KNEEtalk

The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: Marcus Smart on October 24, 2014, 08:56:15 PM

Title: Can you interpret my MRI results?
Post by: Marcus Smart on October 24, 2014, 08:56:15 PM
Hello all,

A little background. I am a recreation basketball player. I have been playing for as long as i can remember (I am 30 years old now). I developed knee pain about 4 years ago that i thought was some kind of meniscus tear. I basically stayed off of it for a few years thinking it would heal on it's own. I decided to play basketball recently and encountered the same sharp pains. I finally decided to see the doctor and have an MRI done. Can someone please decipher the results for me?

Findings:

The anterior and posterior cruciate ligaments are intact. The extensor mechanism and patellar tendon
are unremarkable. The medial and lateral collateral ligaments appear normal. There are prominent
chondral defects again seen involving the patellar apex and medial facet with subchondral edema and
cystic change. There are now more conspicuous cartilaginous defects along the femoral trochlear apex
with subchondral edema and cystic change. There is no evidence of a meniscal tear. No significant knee
joint effusion is identified.

Impression:
More conspicuous high grade chondromalacia of the patellofemoral joint. No evidence of a meniscal
tear.
Title: Re: Can you interpret my MRI results?
Post by: vickster on October 24, 2014, 09:46:11 PM
Unfortunately, it seems you have softening (chondromalacia) to the gristle cartilage on the back of the kneecap (the pointy apex and the medial - inside - part) and correspondingly the trochlear surface - the groove the knee cap sits in, and some fluid / damage to the bone underneath the cartilage.  This may be down to the high impact sport or possibly the kneecap doesn't move correctly in its groove

In the information hub, there's a patella primer which might help you understand the anatomy and to put questions together for the specialist when you discuss the results

http://www.kneeguru.co.uk/KNEEnotes/primers/patella-primer

Good luck :)
Title: Re: Can you interpret my MRI results?
Post by: Marcus Smart on October 24, 2014, 10:34:13 PM
Thank you very much for the reply! I still don't totally understand everything (the doctor was very vague and simply told me that my kneecap was the problem and i had the onset of arthritis) so i'm still left wondering exactly what this is. I will investigate further with the link that you gave me. Thank you.
Title: Re: Can you interpret my MRI results?
Post by: vickster on October 24, 2014, 10:36:53 PM
This may also help explain stuff about arthritis (damage to the shiny cartilage on the bones)

http://www.kneeguru.co.uk/KNEEnotes/primers/joint-cartilage-and-arthritis-primer  :)