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Author Topic: MRI Report What do you think?  (Read 1343 times)

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Offline drjrowe

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MRI Report What do you think?
« on: August 11, 2006, 12:22:22 AM »
New to the Board.  Would appreciate any feedback to my MRI report.

Osteophytes are noted medially and laterally with moderate to marked narrowing of the medial knee joint space indicative of osteoarthritis.  There are mucinoid and/or myxoid degenerative changes of the hyaline cartilage in the medial meniscus, with altered morphology in the posterior horn, due to superimposed medial meniscal tear.  Moderate joint effusion is present with a plica in the suprapatellar bursa.  There is a small degenerative pseudocyst in the proximal tibia underneath the medial tibial spine.  There is no evidence of tear in the MCL, and LCL, lateral meniscus, popliteus tendon, ACL and PCL, patellar retinaculum, quadriceps and patellar tendons.  Changes due to grade III-IV chondromalacia are seen in the medial compartment, with alteration of the bone marrow signal pattern in the adjoining bones.

Offline stgiles16

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Re: MRI Report What do you think?
« Reply #1 on: August 11, 2006, 03:37:40 AM »
Hi, I can help with some of it but some of it is greek to me too.

Osteophytes are bone spurs and you have them in the medial (inside) and lateral (outside) of the knee with a good bit of joint space narrowing. That means that you have OA and that the space between the femur and tibia is narrowing due to the cartilage wearing out.  You have some sort of changes in your medial meniscus (inside of the knee) and a weird signal in the posterior horn of the meniscus (back of the knee).
Moderate joint effusion is simply swelling and you have a plica in the supraatellar bursa. A plica is a piece of tissue, left over from when you were in the womb. Not everyone has them. They can become inflamed and quite painful. Yours is in the surprapatella ( above the kneecap) bursa (a fluid sack above the patella, you have bursa in other places but that is what this one is talking about)
some sort of cyst on the tibia but this section is beyond me, sorry

You have grade 3 and 4 chondromalaysia (softening of the articular cartilage) in the medial compartment ( the inside section of the knee , meaning the lower part of the femur and upper part of the tibia) grade 4 is down to the bone damage. altered bone marrow signal could mean a bone bruise or it could be from the exposed bone of the grade 4 chondro. 

The good news is , your MCL, LCL, lateral meniscus (outside meniscus), tendons, ACL, PCL , are all in great shape.

sorry that I could not translate it all. hope this helps some. If you want to learn more about plicas , go to click on education and then click on "what is a plica" It is pretty good in explaining it.

good luck
2 ligament recons right ankle
2 arthroscopic,
5 open knee procedures
2 Plica removals
bone spur removal
2 microfractures
4 debridements
2 open LOAs all on left knee
Arthritis,both knees, ankles, shoulders, elbows, hands,spine
LOA & PKR 2/15/06
in pain mgmt
TKR JAN 2012

Offline drjrowe

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Re: MRI Report What do you think?
« Reply #2 on: August 14, 2006, 05:10:22 PM »
Thank you for your reply.  I am scheduled for surgery this Friday August 18.