Quadriceps tear - tell me good news

So, long story short, I fell last October and injured my knee, and what with one thing and another I just got in to see an orthopedist. I could tell I had no injury to the knee structure itself and was waiting out the healing process, until it stalled about a month ago. I can only lift my lower leg about halfway, and with some pain and effort, and that leg is unstable - if it gets my weight with the knee bent, I go down. Needless to say, living in a three-story house is a PITA.

So, x-rays, an exam and an MRI to come - torn quad. Surgery TBA. I have two questions for those knowledgeable and/or experienced.

First, looking for good stories and bad. I’ve already lived with a heavy sports brace and peg-legging it up and down stairs etc. so six weeks in a locked brace should be much the same. I think. They say I can’t drive, but if I have a high driving position (Honda Odyssey)… is it a possibility? (Right leg, unfortunately.)

Second, trying to judge how much of a tear I have. There’s a bulge above a divot on the outer side, which is bad… but I can move my kneecap and raise the lower leg about halfway, which seems to preclude more than about a 50% tear… right? Since it’s been almost four months, how much trouble is the surgeon going to have mating the torn parts, with or without a graft?

Yes, I know, I should have gone in earlier. Pass the scorn. :slight_smile:

If they say don’t drive, DON’T DRIVE, please!

You should NOT drive. If you got on an accident, and it is documented you were advised not to drive, you wouldn’t have a… Well, it wouldn’t go well.

As for healing and such, likely depends on age, size of year, location and other medical problems. A good question for your surgeon.

Yeah,I know, ask the doc. If my Dx hadn’t come at the end of a Friday, with all answers having to wait, I wouldn’t have asked here.

Not all tears need surgery. Surgery tends to be more effective on younger and healthier folks. You’ll probably do okay.

I hit a deer, on a motorcycle.
I hit it hard, i was doing 65, and i hit it square, not a glancing hit, so mister deer went through the handle bars, knocked them down flat, and took me right off the bike.

(watching your bike drive off without you is a very strange thing)

Anyways i landed on the ground at 60mph and i landed on one knee, which of course hits the ground at 60mph, and i slide like that until the rest of my body can cooperate and go flat.
My right leg because i kind of went off and down the left side of the bike, hand to drag over the seat and it landed stretched out in front of me, so yea a controlled landing was not in the picture.

Anyway, first knee had that “I just slammed it with a hammer when its -20 degrees outside” feeling to it.
You know where all you can do is make noises like an angry bear, and try not to throw up?

That went away after a few minutes of laying on the ground, and i got up, and it felt sore stiff and felt like it was on fire.
I hobbled around and tried to stretch it out, probably not a bright idea but.

Anyways paramedics helped me find the bike, which was stopped by small bushes so not terribly damaged beyond what the deer did, and i rode back home and called out of work.
I only road maybe 2 miles, in 2nd gear, with leg propped up on the highway bars, because leg was not feeling so good. Didnt enjoy bending to reach pegs normally.

Anyway i got home, discovered part of the burning feeling, aside from ripping the knee open like a hot pocket, i had also melted my riding gear and pants to the skin in a bunch of places.

If you are wondering, i declined the paramedics to take me anywhere.

Got home, began cleaning up, flushed out the ripped open stuff with wound wash
soaked and carefully removed the melted stuff from my skin.
Looked in gaping hole for things that should not be there, like gravel, broken pieces of knee cap etc.
Flushed it out again, determined that since the pieces all moved, although painful, and moved in a normal fashion, nothing appeared detached, and we sutured the rips closed.

Could not leave them open as i didnt want my kneecap coming back out of it.
The burned skin had to treat like any other burn, and cover it with non sticking pads (which stuck anyways) and then wrapped everything really good to keep knee parts in place and immobilize them.

Ok now i walked this day remember?

Next day i figure well i guess i can hobble to work.
Bout cashed in all my teeth on the bedroom floor.
When i stood up, the knee would not hold me at all, it just went into spasms, i could not even hold it still.

So kept changing the dressing and kept the knee wrapped, and there was no possibility of walking for about a week.
After that week i could stand with out falling, but could not bend it far, trying to felt like ripping a tendon, that searing fire feeling?

So wrapped and immobilized, and had to elevate it, there was a lot of lower lef and foot swelling, probably due partly to having to bind it up so much.
Kept taking 1200mg of motrin twice a day to help with that.

Week three, i could start bending it some.
No not running around, like sit on the floor and do physical therapy bending it.
It still hurt quite a it, but i could stand up with out falling over.

Week 4, still stiff, still a bit sore, but i can get it into full bends again.

By week 6, although a bit stiff still, i could just walk around normal, running it felt a bit weak still but that got better.

The only remaining symptom of that now, is if i kneel on that knee on something hard like concrete, it does not feel so great, but i figure after hitting the kneecap into asphalt
at a 60mph impact with it, it has earned that part.

So yea like you i did not go to doc, and it was messed up pretty good, but by 6 weeks
you can see it was getting back to normal, no real issues.

Since you still have the instability in yours, yea you going to need to see the doc.
Figure something must have torn itself enough that it could not get itself reconnected.
So figure doc goes in, does some cutting, cleaning of scar, then reattaching, i would say you probably have about 6 to 8 weeks that resemble the above, but maybe not as bad because doc isnt going to hit your knee with a sledge hammer, and its going to be nice controlled cutting, not just ripping things apart, and then things should start getting normal again.

I would recommend that you behave though and let it heal like it’s supposed to before you decide to go trying to use it.

Here is a pic, after cleaning it up flushing it and poking the bits back in place, but before suturing. Unfortunately i dont think i have a pic online of the other side, but you can see enough probably.

https://drive.google.com/file/d/1LjD-sjpM_WRroD1ML8AK73Obbp4YP2zbvg/view?usp=sharing

So go get it fixed, then let it heal, so you can quit wobbling around when your trying to walk with out falling.

Hey AB I’m in this forum only because I cut my finger, and now I see this…

Get better get well gotta have ass-kicking barbarians.

Why a deer was on a motorbike, I’ll never know.

You poke 'em, I’ll kick 'em. After we get stitched up.

Actually, it *was *a kick that did the damage, twice. Not telling the story.