I have just had my 12wk follow up X-Ray today, following Tibial Tubercle Transfer/Osteotomy (TTT) and LR, which was done at the start of Sept 2010.
I have had major set backs to my recovery, including Femoral Nerve Injury recently discovered by EMG testing, severe Quad (particularly VMO) atrophy, ongoing subluxations due to muscle imbalance and at 12 wks only have 30 degrees passive flexion and still require crutches to ambulate. I also have suspected Complex Regional Pain Syndrome/Reflex Sympathetic Dystrophy, although my Neurologist, withdrew this suspicion and said it was not CRPS/RSD only 5 days ago as I didnt have all the symptoms. He has not seen this latest X-Ray report.
I would be so grateful if someone could interpret the report for me please.
There is interval development of numerous subtle subarticular lucencies involving the distal left femur, patella and left proximal tibia over the medial aspect and features are strongly suspicious of reflex sympathetic disuse dystrophy. In addition there are subtle cresentic lucencies involving the femoral condyle in the subarticular region. Suggest further evaluation with bone scan +/- MRI. Joint effusion noted. The left tibiofemoral and patellofemoral joints are held in alignment with well preserved joint spaces.
What are subarticular lucencies?
What are cresentic lucencies?
What is the femoral condyle?
Any comments would be appreciated!!