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  1. #1
    Join Date
    Apr 2009
    Posts
    4

    ACL class of 2014

    just a shout out to all the gimps out there sharing their war storys and advice. spent a few hrs reading thru 2013 thread... such a great inspiration and resource for all skiers to deal with (and help avoid) what seems like an inevitable injury (after thousands of landings/turns, eventually one goes wrong)... my deal:

    Me: now 37
    What/When: blew my ACL Jan 2012, torn meniscus, grade 4 cartilage defect... all while sled skiing north of Pemby
    How: sight backseat landing/twist, no release, hip checked the hill, bounced back on my feet, damage done in that millisecond... contributing factors IMO = grabby buried snow layer, tech soles, big/wide stiff skis/tails, not enough pre season prep/progression
    Surgery: March 2012, hammy autograft (semitendonosis), meniscus and cartilage NOT treated

    2013 winter: cleared by PT and surgeon to ski, skied 5 days, easy groomers, only 1 hr/day... knee felt terrible after 30 min - no swelling but medial pain in joint where meniscus torn... sledded for the rest of the season

    2013 summer: cranked up the biking/PT intensity to see if strength was the issue - more strength helped but same pain once fatigued... was told I needed more rehab time due to golden/unhappy triad complications in joint... was doing lots one legged plyo/jumping, had full ROM, 6 hr days on the bike in the mtns, no swelling, etc... couldn't handle fall dry land training though

    Dec 2013: Dr. Day informed me my original surgery didn't "take". which IMO is a nice way of saying your original surgeon did a poor job. which sucks as he was both very reputable and capable (now retired so no point in naming)

    long story short - after surgery I learned my graft was NOT doubled over and was known to be prone to failure in athletes/200lbers... one surgeon told me my graft had 30% the strength of an original ACL... and is likely still in place, just stretched to the point of laxity/ineffectiveness... balls.

    REVISION SURGERY: Dr. Day recommended central quad autograft graft... meniscus stitch/removal (decided once visual)... planning to have it in next few weeks... still evaluating probability that cartilage damage is contributing factor and treatment options (which don't seem to be great here in Canada given public medical system gravitates to conservative/cost effective treatments)... any advice here much appreciated - do MRA's tell all? any other recommended assessment options?

    SILVER LINING: after skiing for 30+ years, i'm facing my 3rd straight season either out or confined to my sled... sorely missing adrenaline... I keep telling myself ACL/meniscus is a lot easier and quicker to deal with than cartilage defect... still hoping cartilage problems are not a contributing factor... will likely only know for sure 12 months post op... spent a LOT of time with my newborn... who next season will be 3 and on skis... lots of motivation to get back... at this point the mental game is the biggest challenge... all it takes is willpower.

    stay strong.

  2. #2
    Join Date
    Jun 2008
    Location
    SLCizzy
    Posts
    3,554
    Joined the club today. 39yo with a lifetime of mtn bike and ski shredding and this is my first one.

    On Dec 20th I crossed tips, started going forward and just went for the somersault to get back on my feet...that worked....I should have just stopped and got my shit together at that point, but decided to keep rallying and a moment later got bucked back, ass on tails, then hit another little lip and felt my femur move laterally outward then back on top of my knee. No big noise or anything, just a sickening sensation. A short bit of pain, then got my shit together and skied back down to the base.

    Had a P.A. friend evaluate/yank on it and compare it to my other knee. It just a little swollen, and quite stable so I decided to give it some time and hoped it was a just a sprain. Started skiing groomers 6 days later and thought things were shaping up.
    Yesterday I got a little carried away and got bucked on the High T and had the same sick out and back sensation(but didn't seem to be as much movement), however this time was more painful. More swelling and pain last night than I previously experienced. Went to the clinic today, doc felt more looseness in the injured left knee than the right, and a bit of pain in back-center of the knee when at full extension. X ray showed no tibial plateau damage or avulsions, but a little weirdness in the image where my ACL resides. Seeing knee specialist on saturday morning for further evaluation.

    Doc said I have a remarkable amount of stability. I am walking fairly normally(slight limp, mostly from swelling in knee), knee has not given out at all, no problems going up and down stairs or walking through snow/ice.
    I guess I gotta wait and see what the knee guy says, but I'm pretty bummed, never had to deal with an injury with such a long recovery. Trying to get in the right frame of mind.

  3. #3
    Join Date
    Sep 2010
    Location
    Golden, Colorado
    Posts
    5,868
    That sucks man, pretty similar to me - the docs and PTs were shocked I was able to do all sorts of things after it happened and was skiing again without my ACL after a week up until May, when I had surgery. I worked hard in rehab and was cycling at 1 month, mountain biking at 3 months, jumping it at 4, skiing at 5, and sending cliffs in powder at 6. Find a PT that works with true professional athletes, and have him/her put you on that program. Look in the 2013 thread for a little bit about the exercises and stuff I was doing. Once you get to 1 month post-op and can start road biking, time begins to fly

    Unfortunately I fractured a bone in my other ankle at 6.5 months, so I can't tell you how the progression goes from there (at least this is a quick heal, and am back on skis now). Been skiing for 29 years and my first and second ski injury happens in the same calendar year. Fucked up luck.

  4. #4
    Join Date
    Jun 2008
    Location
    SLCizzy
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    3,554
    Thanks Lindahl. That gives me some hope. I keep hearing 8mo, but have a good friend that blew up everything and was more on your schedule.
    I don't even jump off shit anymore, I just want to ski around Alta, ski some pow and ride trail.
    Thanks again, that helps my dome.

  5. #5
    Join Date
    Jan 2014
    Posts
    2

    Go Slow... and have FUN doing it:)

    Quote Originally Posted by flowtron's ghost View Post
    Thanks Lindahl. That gives me some hope. I keep hearing 8mo, but have a good friend that blew up everything and was more on your schedule.
    I don't even jump off shit anymore, I just want to ski around Alta, ski some pow and ride trail.
    Thanks again, that helps my dome.
    I did a full ACL and high grade MCL December of 2012, surgery in January of 2013. I can relate to a lot of what is said here and had the good fortune of getting to chat with a few pros about injury comebacks this week. The best thing I heard was "go slow." Recovery can be such an agonizingly tedious process, especially living outside of Jh and watching my husband hit the pow up all season -- it was tough. Moreover, despite being very diligent about my PT program, my quadricep muscle just wasn't coming back... and my doc hadn't really released me to ski, but I went anyway, and I took my hope and my good sense of slowness with me. After the initial head trip and trauma on the slopes regarding the injury, not to mention the silly fatigue coming off 3000 vertical again, I eased back into the joy and remembered: SKIING IS FUN! Go Slow, keep your sense of humor and remember that you'll be back on the slopes in no time! Oh -- one guy told me I might have to go back under the knife to deal with some of the weaknesses, too, but I'm in no hurry. I'm happy to be back on the mountain, and even though I'm going slow, I surprised myself by being able to keep up wiht the boys on day three -- so you just never know

  6. #6
    Join Date
    Jan 2009
    Location
    Denver
    Posts
    213
    I too joined this club recently. 25yo and tore my right ACL on Decemeber 16th.

    I had surgery last thursday, the 9th at the vail valley medical center. I had my ACL reconstructed using my patellar tendon, and the doc also cleaned up a small tear in my miniscus. One week post op and I'm still using crutches, but weight bearing a bit.
    I've begun the tedious task of rehabbing and my ROM is coming back surprisingly quickly >0 degrees extension and ~115 flexion. My ski season is over, but I'm just hoping that i don't get over eager when it starts to warm up around here and hurt it again.

  7. #7
    Join Date
    Feb 2014
    Posts
    2
    Hi...
    Actually tore right ACL back in July playing roller derby. No big accident, not a lot of pain, just got my foot caught in a pile of people and couldn't stop the rest of my weight going sideways. I thought I felt a pop, but I'd seen a number of other people tear theirs and whatever was happening to them seemed much worse than what I was feeling, so I thought it wasn't that bad. Iced it, went to a doc in a box the next day and got x-rays, which of course showed nothing. I kept saying it just didn't feel right, but I passed the push-pull ACL mechanical tests, probably due to good surrounding muscle. It really didn't hurt much, or swell a lot, or even bruise. I rested it five weeks, tried to go back to skating, and no go. It buckled the second I tried to cut. Went to an ortho who supposedly specialized in sports med and passed another mechanical test. At that point I said screw it and decided I was imagining things, but it kept collapsing on me all last fall, every time my weight got off-center. I stopped trying to do anything athletic around Halloween after some scary falls. No skating, no snow. Finally got an MRI over Christmas when it nearly dropped me down a flight of stairs. ACL totally gone, but no meniscus or other ligament damage. Had patellar graft 1/7 with Lyle Cain at Andrews in Birmingham. Rehabbing in Seattle. I was way ahead of schedule -- easy quad sets the morning after surgery, -5 hyperextension and +116 flexion and stationary bike on day three, full weightbearing from day four. (No idea why I was so lucky -- I've always been athletic, but I'm also 36 and hadn't been working out hard in months bc of the instability.) But lately I've started having horrible stabbing pain every step I take. It's just to the outside of center, below the top of my tibia, well below the kneecap. It looks like it's below the screw on the diagrams. Maybe closer to where the patellar tendon attaches? I've been following the Andrews Accelerated Protocol and going to PT, doing the home exercises but not excessively. I told the PTs, but they don't seem concerned. Anyone had something similar? I had gotten my normal gait back and was pretty much pain-free, and now I can't make it to the mailbox without limping. I don't like the pain, but I can deal as long as it's not a sign that something's really messed up in there. It sort of reminds me of shin splints from hs track 20 years ago, but in a much smaller spot. I'd say the painful area isn't more than 2"x2". Ideas?

  8. #8
    Join Date
    Sep 2010
    Location
    Golden, Colorado
    Posts
    5,868
    Sounds like patella tendon issues. Best thing to do is to stay off it and take it easy. Once it calms down and becomes less inflamed, you need to strengthen your glutes and upper part of the hams. Some patella tendon pain is normal during recovery, but yours sounds 'not some'.

  9. #9
    Join Date
    Jun 2008
    Location
    SLCizzy
    Posts
    3,554
    Just got surgery yesterday. Hammy graft and a little meniscus touch up. Time to watch some Sochi!

  10. #10
    Join Date
    Feb 2014
    Posts
    2
    Gahhhhh. I've heard that's hard to get rid of. Sounds like they have me doing a fair amount of the right stuff at PT at least, and since I've used about four of the 80 hydros prescribed, I have recourse if it becomes truly unmanageable. Annoying though. Before this I had been thinking that I might go crazy from frustration and vague identity crisis issues, but at least the life of this boring, unfit person I'm starting to turn into didn't hurt...

  11. #11
    Join Date
    Feb 2014
    Posts
    2
    When: 2/2/14
    Where: Hoot Owl, Holiday Valley, NY
    How / Risk factors: 3rd day of skiing, sore legs, a little fog in goggles as there were put away wet the night before and crystallized between lenses on first run next day, infamous "last run" before driving home, encountered a downed skier going over a steep forcing me to a straighter / faster line, made first decelerating turn but hit bump on second turn with one foot, as I recovered right foot caught edge resulting in about 3 rag doll flips 60' down hill.
    Diagnosis: Near complete MCL, partial / high grade ACL
    Plan: Saw ortho post-crash days #1 and #8, MRI day #5. MRI read as 'total MCL tear, high grade ACL'. Since knee is stable on exam and no 'bone bruising', trying conservative management. If loosens, will plan ACL recon with patella in 4 weeks. Basically it's explained to me as hoping blood supply allows remaining ACL to live. If not, will loosen. Keeping fingers crossed.

  12. #12
    Join Date
    Jun 2008
    Location
    SLCizzy
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    3,554
    I'm just about 3 weeks post op, just got home from a doc visit. Everything looks and feels great. He has a more conservative take on rehab and PT immediately post-op, so I've been crutching at about 25% body weight for the past 2 weeks and working on ROM from about 0-90deg with some wall slides. I've also been doing some straight and side leg lifts and quad sets. Lots and lots of icing. I love that Breg machine.

    I got the clear today to start transitioning off crutches, so stoked about that.

    Going to my first PT appt tomorrow, should be pedaling a trainer in about a week.

    I got some fancy compression socks and sleeves to mitigate swelling as I stand a fair amount while at work, and have been working the supplement angle as well. Collagen, hyaluronic acid, astaxanthin, fish oil and vitamin E. Generally trying to make the joint happy and reduce scar tissue and inflammation.

    Progress feels good.

  13. #13
    Join Date
    Jan 2014
    Posts
    7
    Hi everyone,

    First timer here. I joined the club on January 5, up in Aspen. Tore my ACL with a partial tear to the MCL, LCL and meniscus. Last run, last day. Skied alone because my flight was canceled and everyone else in my group got out. Pretty cliche, pretty horrible. Wasn't focused and attacked a cat trail head on from a steep. Made a last second turn and my ski got caught, but my body kept moving. Had to ski the rest of the way down and heard another pop and crumbled to the ground. Skied the remainder on one leg.

    It was a pretty rough ride, and had to wait it out six weeks for surgery. Saw a bunch of docs and ultimately had the surgery just over two weeks ago. BTB patellar autograft. Luckily, the MCL and LCL didn't require any work, and the meniscus was a bit torn, but stable, so no work there either. Just the ACL replacement.

    The first 72 hours post op was hell. So much pain, even with the painkillers. Was on a CPM machine for eight hours a day until my first post op visit 12 days later. Also had to spend another two hours doing the towel under the ankle leg straightening exercise. Wasn't pleasant, but I just got the stitches out five days ago and started PT. Getting better day by day. Was able to turn the wheel on the stationary bike two weeks post op and I'm told I might be getting rid of the crutches and brace in a few days. Hoping for a speedy recovery.

    My goal is to ski Japan over the holidays next year. Any thoughts on whether this is possible?

  14. #14
    Join Date
    Feb 2014
    Posts
    30
    Joined the club officially today 11March, although the injury occurred on 19Feb. Pretty crappy story, skiing in the trees at Stowe, left ski snagged under a buried branch, lunged head first out of my tele's. I guess a little twist of the right leg while hyperextended popped the ACL. I wrote this up in another thread that I started back in Feb, so no more of the details here, except to say I was SHOCKED when we looked at the MRI today because I had very few symptoms and had convinced myself I dodged the bullet.

    Oh well. Doc wants to do allograft, I'm kind of worried about it. I'm 47 tho, weekend warrior type. Ski, hike, bike, swim, run, run, run. Guess allograft is OK?

  15. #15
    Join Date
    Nov 2009
    Posts
    69
    My ortho in the UK uses allograft as the method of choice these days even if the patient is young. He is a big player in the cartilage game over here and seems to know his stuff so I am sure you will be fine.

  16. #16
    Join Date
    Feb 2014
    Posts
    30
    Thanks for the encouragement.

  17. #17
    Join Date
    Mar 2014
    Posts
    4
    Hi ACL friends,
    Would love opinions about how to tell if you are over doing it with PT on the patellat tendon autograft. Below I share what I am doing, let me kniw what you think.

    Also: Any other tele skiers with an ACL injury out there?! Would like to hear about your return to tele skiing as inspiration!!

    Me: I tore mine 2/6 at Steamboat in zero visibility on my tele-skis and had patellar tendon autograft 3/6. I am about to turn 50 and have been tele-skiing for 30 years without major incident.

    It will be two weeks since surgery tomorrow and I can't figure out if I am over or under doing it in terms of PT, icing and walking around.

    Definitely in a lot of pain.i was surprised by how intense the pain is, as I thought I had a high pain threshhold. but i get on the exercise bike with snail-speed careful full rotations 30 mins/day, about 50 reps each of various supine leg raises, standing calf raises, bakancing and flexion exercises. i have full extension, but very, very stiff and stuck flexion not close to 90. Ditched the brace indoors~ feels so good to walk as normally as possible. Bad front of knee cap pain when i push for a little more flexion in any of the exercises or walking.

    I also have a weird complication of the nerve block from surgery still numbing my upper thigh. Feels like a chemical burn.

    Any thoughts about over or under doing?

  18. #18
    Join Date
    Mar 2014
    Posts
    4
    Quote Originally Posted by meatball66 View Post
    Oh well. Doc wants to do allograft, I'm kind of worried about it. I'm 47 tho, weekend warrior type. Ski, hike, bike, swim, run, run, run. Guess allograft is OK?
    Hi there,

    I did a ton of research on allo versus auto graft and it was a tough decision, but i went with patellar tendon, two weeks ago. The reason i chose patellar tendon is that it seems to be the tightest, best graft over time. I am about to turn 50, and expect a long several decades of athletic pursuits (telemark, aikido, yoga, running, hiking) and want to give myself the best possible ACL for that future.

    I discovered in the research that the 3 most common options (cadaver aka "allo" and the two auto options - patellar tendon and hamstring) are something that orthopedic surgeons spend hours debating at conferences and in papers. There is no perfect option. Each has downsides. There are convincing arguments for and against each. The key is getting a great surgeon who loves to do the type of graft you want, then then a great physical therapist who can educate and motivate. i am just at the beginning of the rehab odyssey myself, and i can already see how much dedication and peristence, as well as good judgment this journey will require.

    Good luck!

  19. #19
    Join Date
    Aug 2007
    Location
    Burlington, VT
    Posts
    106
    I joined the ACL Class of 2014 on Feb 17th. I'm a volly patroller at Jay Peak. I skied hard 2/14 - 2/16 after a big storm in the northeast dumped a bunch of snow. My calfs on both legs were really sore from skiing hard Fri, Sat, Sun. I'd never really felt sore calf muscles like that from skiing, which I thought was strange. On Mon 2/17, I was supposed to do my morning trail check off the tram (Tuckermans to Everglade), but on the walk to the low-mountain lift that takes us over to the tram from stateside, a call came over the radio from Lift Maintenance that the tram would be on wind hold for a while. I turned around and headed for the Bonnie Quad. When I got to the top, I got a second trail to check because the tram (and presumably the Flyer) were on wind hold. My assignment was Deliverance, which is quite a rugged glade run. I had two friends with me, who really weren't supposed to be there on morning trail check but I had pulled some strings. I asked them if they needed a warm-up run and they said no, let's do it. I said you two go first -- in case anything happens, I got your back. 10 turns into the main chute, I caught a ski on a root in the middle of the chute and folded my leg under myself -- heard and felt a loud pop in my knee and just said F*CK! I stood up and tried to shake it off. I ended up skiing out on it. I'd have to be unconscious to ride in a toboggan. It buckled in unnatural directions a few times skiing the soft-ish bumps between the trees on the way out.

    I got the MRI a few weeks later which confirmed the ACL was fully torn. Possible minor meniscus damage, but probably not enough to repair. Hamstring Autograft is scheduled for this coming Tuesday, March 25. I don't really know what to expect as stories I've heard have been all over the board in terms of when I'll be able to walk without crutches, go mountain biking this summer. OS thinks I should be fine to ski next winter 2014/2015.

    I got a DonJoy knee brace last week with another big storm coming in. Doctor said it would be fine to ski with the brace since it's feeling really good and I can run on it. It only seems to buckle on full extension when I'm not paying attention to it. Skied mostly intermediate terrain this past weekend with the brace on. Felt pretty good, but I was pretty nervous about it, so I was very tentative.

    37 year old male, been skiing since I could walk
    6 year volunteer patroller - averaging about 50 days per season
    First time ACL injury, I think. My PA said often times a fully blown ACL was torn to begin with.

    I used to run the east coast tour for TGR, but strangely enough, I haven't been that active on the forums so I just discovered this section. Great stuff on here!

    My goal is to go heli-skiing in AK for my 40th birthday in 2016 and ski like this never happened.

  20. #20
    Join Date
    Mar 2014
    Posts
    1
    Sad to say, itlooks like 2014 is my year. Blew the right knee March 22 on a little turn at Stevens Pass. Tired legs and couldn't snap the backs of my skis around a bump, crossed tips, somersaulted and my bindings didn't release. Heard two very loud and distinct pops. Had MRI Thursday and the tech slipped that the ACL was gone. It was his avoidance of my other questions and him asking me whether I'd had surgery on that knee before (I haven't), that has me losing sleep imagining what else I've done. MRI reading scheduled for Monday but I'm already pretty sure this guy isn't my guy. Too many geriatric patients in the waiting room.

    Am wondering if anyone has recs (pros and cons) for ortho in Seattle. Thanks!

    Good luck to everyone in here.

  21. #21
    Join Date
    Sep 2013
    Posts
    732
    Blew out my left ACL and tore my meniscus last week. Second time, same knee. First surgery was August 2011, hammy graft. Started skiing spring of 2012, being cautious but feeling good. The following winter 2012/2013 felt great, skied strong, even threw some backflips and sent some rather large cliffs. Knee felt great during all activities. This season was going great as well, skiing strong, etc.

    Last week I took an awkward fall, went backseat and body twisted, I immediately knew I blew out my knee again. It's been really hard for me these last two weeks coming to the realization that I'll be enduring another surgery and everything else that comes along with it. Doing a cadaver this time and am a bit nervous about it but really don't have another option, doc says patella would be too much trauma for my knee on a second ACL surgery.

    Trying to stay positive throughout everything, but my worst nightmare happened. Surgery set for April 8th.

    Anyone in here a second timer on the same knee?

  22. #22
    Join Date
    Dec 2012
    Location
    right down zee middle
    Posts
    3
    Just went through with an allograft and menisci repair 6 days ago. Full ACL tear back in April 2013 and both menisci damaged. I think I'm doing fairly well with rehab although the first 2 days hurt pretty good. I can walk with no crutches in a knee immobilizer and have over 90 deg flexion and zero extension at my 5 day post op PT. My theory is that waiting a full year for work reasons allowed me to return to normal use of the knee after the injury. Before surgery, the knee to receive the work was as strong as the other, but I knew from little occasions of instability and one total give out that skiing was not going to happen unless I had it fixed. It took me 6 months to realize that when I jumped off a machine last year and my knee totally gave way and hurt way worse than when I tore the ACL. I'm going to try and be careful, work hard and be back on the slopes come January 2015. Good luck to my fellow classmates.

    I'm interested in others recovery as it seems to be all over the place. The first surgeon I met with told me I would walk out of surgery without crutches or a brace?

  23. #23
    Join Date
    Aug 2007
    Location
    Burlington, VT
    Posts
    106
    I had my ACL surgery back on April 1st. Hamstring autograft. Rehab is going pretty well. Two quick questions I have:

    1) Any suggestions of summer footwear? I live in my flip-flops most summers, but thinking it may be better to wear something more supportive this summer. Still like to be able to go sock-less and not have super gnar stankfoot.

    2) Any thoughts as to when the numbness in the skin around my knee might dissipate or is it possible that nerve damage from the surgery is permanent and I may never regain full feeling in the skin around my repaired knee?

    I hope others in the ACL class of 2014 are recovering well with or without surgery.

    Thanks!

  24. #24
    Join Date
    Jun 2008
    Location
    SLCizzy
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    3,554
    Quote Originally Posted by djtnut View Post
    I had my ACL surgery back on April 1st. Hamstring autograft. Rehab is going pretty well. Two quick questions I have:

    1) Any suggestions of summer footwear? I live in my flip-flops most summers, but thinking it may be better to wear something more supportive this summer. Still like to be able to go sock-less and not have super gnar stankfoot.

    2) Any thoughts as to when the numbness in the skin around my knee might dissipate or is it possible that nerve damage from the surgery is permanent and I may never regain full feeling in the skin around my repaired knee?

    I hope others in the ACL class of 2014 are recovering well with or without surgery.

    Thanks!
    1). I think you'll be fine in flip flops by June. Just don't go hiking and do shit where you'd normally be like, "Ideally, I shouldn't be wearing flip flops right now." I'm at 12 weeks and I got in flip flops at about 9 weeks, and that was purely weather related...plus I've been fairly conservative in my rehab as far as trying to avoid doing something dumb.

    2) it took my knee about 6-8 weeks to starting feeling right. I wouldn't worry about it.

  25. #25
    Join Date
    Feb 2009
    Location
    Denver, CO
    Posts
    16
    When: 4/5/14
    Where: Berthoud Pass (Corner Pocket)
    How: There was a bit of a wind crust (which I knew before dropping in), and somehow I must have caught an edge a few turns in and started tumbling rapidly forward. One ski released, the other did not, and I felt 2 slight pops in the knee on that leg. I came to a stop and thought, "well that escalated quickly." I didn't feel any pain, but did look over my legs to make sure nothing was out of place given the violent tumbling. I still don't know exactly how the fall happened, but I don't think I hit a rock.
    Exit: I was able to slide down to my other ski without any pain, and then started to put my other ski on. At that point, I suddenly felt a sharp pain and knew that something was not right. I was able to walk down a bit farther with poles once my friends grabbed my skis, but then started post-holing once the terrain became flat (it wasn't pleasant). With the new Broome Hut so close, one of my friends skinned up there to see if they had a sled. He luckily ended up finding one buried in the snow, and pulled it all the way back to where the rest of us were waiting. It made for a much more enjoyable exit back out to the highway. I was able to walk okay that night, but the knee got very swollen the next day (leading to crutches for first week).

    Diagnosis: MRI 2 days later confirmed a full ACL tear and a slight tear in the medial meniscus
    Plan: I met with Dr. Andrew Parker (Colorado Avalanche team doc) today after an initial less than stellar visit with another ortho doc, and really liked him. Surgery is scheduled for May 22, using a 4 strand hamstring autograft (and likely meniscus stitching). I'm currently going to PT once a week pre-op, biking on a trainor, and doing some light biking outside (just doing laps around the park on my mountain bike).

    I will say that Gimp Central has been a huge help so far regarding what to expect, recommendations etc. I look forward to contributing any do's/don'ts I discover on the road to recovery.

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