Snapping Knee: Symptoms, Treatment, and Recovery Options - Orthopedics

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Frog leg or Jumping leg


Hello Doctor: I previously asked about the issue of frog legs and went to the physician you recommended for an examination.
After a simple check-up, the doctor believes it is not frog legs but rather snapping knee syndrome.
I did some research online, and the two conditions seem to have similar symptoms.
Here are my symptoms: I have two small indentations on my buttocks, and I used to be unable to squat with my legs together, but it seems to have improved a bit now; I can manage to squat, although my legs feel very sore.
Additionally, I walk with my feet turned outward, which looks awkward.
I've also been told that when I walk, I tend to walk on my toes, and after running long distances or jogging, my knees hurt.
I would like to know if snapping knee syndrome can also present similar symptoms.
The doctor mentioned that surgery is the only way to treat it.
Are there any other physical rehabilitation methods available besides surgery? How long is the recovery time after surgery? Will the incision be large? Should I consider getting a second opinion from another hospital, as I feel the examination was a bit rushed? I hope you can help me with these questions.
Thank you.

An Dong Ni, 20~29 year old female. Ask Date: 2011/03/05

Dr. Li Wenlin reply Orthopedics


Hello: In response to your question, please trust the physician's advice.
The diagnosis of snapping knee can be made through physical examination alone, and no additional tests are necessary.
As for the size of the surgical incision, you can directly ask the surgeon.
Whether it's a snapping knee or a snapping hip, surgery is not always mandatory; however, if surgery is not performed, the symptoms will not improve.
Wishing you a speedy recovery.

Reply Date: 2011/03/05

More Info


Snapping knee, also known as "snapping patella" or "popping knee," is a condition characterized by a noticeable clicking or popping sound in the knee joint during movement. This phenomenon can be accompanied by discomfort or pain, particularly after physical activities such as running or jumping. Understanding the symptoms, treatment options, and recovery strategies is crucial for managing this condition effectively.


Symptoms of Snapping Knee
The symptoms associated with snapping knee can vary from person to person but typically include:
1. Audible Snapping or Popping: A distinct sound when bending or straightening the knee.

2. Pain or Discomfort: Pain may occur in the knee joint, particularly around the patella (kneecap) or the surrounding ligaments.

3. Swelling: Inflammation may develop in the knee, especially after physical activity.

4. Instability: Some individuals may experience a feeling of the knee giving way or instability during movement.

5. Difficulty Squatting or Kneeling: Many patients report challenges with squatting or kneeling due to discomfort or the sensation of the knee locking.


Treatment Options
When it comes to treating snapping knee, several approaches can be considered, depending on the severity of the symptoms and the underlying cause:
1. Physical Therapy: Engaging in a structured physical therapy program can help strengthen the muscles around the knee, improve flexibility, and enhance overall joint stability. Specific exercises targeting the quadriceps, hamstrings, and hip muscles are often beneficial.

2. Activity Modification: Avoiding activities that exacerbate the symptoms, such as high-impact sports or prolonged standing, can help reduce discomfort. Gradually reintroducing activities as the knee improves is advisable.

3. Ice and Compression: Applying ice to the knee after activity can help reduce swelling and alleviate pain. Compression wraps may also provide support and minimize inflammation.

4. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): If tolerated, NSAIDs can help manage pain and inflammation. However, if there are allergies to these medications, alternative pain relief methods should be discussed with a healthcare provider.

5. Injections: Corticosteroid injections may be considered for persistent inflammation and pain, although this is typically a secondary option after conservative treatments.

6. Surgery: In cases where conservative treatments fail to provide relief, surgical intervention may be necessary. The type of surgery will depend on the specific cause of the snapping knee, such as repairing damaged ligaments or removing loose bodies in the joint.

Recovery and Rehabilitation
Recovery time after surgery can vary significantly based on the procedure performed and the individual's overall health. Generally, patients can expect:
- Initial Rest: After surgery, a period of rest is crucial, typically lasting a few days to a week.

- Physical Therapy: A rehabilitation program will usually begin shortly after surgery to restore range of motion and strength. This may last several weeks to months.

- Return to Activity: Most individuals can gradually return to normal activities within 3 to 6 months, depending on the extent of the surgery and adherence to rehabilitation protocols.


Additional Considerations
- Follow-Up Care: Regular follow-up appointments with the orthopedic surgeon are essential to monitor healing and adjust rehabilitation as needed.

- Second Opinion: If there are concerns about the initial diagnosis or treatment plan, seeking a second opinion from another orthopedic specialist can provide additional insights and options.

In conclusion, snapping knee can be a frustrating condition, but with appropriate treatment and rehabilitation, many individuals can achieve significant improvement. It is essential to work closely with healthcare providers to develop a tailored treatment plan that addresses specific symptoms and lifestyle needs.

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