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Feel better fast...
Sir,
high probablilty you have torn your ACL, less probable (but in the ballpark) your PCL.
Some clues from your story...
Immediate swelling: this indicates blood in the joint space. Blood usually appears with significant ligamentous damage. Cartiledge has a general poor blod supply for a good portion of the structure...so though it may be affected also-usually it is not the cause for the immedate swelling.
Inability to do a leg lift: This has a couple of connotations-a partial quad tendon rupture or tibial tendon rupture / but the remainder of your story doesn't fit these very well...this feeling of inability is also present with ACL ruptures.
The "Bone Chip"- may be a small avulsion fracture (piece of bone pulled off if the ligament was ruptured near the insertion point instead of in the middle.
Treatment: Immobilization for about 10 days to let some of the swelling go down. Then do some vigorous testing and manipulation (Anterior Drawers test for one) checking for ligamental laxity. This can be done sooner if they draw the blood out of your knee, inject some local anesthetics to prevent you from gaurding during the testing, then do the manipulation.
An MRI is the gold standard and should be accomplished once the swelling goes down.
Don't push this-it will not have a positive outcome.
Good luck-use Ice, the velcro thingy, and stay on your motrin consistantly for a full 2 weeks-it will help with the inflammatory response .
Eagle
__________________
Primum non Nocere
"I have hung out in dangerous places a lot over the years, from combat zones to biker bars, and it is the weak, the unaware, or those looking for it, that usually find trouble.
Ain't no one getting out of this world alive. All you can do is try to have some choice in the way you go. Prepare yourself (and your affairs), and when your number is up, die on your feet fighting rather than on your knees. And make the SOBs pay dearly."
The Reaper-3 Sep 04
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