What can be the reason for the dent in my kneecap?

Question

Hello doctor,

I was run over by a car four months ago. I got an MRI and the doctors said all my ligaments and meniscus look fine. However, my kneecap is dented in, slightly swollen above the cap. If I overuse my knee, the whole leg swells. I have been going to wound care doctors for four months for this. I have constant pain shoot up to my hip and every five to 10 minutes the knee burns and starts shooting pain all over to the point where I want to cry. I cannot feel the pain on the skin and the meat on the right side of my left knee but it still hurts when I move. I have attached the films for your reference. Is there anything else that can be wrong with it? I feel the doctor has not correctly diagnosed the condition.

Answer 1

Hello,

Welcome to icliniq.com.

I have seen the films (attachment removed to protect patient identity). With the type of bruising that the first picture shows, it is a miracle that your MRI is normal. The dent on the skin close to the patella is due to fat necrosis and may persist. As far as the pain is concerned, I suggest you should have been put on Pregabalin 75 mg twice a day to help with the pain. If you are not on it, then you should ask your doctor for it. Are you having any physiotherapy? You should have physiotherapy as muscle wasting is common after an injury like this. Leg swelling is common too and needs ice and elevation.