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Author Topic: Exploratory arthroscopy  (Read 962 times)

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Offline flahockey

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Exploratory arthroscopy
« on: December 01, 2006, 03:02:19 AM »
I posted here a couple of months ago and have run the gamut of different treatment options. (My original post is here.)

I had an MRI in September which came back with the following:

Quote
1. Small joint effusion and a small Baker's cyst.

2. No meniscal tear, either medial or lateral.

3. Intact appearing ACL with some intraligamentous increased signal near its distal insertion, which could reflect the sequelae of a prior injury, possibly a prior distal sprain. There is no complete tear or high-grade partial tear seen and there is no evidence of any distal laxity.

4. Cystic change beneath the tibial spines, which may be stress related from the localized ACL derangement or may be degenerative in character or may be related to a remote injury.

5. Low-grad chondromalacia, more evident along the medial patellar facet.

I ended up doing PT, which included ionto treatments.  Nothing helped... PT seemed to slightly aggravate it. A little more than five months later, the doctor suggested an exploratory arthroscopy to figure out what's going on.  He officially called it "internal derangement." My doc also said it could be a loose body, but wouldn't that have shown up on an x-ray or the MRI?

So, I guess my questions are: Has anyone had a normal MRI and undergone an exploratory arthroscopy and ended up having the doc discover something that wasn't there? (Is that common?) Also, is it just me, or does No. 3 and 4 suggest the radiologist just didn't know?  Are those items abnormal enough to note, but not to the point where someone would say, "Yup, it's torn." ?  If it is a partial tear and the doc is already in there, would he have to reconstruct it?

My surgery date is Dec. 14, so I'll try to check in with an update. 

But in the meantime, if anyone can offer some insight, I would greatly appreciate it. :)
6/06 - Injured right knee playing ice hockey
9/06 - MRI ("internal derangement")
12/06 - Arthroscopic surgery
Previous injuries: TFCC avulsion (wrist), torn labrum (shoulder)

Offline flahockey

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Re: Exploratory arthroscopy
« Reply #1 on: December 01, 2006, 03:08:15 AM »
Ohhhh.... And I forgot to mention...

One symptom that cropped up in the past couple of months is the fact I can't sit in the figure-4 position (where my right leg is bent and the ankle rests on the opposite knee). In trying to research what this could be, I came across an article on Google Scholar which kind of described my symptoms... but again, I guess I am confused because the MRI was kind of normal.
6/06 - Injured right knee playing ice hockey
9/06 - MRI ("internal derangement")
12/06 - Arthroscopic surgery
Previous injuries: TFCC avulsion (wrist), torn labrum (shoulder)

Offline Nettan

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Re: Exploratory arthroscopy
« Reply #2 on: December 01, 2006, 02:30:29 PM »
I had both torn menisci and a growth like a band in my knee and Mri didn't show any of them.
The growth gave me difficulties in extending my knee.
So a scope is the most effective to see what's wrong.
Hope surgery goes well.

HUGS NETTAN  8)
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.

Offline flahockey

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Re: Exploratory arthroscopy
« Reply #3 on: December 02, 2006, 03:41:51 AM »
Thanks, Nettan!  :)
6/06 - Injured right knee playing ice hockey
9/06 - MRI ("internal derangement")
12/06 - Arthroscopic surgery
Previous injuries: TFCC avulsion (wrist), torn labrum (shoulder)

Offline Nettan

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Re: Exploratory arthroscopy
« Reply #4 on: December 02, 2006, 09:42:59 AM »
Your welcome !! ;D
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.