Training around shattered knee
Posted: Wed Nov 30, 2022 1:37 am
I have a trainee with a significant knee injury we're trying to figure out how to work around, if possible.
Trainee is in her 20's with Osgood-Schlatter Disease, which caused the tendons in her knee to slack and dislocate four years ago, and when she fell the force of her body snapped the lower portion of her knee, shattering the kneecap. For whatever reason (pain tolerance, secret CIA sleeper agent, whatever) she was under the impression it was a dislocation and continued to walk and train for 9 months (Editors note: What the fuck?) and proceeded to - get this - get a 375 squat PR in mom jeans, (she says to depth) the DAY BEFORE KNEE SURGERY. During the surgery she came out of anesthesia and her movement sustained further damage to her knee, causing her retirement from lifting at that point in addition to causing 3 nerve blocks in her knee so she can't feel much.
Her official diagnosis is: Torn ACL, meniscus, and hamstring, a shattered kneebone, and Osgood-Schlatter disease per above. Her knee is noticeably damaged and missing some muscle.
Working exceptionally cautiously, we tried to find her RPE8 and stopped at 145@9 or 10, with knee wraps. She was a few inches shallow, and she wrapped the wraps herself and said it felt considerably better.
A) Is this trainee well advised to continue squatting as usual, what if any accommodations might be suggested?
B) Should this trainee be strict about hitting depth (she is not interested in competing at a meet) or, considering the damage, is shallow squatting allowable (or necessary)?
Trainee is in her 20's with Osgood-Schlatter Disease, which caused the tendons in her knee to slack and dislocate four years ago, and when she fell the force of her body snapped the lower portion of her knee, shattering the kneecap. For whatever reason (pain tolerance, secret CIA sleeper agent, whatever) she was under the impression it was a dislocation and continued to walk and train for 9 months (Editors note: What the fuck?) and proceeded to - get this - get a 375 squat PR in mom jeans, (she says to depth) the DAY BEFORE KNEE SURGERY. During the surgery she came out of anesthesia and her movement sustained further damage to her knee, causing her retirement from lifting at that point in addition to causing 3 nerve blocks in her knee so she can't feel much.
Her official diagnosis is: Torn ACL, meniscus, and hamstring, a shattered kneebone, and Osgood-Schlatter disease per above. Her knee is noticeably damaged and missing some muscle.
Working exceptionally cautiously, we tried to find her RPE8 and stopped at 145@9 or 10, with knee wraps. She was a few inches shallow, and she wrapped the wraps herself and said it felt considerably better.
A) Is this trainee well advised to continue squatting as usual, what if any accommodations might be suggested?
B) Should this trainee be strict about hitting depth (she is not interested in competing at a meet) or, considering the damage, is shallow squatting allowable (or necessary)?