment plan, avoid sports or activities that could exacerbate your knee condition.
Conclusion
While it’s reassuring that you feel less pain now, the initial "pop" sound and your ongoing feelings of discomfort warrant further investigation. Knee injuries can sometimes lead to chronic issues if not properly addressed. Early intervention can help ensure a full recovery and prevent long-term complications. Therefore, I strongly encourage you to see a healthcare provider as soon as possible for a thorough evaluation.
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