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What Causes Crepitus In The Knee Joint After A Total Knee Replacement Surgery?

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Posted on Thu, 14 Sep 2017
Question: Since having TKR in XXXXXXX after 3 weeks of doing well my knee cap stsred moving up and down and clunking and gre extremely painful after PT pushed knee up to 130 and held it there too long. I also strained it sitting on still to try to clean up spill. Now it moves up and over and clunks or snaps. My Dr could not see or hear symptoms 2 weeks ago but much worse now. Would an MRI help diagnos problem and have you ever seen this movement I discribe?
doctor
Answered by Dr. Dr. Praveen Tayal (2 hours later)
Brief Answer:
MRI cannot be done.

Detailed Answer:
Hello,
Thanks for posting your query.
The movement of knee cap that you have described can be due to a tendon damage. With the replaced knee joint MRI scan is not possible. CT scan can be done and may diagnose the problem. Another way is to get arthroscopy done to visualise the damage around the knee cap.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (12 minutes later)
If scan shows tendon damage will surgery be needed to correct or can it heal on its own? If it is a tendon what does it seem like something hard like bone of patella is moving up and sideways?
doctor
Answered by Dr. Dr. Praveen Tayal (12 hours later)
Brief Answer:
Surgery is not necessary.

Detailed Answer:
Hello.
Thanks for writing again.
If there is a tendon damage then surgery is not necessary. Exercises like quadriceps drill and proper rest will help. The bone like thing that you can feel moving can be the edges of patella itself.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12315 Questions

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What Causes Crepitus In The Knee Joint After A Total Knee Replacement Surgery?

Brief Answer: MRI cannot be done. Detailed Answer: Hello, Thanks for posting your query. The movement of knee cap that you have described can be due to a tendon damage. With the replaced knee joint MRI scan is not possible. CT scan can be done and may diagnose the problem. Another way is to get arthroscopy done to visualise the damage around the knee cap. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal