In the hospital
23 responses | 0 likes
Started by metmike - April 22, 2025, 8:50 p.m.

I just had an accident in our backyard and had a complete tear of the quadriceps tendon on my right knee.

I won’t be posting any graphs for awhile because I can’t bend the knee and need surgery

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By tjc - April 22, 2025, 10:56 p.m.
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  Do NOT worry about this Site.  Your health is the only thing that matters!

  Medical attention your only concern!

By WxFollower - April 23, 2025, 3:09 a.m.
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Hey Mike,

 Sorry to see this. Godspeed for a successful surgery and a comfortable, fast as possible recovery!

By cutworm - April 23, 2025, 6:49 a.m.
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Mike, WX said it better than I can

"Sorry to see this. Godspeed for a successful surgery and a comfortable, fast as possible recovery!"

By metmike - April 23, 2025, 6:54 a.m.
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Up waiting for surgery In a few Hours . Couldn’t speep all night. They told me it will be 6-12 months to recover and at my age it won’t be 100%.

By mikempt - April 23, 2025, 10:46 a.m.
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OOUCH!! I work at a Rehab on Sundays, see alot of knee & hip replacements. Patients with torn ACl's and alike  have told me its a slow recovery. Feel better and do lots of rehab!

By WxFollower - April 23, 2025, 2:58 p.m.
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 Hey Mike,

 Hopefully it will be closer to a 6 month recovery and as close to 100% as possible! The myriad of leg related issues typically take 4 months minimum. My broken foot last year likely took 4 months to near complete recovery. I was on crutches or in a boot for a couple of months. My plantar fasciitis on the other foot has already lasted nearly 3 months and is no better.

By metmike - April 24, 2025, 6:42 a.m.
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Thanks vey much for the positive messages.

The surgery went well according to the doctor. …..however, what doctor would tell you  something like “when I cut you , I accidentally  severed some nerves that mean you won’t have any feeling in your right leg the rest of you life, sorry about that that but your knee will only recover to 80% at best.“

This guy, however, Dr. Green  lef  me feeling extremely confident  in his skills, both operating and communicating.

I’ll show a picture later, with an anatomy lesson on the leg later today.

 The tendon  that attaches the quadriceps muscle to my right knee cap was completely torn/severed from a fall backwards.  Pulling a rope with all my might,  that Was stuck on the roof  and it finally gave in, causing me to  fall hard backwards.  The knee never touched anything.

For 99% of the population, there would have been ZERO damage on the front side.

But I have Ehlers Danlos , a connective tissue disorder.

When I fell back, the strong  reflexive reaction by my legs to rebalance  was more than my brittle, compromised quadriceps tendons could bare and the spike higher in load completely tore the right side away from the Quadriceps muscle.
This dislodged the position of my knee cap, which after the tear was  facing perpendicular of its usual position of the knee cap and stuck in place on the OUTSIDE of my knee.

EXTREMELY odd and painful, with a hole where the attachment  above the knee was normally was and impossible to the knee at all.

No way for me to even try to go anywhere, with the knee completely locked in,place  so it was 911 and the EMT.

I like these people a lot. Their  mindset of having a job to help people and sometimes save lives Is one that truly makes the world a better place.

Mike  and cutworm,, have spent some of their off time doing jobs like this, I think.

Hats off to all of them for providing assistance for all kinds  of emergencies to 10s of millions of people in this country each year!

What a breathe of fresh air to interact with  THE BEST people  in society compared to exposing some of the worst in politics and media.

Even in the hospital, we have a group of people doing jobs to make people better.

Health is EVERYTHING! Worth more than money.

If I was offered the choice of being rescued and having surgery to become functional again or instead losing that completely and getting a billion dollars, the choice would be easy.

functionality and health come out on top every time.

By WxFollower - April 24, 2025, 8:24 a.m.
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Hey Mike,

 I’m sorry your knee will recover to only 80% at best :( but am quite glad it was overall successful. :) Let’s hope it recovers to 80% and that that would allow you to eventually resume most of your pre-injury normal activities!

 Thanks for the update!

By metmike - April 24, 2025, 3:13 p.m.
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Thanks, Larry!

I hope to have a better than 80% recovery, next year at this time. 

There were some things to be happy about. They were able to do the surgery in less than 24 hours which leads to a better outcome than waiting and trying to reattach a retracted tendon after a longer period of time

Also that I didn't hit my head hard. Because of my condition and blood clotting disorder, a brain bleed is extremely likely to kill me. 

I'm sharing a few articles on this topic that are most interesting to me and very helpful to anybody that wants to learn about it.

It includes the anatomy  and comprehensive discussion of this topic.

The internet is so awesome!!!


Quadriceps Tendon Tear

https://orthoinfo.aaos.org/en/diseases--conditions/quadriceps-tendon-tear/


Anatomy

The four quadriceps muscles meet just above the kneecap (patella) to form the quadriceps tendon. The quadriceps tendon attaches the quadriceps muscles to the patella. The patella is attached to the shinbone (tibia) by the patellar tendon. Working together, the quadriceps muscles, quadriceps tendon, and patellar tendon form a pulley mechanism to straighten the knee.

To reattach the tendon, small holes are drilled in the kneecap (left) and sutures are threaded through the holes to pull the tendon back to the bone (right).

By metmike - April 24, 2025, 3:28 p.m.
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Quadriceps Tendon Tear

https://my.clevelandclinic.org/health/diseases/quadriceps-tendon-tear

Quadriceps tendon tear (quadriceps tendon rupture) is a rare but serious injury that makes it difficult for your knee to work properly. It most often affects physically active people over age 40. Complete tears require surgery to repair torn muscle and restore knee function. In most cases, outcomes are good.

Quadriceps Tendon Ruptures in Middle-Aged to Older Patients: A Retrospective Study on the Preoperative MRI Injury Patterns and Mid-Term Patient-Reported Outcome Measures

https://pmc.ncbi.nlm.nih.gov/articles/PMC9959605/


By metmike - April 24, 2025, 8:50 p.m.
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I might have mentioned earlier that I have Ehlers Danlos and an excessive  bleeding disorder is one of the issues with it 

As a result, if I hit my head hard enough to have even a small brain bleed(aneurysm) its curtains for me. 

I actually had a previous distal biceps tendon rupture just 4 years ago from a fall forward and the Ehlers Danlos(that was surgically repaired). Its easy to catch yourself going forward to avoid your head smashing into the ground.

Not so falling backwards, uncontrolled and with a tremendous amount of force, like with my fall.

However, I did NOT hit my head because I had ingrained the principles of protecting your head in a fall like this. 

This is a good thing for EVERYBODY to learn to protect their/your heads/brains.

Here are the videos I learned from BEFORE this fall which caused me to fall in a manner that protected my head/brain. 

                                                         

      How To Fall Backwards (Safely)    

https://www.google.com/search?client=firefox-b-1-d&q=when+falling+backwards+how+do+you+prevent+hitting+your+head#fpstate=ive&vld=cid:e4375bc8,vid:mxLL_aFoSi0,st:0


How to Fall Safely - 3 Breakfall Techniques

https://www.google.com/search?client=firefox-b-1-d&q=when+falling+backwards+how+do+you+prevent+hitting+your+head#fpstate=ive&vld=cid:f960f975,vid:ZVzzJ4xDgoE,st:0




https://www.aarp.org/health/conditions-treatments/how-to-fall-safely/


Falling Safely: How To Fall To Prevent Injury - AARP
While you can’t prevent all slips, there’s plenty you can do to improve your footing. Be here now. Practice “mindfulness” — focus on the present and be aware of your surroundings, instead of being lost in your thoughts. Fix your blind spots. If you can’t see it, you can’t avoid tripping over it.Have your eyesight and eyeglasses checked regularly.
www.aarp.org


Falling backward? "Tuck your chin to your chest so your head doesn't hit the ground,

+++++++++++++++++++++

https://www.pinnacol.com/blog/fall-safely-step-by-step-guide


How to fall safely: Use our illustrated step-by-step guide
A “safe fall” sounds like a contradicting term — if you’ve ever taken a spill, you know nothing about it feels safe. But you can do things to reduce the impact and damage from a fall, which is important because falls can cause serious injuries.
www.pinnacol.com


By metmike - April 24, 2025, 8:59 p.m.
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Just remembered another extremely fortunate situation.


Deb and Cyrus were playing outside in the backyard when this happened.

Me working outside when Deb is there happens around .001%  of the time............almost never.


I couldn't move after it happened and never take my cell phone with me.

I would have needed to yell really loud if she was home or wait until she got home and yelled really loud, hoping that she heard me from inside of the house.

By WxFollower - April 24, 2025, 11:26 p.m.
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Hey Mike,

 Thanks for the falling safely tips!

 When I broke my foot last August, it happened so fast that I didn’t have time to think and try to control how I fell. A brain fart caused my fall. I reacted to something falling in the adjacent room, which is separated from the room I was in just before the fall by two steps. When I heard it falling, I had a reflex type of reaction to turn around and try to catch it. When I did that, my brain forgot about those two steps!! I had never tripped on those steps before in the thousands of times I had walked on them.

 I was lucky I didn’t hit my head. My foot got badly twisted on the steps and I think I caught myself with my hands as I fell forward, which was a reaction I didn’t think about. But doing that may have saved me from hitting my head.

By joj - April 25, 2025, 7:11 a.m.
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God Speed Mike.

By metmike - April 25, 2025, 7:33 a.m.
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Thanks, Larry!

What you stated makes complete sense with your fall.

It's not like we ever practice a technique beforehand to use at some future point when a random fall happens.

Or even have time to think about it because our minds can't process the information fast enough to be thinking ahead, once the fall starts.

The reaction has to be split second and instinctive an instant after our brains realize that a big fall is in progress. Honestly, I didn't realize that's what I did until the EMTs and others kept asking me over and over about hitting my head.

I kept insisting no, I didn't hit my head but had to think about it numerous times  to be sure because it didn't make sense for me to NOT hit my head.

When we fall forward, our hands/arms catch us instinctively. When we have an uncontrolled fall straight  backwards, we have to twist our bodies unnaturally and quickly  during the fall to divert the force to keep our heads in the UP POSITION, above our spines/back.

It's actually just physics but understanding physics is no help. Doing the head lifting thing is all that matters and honestly,  looking back I'm surprised that's what I did.

Only then did I appreciate what my instinctive response was, like doing a sit up crunch forward and curling my head forward during the fall.  I think that redistributed/imposed a new force on my legs/knees which severed the quadriceps tendon of the right knee (along with my brittle tendons from Ehlers Danlos)  because the injury that I got, based on the event should have been a brain injury. 

Again, I have a serious blood clotting disorder that would have continued the brain bleed before it, and the swelling would have cut off oxygen from the pressure and caused massive cell death.  In cases like that, they would operate quickly to lower the pressure inside the skull in hopes that O2 can be restored to the brain as well as trying  to stop the bleeding if possible.

However at that point, there is already brain damage and they are just trying to keep the person with their brain damage alive.

By metmike - April 25, 2025, 6:25 p.m.
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These were some pictures that my wife, Deb took.

Immediately after the fall, my knee cap was on the side of my knee. I worked it back in place but the knee was still locked and i had to be taken out on a stretcher.

Fortunately, Deb was outside playing with our 2 year old grandson, Cyrus at the time(which almost never happens when I'm working out there) and she was able to call 911 right away.

Otherwise, I would have had to yell loudly and hope she could hear me from inside of the house or if she was gone wait for her to get home to hear me yelling.

I NEVER take my cell phone with me outside..............that will change!






By 12345 - April 25, 2025, 9:21 p.m.
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PRAYERS FOR YOU, MIKE

_______________

I HAD STROKE #3, IN OCTOBER...I'VE LOST A LOT OF EYESIGHT & CAN'T READ MUCH AT ALL, BUT... WHAT I DID GATHER FROM YOUR POST...IS QUITE SERIOUS.

I THANK THE GOOD LORD FOR SPELL CHECK & A 175 FONT SIZE.

I'LL TRY TO KEEP TRACK OF YOU. REST ASSURED... YOU'RE IN MY PRAYERS


BIC HUGS

JEAN

By cutworm - April 25, 2025, 9:34 p.m.
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Good to hear from you Jean. You are in my prayers.

By metmike - April 26, 2025, 6:39 a.m.
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We miss you, Jean!

Keep doing your best with whatever you have and try to minimize comparing it to what you had.

 Acceptance of permanent physical losses is one of the toughest things for us to do. Your losses are pretty extreme and we feel great compassion for you but you can still reconfigure your expectations to dial in the losses as the new normal as much as possible. .......which you've probably already done.

By gedigan - April 26, 2025, 11:38 a.m.
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Mike,


Sorry to see this, "Wishing you strength, courage, and patience during your recovery journey."

By metmike - April 26, 2025, 11:59 a.m.
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Thanks gedigan and everybody!

Jean, who has lost most of her vision from another stroke would love to be in my position. This is why I feel  so fortunate to have avoided slamming my head backwards on the bricks and causing a brain hemorrhage/bleed.

That condition or an Aortic tear in my heart are likely to get me at some point.......but  NOT today!


Brain Bleed, Hemorrhage (Intracranial Hemorrhage)

https://my.clevelandclinic.org/health/diseases/14480-brain-bleed-hemorrhage-intracranial-hemorrhage

A diagram of the brain and three types of a brain bleed.
A brain bleed (intracranial hemorrhage) can happen in different locations within your head.

++++++++++++++++++

What causes a brain bleed?

A leaky, broken or burst blood vessel causes a brain bleed. As a result, excess blood pools in your brain. A brain bleed can happen after:

++++++++++++++++++

Since I have a bleeding/clotting disorder, from Ehlers Danlos, it would be near impossible to manage a brain bleed. 

By mcfarm - April 26, 2025, 6:04 p.m.
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just heard the news MM. In my prayers for quick and complete recovery

By WxFollower - April 26, 2025, 9:15 p.m.
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Hey Jean, 

 It’s of course not good to hear that you had another stroke and worsening eyesight, but it’s wonderful to see a new post from you!