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Author Topic: MRI Results - sound a bit doom and gloom  (Read 522 times)

Offline egigs33

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MRI Results - sound a bit doom and gloom
« on: August 12, 2017, 12:26:38 PM »
Hi everyone! I'm new to this forum - thanks in advance for any feedback/advice you can provide.

Background: I am an active 27 year old. Knee issues first began when I was 14 with my first left patella dislocation. Had 2 arthroscopic surgeries to remove loose cartilage (they missed a few pieces the first time around). My second dislocation was when I was 20, and had another subsequent arthroscopic surgery to remove loose cartilage. My most recent dislocation was this past April.

I have had chronic pain in my left knee, mainly medial and lateral, but sometimes behind the knee as well, which has been getting worse over the years. My right knee isn't painful but there is significant crepitus.

After 6-8 weeks after my most recent dislocation things seemed to be going well, but after a bit too much volume in the gym I started to get constant swelling in my knee. So off to the specialist I went, who recommended an MRI of both knees. I've included the results below. Unfortunately the next available appointment with the specialist isn't for 3 weeks so I'm stuck with results that I don't fully understand but don't sound great when including words like 'advanced degeneration' and 'widespread fissuring.' Any insight provided would be greatly appreciated!

MRI Report:

Left Knee

There is a moderate sized joint effusion with an associated synovitis.
There is advanced degenerative change of the patellofemoral joint with focal
areas of grade 4 chondromalacia at the patellar apex as well as the
trochlear groove. There is mild subchondral marrow oedema noted in
association with this. There are a few loose fragments noted within the
suprapatellar pouch, ? chondral.

There is minimal degenerative change of the lateral compartment with
preservation of the medial compartment cartilage. The trochlear groove is
shallow with the medial patellar facet slightly hypoplastic which may
reflect a patellar tracking abnormality.

The anterior and posterior cruciate ligaments are intact as the menisci and
collateral ligaments. The extensor mechanism is preserved.

There is a small ganglion of the proximal tibiofibular joint measuring 16mm
x 4mm.

Impression:
Advanced degenerative change of the patellofemoral joint. This may reflect
an underlying patellar tracking abnormality. There are a few loose
fragments noted within the suprapatellar pouch, ? chondral.
Minimal degenerative change of the lateral compartment with no other
significant internal derangement.

Right Knee

There is a small joint effusion. Widespread grade 2/3 chondral fissuring of
the patella is noted. The cartilage of the trochlea groove is intact.

There is no other osteochondral abnormality. The medial and lateral menisci
are normal as are the cruciate and collateral ligaments. The extensor
mechanism is intact. The supporting structures posterolaterally and
posteromedially are normal.

Impression:
Widespread grade 2/3 chondral fissuring of the patella.
No other significant internal derangement.

Offline Brandon123

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Re: MRI Results - sound a bit doom and gloom
« Reply #1 on: August 14, 2017, 09:09:30 AM »
Hi egigs33,

Yep, it definitely looks like you have some issues in your patellofemoral joint(s). But I think you should now just wait and see what the specialist says. How is your knee doing now?

Offline kythreas1

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Re: MRI Results - sound a bit doom and gloom
« Reply #2 on: October 11, 2017, 01:12:38 PM »
I would say theMRI shows some moderate cracking of the cartillage behind the knee cap which appears to be due to an anatomical defect of the bones which you were born with.
I think the OS may advice surgery.

 















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