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Author Topic: 5 x 3mm area of full thickness chondral edema of the.... ????? Help please  (Read 7317 times)

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Offline Mpls21

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These 2 comments in my MRI report have me really worried.  Can anyone help translate while I wait for my appt with the OS in 2 weeks.

5 x 3mm area of full thickness chondral edema of the posterier weight bearing portion of the tibial plateau, indicating an area of interval chondral injury and full thickness chondromalacia.  This includes a small central focal area of apparent chondral fissuring.

And... moderate sized area of Grade III chondromalacia of the medial femoral condyle.  Areas of near full thickness chondral loss in this region are noted.

 :-\ :'( ???

Offline kittent1211

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Sounds like you've worn out your cartilage that covers the end of your bone so that you now have bone rubbing on bone.  There are many different fixes for this.  Here is my doctor's web site, you can find a lot of information on Cartilage regeneration.  Which proceedure is the right one for you will have to be a decision made between you and your OS.  Go to this site and then click on the "Cartilage Restoration Center" logo.

http://ubsportsmed.buffalo.edu/cartilagecenter.html

Teresa

Offline blackbeltgirl

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For what its worth - add a heaping teaspoon of salt to any mri analysis of articular cartilage.  MRI, even with dye injection, does a poor job of imaging articular cartilage.  You could have more or less damage that was determined from the mri.  So whatever you do goign forward, ask a lot of questions.  Don't jump into anything. 

Once you meet with your OS, do some research.  I like www.cartilagedoc.com for articular cartilage health.  It is run by one of the nation's experts in articular cartilage health, and has an extensive library of articles on maintenance and repair techniques.

Good luck.
Jess
ACI was supposed to be 2/21/06.  On 6/29/06 Insurance co said have another scope, and if it still looks good, they'll ok the ACI.
Microfracture Dec 7, 2004
   3cm x 6cm lesion, LFC; 3cm x 1cm lesion, trochlear groove; lateral tibial plateau lesion
2nd degree black belt, tae kwon do (had to stop)

Offline Mpls21

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Thank you for the replies.

I was initially hugely relieved when I started reading the MRI...  I was diagnosed with Avascular Necrosis of the Lateral Femoral Condyle last January, and the beginning of the report dealt with how 1 of the AVN leisions was almost completely resolved, and the other was continuing to improve... then I got to the words, "full thickness" and my heart sank.  I was hoping it was just swelling or something because the popliteal cyst is back again.

This cartilege loss/injury/edema... whatever,  isn't even in the same area as the AVN!   

No Mas. No Mas.

I should have listened to my mother when she told me not to keep playing hockey when I was already hurt.

I see the doctor on Thursday and I want to be prepared to discuss the possibilities.  I am guessing it's beyond microfracture, but I honestly have no idea. 

Thanks again for the replies.
« Last Edit: March 18, 2006, 04:58:42 AM by Mpls21 »

Offline kittent1211

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Let me know the outcome of your OS appointment. 

Teresa

Offline Mpls21

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Re: 5 x 3mm area of full thickness chondral edema of the.... ????? Help please
« Reply #5 on: September 12, 2006, 05:52:16 AM »
Hi all, and again thank you for the responses.  I am continuing to have serious problems with this knee, and now have developed problems in my, "good" knee. 

The doctors all seem so totally laissez faire about all that has been going on.  I have been in a great deal of pain every day now for three years.  They've sent me to PT, I've had about 8 MRIs, and most recently a bone scan that was absolutely lit up all around my "bad" knee.  All they've said about that is that it looks less like AVN and more like arthritis. 

I've just undergone a round of Synvsc injections which have done absolutley nothing, I've had multiple cortisone shots which have done absolutley nothing, and now my "good knee"  after 3 years of limping, crutching and caning off my "good knee" is swollen up like a watermelon, and all of the symptoms are of a large baker's cyst... which I know means there's something else going on.

I can't take this anymore.  I've gained a ton of weight over these past three years because I can't even go grocery shopping.  I get about half way around the store and have to sit down because my legs hurt so badly.  I had a "pain management specialist," say to me, "well of course your knees hurt, look at the size you've gotten to. "  I can't believe I didn't throw something at him!!
Gee... maybe I'm this big because I can't MOVE anymore!

I don't know what to do anymore.  I'm tired of the pain.  I don't want to work or do anything.  I know I'm getting depressed from all of this, but I can't seem to get anyone to believe how much pain I am in.  Apparently... if it doesn't meet some sort of previously seen criteria... it doesn't hurt.

God... I don't even know what I'm looking for here, or why I'm even trying anymore... sorry for taking up your time.















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