Advertisement - Hide this advert





Author Topic: Please Help Translate MRI  (Read 1913 times)

0 Members and 1 Guest are viewing this topic.

Offline icjeff

  • MICROgeek (<20 posts)
  • *
  • Posts: 2
  • Liked: 0
Please Help Translate MRI
« on: March 11, 2006, 04:23:12 AM »
My wife suffered a knee injury on 2/16/6 and had an MRI performed on 3/9/6.  Here is the report:

PRELIMINARY RADIOLOGY REPORT

STUDY TYPE:  MR R KNEE

CLINICAL HISTORY / INDICATION FOR EXAM:

COMPRESSION INJURY OF RT KNEE
KNEE PAIN

FINDINGS:

There is a moderate joint effusion.  Bone marrow edema pattern in the posterior lateral tibia plateau and distal lateral femoral condyles are consistent with bone contusions.  There is a bucket handle tear of the posterior horn and body of the medial meniscus with anterior displacement of the truncated fragment.  There is a complete tear of the anterior cruciate ligament.  There is associated anterior translation of the tibia with respect to the femur.  There is some abnormal signal in the femoral insertion of the posterior cruciate ligament but the ligament itself appears intact. There is abnormal signal in the deep fibers of the medial collateral ligament. There is a popliteus tendon tear.  There is abnormal signal in the lateral collateral ligament without high-grade discontinuity.

There are multiple foci of abnormal signal within the marrow of the femur and tibia.  Clinical correlation advised.


END OF REPORT****************

Female, age 35, 5'7", 142 lbs, healthy and active, previous knee strains on the right knee that did not previously involve medical treatment, only RICE.


We have scheduled a consultation with an OS at the earliest possible date of 4/12/6.

Any help that someone could provide would be greatly appreciated.  Thank you for your consideration.

-Jeff
« Last Edit: March 11, 2006, 04:34:59 AM by icjeff »
-jeff

Offline sharshar

  • Regular Poster
  • ***
  • Posts: 106
  • Liked: 0
  • San Francisco, CA Baltimore, MD
Re: Please Help Translate MRI
« Reply #1 on: March 11, 2006, 05:42:23 AM »
The main things I understood from skimming the report is that your wife has an ACL tear, a tear in her medial meniscus (inside cartilage), a possible MCL tear, and a bone bruise. Often, the ACL, MCL, and meniscus are injured together -- this is referred to as the "unhappy triad". Bone bruises also can arise from tearing the ACL.

MCL tears heal by themselves, as do bone bruises with time. She'll most likely need surgery for her meniscus and ACL. I'm so sorry!!

In the meantime, her knee might feel unstable because of the ACL rupture. It would be good to avoid instability episodes, as the meniscus can be torn further. People with ACL tears often do some physical therapy before surgery to strenghten the surrounding muscles of the knee. Best wishes at the OS appointment and I'm sorry to hear of your wife's injury!
January 2006 - left knee: ACLR (allograft), partial lateral meniscectomy (~20% trimmed)

June 2007 - left knee: lateral meniscectomy (~5% trimmed), medial meniscectomy (~5% trimmed)

Offline icjeff

  • MICROgeek (<20 posts)
  • *
  • Posts: 2
  • Liked: 0
Re: Please Help Translate MRI
« Reply #2 on: March 11, 2006, 06:09:32 AM »
Thank you schwack for your kind comments and for the helpful information.

Do you have any idea what the last 2 sentences of the report might mean?

"There are multiple foci of abnormal signal within the marrow of the femur and tibia.  Clinical correlation advised."

Thanks again for your help.

-jeff
-jeff















support