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Author Topic: Confused by MRI report  (Read 1156 times)

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Offline Beth621

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Confused by MRI report
« on: January 31, 2007, 03:10:28 AM »
I have been having pain on the medial side of my left knee but MRI report says subchondral bone edema is present on the lateral patellar facet.  Wouldn't that mean that the pain would be on the outer part of my knee, not towards the medial section?  Here is what the report says:
Subchondral bone edema is present involving the lateral patellar facet.  3D imaging of the articular cartiledge shows an area of early chondromalacia (grades 1, 2, or mild 3) or a flap lesion involving the lateral patellar facet. 
  Also, what would be a "flap lesion."  What does is mean that they couldn't tell the difference between chondromalacia or a flap lesion?  Does a flap lesion require surgery?

Offline Linds

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Re: Confused by MRI report
« Reply #1 on: January 31, 2007, 01:16:38 PM »
Hi Beth,

first of all, it is perfectly possible to have damage to the lateral side of the knee and have pain on the medial side.  The change in gait , or weight bearing can cause this to happen.  A Flap lesion I would assume would mean that a section of the hyaline cartilage that covers the back of the kneecap has torn away but not completely, where as chondromalacia is a softening of the cartilage so it's a bit different.
NOt sure about the surgery side of it. When do you see your OS, for the report findings?

I see mine on Monday

1997 Scope RK
2002 LR RK
2002 Scope and hematoma evac RK
2004 LR LK
May 06 Fall from Horse, partial ACL tear and meniscus injury, Tibial plateau injury
2007 Scope, Plica Excision and Debride LK
2009/2010- Possibly Ankylosing Spondylitis?

Offline Beth621

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Re: Confused by MRI report
« Reply #2 on: February 01, 2007, 12:02:45 AM »
Thanks for you input.  I see the orthopedic dr. this Fri.  I am guessing he will offer a cortizone shot.  I'll report what he says.