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Author Topic: MRI results - meaning?  (Read 214 times)

Offline lisajs68

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MRI results - meaning?
« on: October 28, 2017, 04:57:53 AM »
I had an MRI & have an appointment in a few weeks with a specialist. I was wondering if anyone can clarify the results in the meantime, I'd like an idea if possible before I go in. Any comments welcome.

The menisci are intact.

 There is mild fissuring and irregularity of the weightbearing cartilage of the medial femoral condyle with evidence of a small high-grade  fissure & a tiny area of adjacent reactive bone marrow oedema. the cartilage in the medial tibial plateau is intact. the lateral tibiofemoral cartilage is intact.

There is patellofemoral joint degenerative change with areas of high-grade fissuring in the lateral patellar facet and reactive bone marrow oedema. There is minor fissuring of the inferior trochlear.

All ligaments & tendons are intact.

Thanks.

Offline Vickster

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Re: MRI results - meaning?
« Reply #1 on: October 28, 2017, 10:28:50 AM »
It means broadly that you have some mild arthritis (damage to the articular cartilage, shiny stuff covering the bones) on the weight bearing part of your femur on the inside (condyle is the knobbly bit at the bottom of the thigh bone). Bone marrow oedema means that there is some inflammation in the bone under the  You also have similar on the outside bit of the back of the knee cap and to the groove in which the kneecap sits and moves (trochlea), one bit of damage may have caused the other

How old are you? This could be wear and tear that happens often over time? Or Do you run a lot? Do a lot of high impact sport or activity?

You need to discuss with the specialist why this has happened, age or impact. Unfortunately, there aren't any great options to fix this, but you can reduce the pain hopefully with physio (and get the muscles strong to hopefully stop it getting worse, pain meds, there are also some injection options (avoid steroid as this can make such damage worse or more widespread). Doesn't sound too serious, other structures ok, but could be sore. Avoid doing things that make it hurt if you can :)

There are good primers on arthritis and anatomy in the learning portfolio above

http://www.kneeguru.co.uk/KNEEnotes/learning-portfolio#Primers

Good luck :)
« Last Edit: October 28, 2017, 11:54:46 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline lisajs68

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Re: MRI results - meaning?
« Reply #2 on: October 29, 2017, 11:40:53 PM »
Thanks for the reply. I'm 49 years old, so it could be wear & tear I guess. Not into running or high impact sports, so shouldn't be that!

Offline SuspectDevice

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Re: MRI results - meaning?
« Reply #3 on: October 30, 2017, 01:01:49 AM »
Does anything hurt?

If not, sounds like you don't have much to worry about.  An MRI of any 49yo knee will show the type of wear & tear yours shows....unless the knees have been in zero gravity in space for 49yrs!

If it is not causing you pain or limitation, be happy and get on with life without worrying.  If there is pain or limitation, avoid surgery like the plague until you have tried the things Vickster mentions. Messing around inside your knee with surgical instruments is a sure path to more grief IMO.
L Medial menisectomy May 2012
PFPS in both knees ever since
Pre-CRPS diagnosed 2014
Also looking into Dr Scott Dye's Tissue Homeostasis & Envelope of Function work
2017 - 80+% cured thanks to Dr Dye's research
2017 - first small triathlon in 5yrs
2017 - back to 30% of training volume - that'll do!

Offline lisajs68

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Re: MRI results - meaning?
« Reply #4 on: November 13, 2017, 11:42:11 PM »
Thanks for the reply. I was going to the gym, doing leg extensions with quite light weights & gradually developed stabbing pain behind the kneecap, which came & went, also had the same pain sometimes when walking (if I stepped wrong I think), pain on stairs & aching at night. Stopped the exercises & seems to have settled down mostly.