instruction: hello doctor my knee is locked in hyperextension I had an injury on my knee had lateral damage that was fixed by knee scope this was successful however about two months ago I twisted the wrong way and my knee got caught in hyperextension I saw my orthopedic surgeon and he told me I had a high rise patella and chondromalacia we did synvisc and cortisone and physiotherapy but my knee is still caught in hyperextension and cannot fix it I am only 32 years old so I need my mobility but now I am in pain and can barely move any thoughts right now I am on naproxen and tylenol
output: hello from what I can read and understand by the brief history you have given is that there can be damage to ligaments and meniscus in your knee can you please elaborate on the range of motion of your knee if it is barely movable it means that probably some tissue either meniscus or soft tissue is stuck causing block to the range of motion also are you having hyperlaxity generally people who have hypermobile joints tend to go for hyperextension also kindly update the details of your surgery was there all reconstruction as well as you pointed high rising patella alta is more responsible for patellar dislocation subluxation rather than knee hyperextension do attach a copy of the mri you have