Patella
Hello: My knee seems to have a slight protrusion due to a fall I had a long time ago.
It has been several years, and I have no discomfort.
Is there a need to get it checked?
Chen Zai, 20~29 year old female. Ask Date: 2016/03/12
Dr. Shi Guozheng reply Orthopedics
If there are no uncomfortable symptoms, there is no need to seek medical consultation.
Reply Date: 2016/03/12
More Info
It's great that you're reaching out to discuss your knee condition. Given your history of a knee injury from a fall, it's understandable to have concerns about the appearance and function of your knee cap (patella). Here’s a comprehensive response to your question.
Should You Get Your Knee Cap Checked After a Past Injury?
1. Understanding the Injury: When you sustain an injury to your knee, particularly one that results in a visible change like a protruding knee cap, it can indicate underlying issues. While you mentioned that you have had no discomfort for several years, it's essential to recognize that some knee injuries can lead to long-term complications, even if they are asymptomatic initially.
2. Signs to Watch For: Although you currently feel no discomfort, there are specific signs that may warrant a visit to a healthcare professional:
- Changes in Mobility: If you notice any changes in your ability to bend or straighten your knee, or if you experience stiffness, it may be worth getting checked.
- Swelling or Inflammation: Any new swelling, warmth, or redness around the knee could indicate an issue that needs attention.
- Pain During Activity: If you start experiencing pain during activities that involve the knee, such as walking, running, or climbing stairs, this could be a sign of an underlying problem.
3. Potential Issues: The protrusion of the knee cap could be due to several factors:
- Patellar Maltracking: This occurs when the patella does not move smoothly in its groove during knee motion, which can lead to wear and tear on the cartilage.
- Previous Fractures or Dislocations: If the knee cap was fractured or dislocated during your fall, it could have healed improperly, leading to changes in its shape or position.
- Osteoarthritis: Over time, previous injuries can lead to degenerative changes in the joint, which may not present symptoms until later.
4. When to Seek Medical Advice: If you notice any of the signs mentioned above or if you simply want peace of mind regarding the appearance of your knee cap, it is advisable to consult with a healthcare professional. An orthopedic specialist can perform a physical examination and may recommend imaging studies, such as X-rays or an MRI, to assess the condition of the knee joint and surrounding structures.
5. Benefits of Getting Checked:
- Preventive Care: Early detection of any potential issues can lead to more effective treatment and prevent further complications.
- Reassurance: If everything is fine, a check-up can provide reassurance and help you understand how to maintain knee health moving forward.
- Tailored Advice: A healthcare professional can provide personalized advice on exercises or modifications to your activities to protect your knee.
6. Conclusion: While you may not currently experience any discomfort, it is always wise to listen to your body and seek medical advice if you have concerns about past injuries. Regular check-ups can help ensure that any potential issues are addressed before they become significant problems. If you decide to see a doctor, be prepared to discuss your history, any changes you've noticed, and your activity level to help them provide the best care possible.
In summary, while you may not feel the need for an immediate check-up, being proactive about your knee health is always a good idea, especially after a past injury. If you have any doubts or notice changes, don’t hesitate to consult a healthcare professional for a thorough evaluation.
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