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Author Topic: MRI translation please  (Read 1566 times)

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Offline tanyap

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MRI translation please
« on: October 08, 2007, 04:17:38 PM »
Hi,
I got my doctors office to fax me over my MRI results as he had not showed them directly to me.

I do not understand how my ligaments look ok after all my dislocations!!! The metal bit is an old screw from my TTT 20 years ago. Can any one explain the vertical fracture bit:

MRI RIGHT KNEE 22-06-07

INDICATION: Instability

FINDINGS:
There is metal through the upper tibia causing artefact but not interfering with the views of the joint space.

There is a vertical fracture through the posterior horn of the medial meniscus extending from superior to inferior surfaces without signs of displacement.

The ligaments appear intact.

Examination is otherwise unremarkable.
1986 - recurrent dislocations of right patella began
1988 - Modified Hauser Procedure
1991 - dislocations started again
2005 to 2007 - 150 dislocations in 2 years - OUCH!!!
June 2007 - new OS, new physio
Oct 2007 - VMO woke up
Mar 2008 - big quads, still dislocating
Apr 2008 - next OS app

Offline costumer

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Re: MRI translation please
« Reply #1 on: October 08, 2007, 05:52:19 PM »
I'm no dr, but..... basically it's saying that the screw is causing some distortion so they can't see right there (artefact), but that it doesn't impact the area they're looking at, so they don't really care.

well, a fracture is a crack. sounds like it's cleaner than a tear which would be fuzzy - but I'm just guessing on that. Either way, a fracture is a break. The meniscus is shaped like a big C where each hook is called a 'horn' - so the one in front is the anterior horn, and the hook in the back is the posterior horn. You have two meniscii in each knee: one on the outside (lateral) and one towards your center-line (medial). This is in the one towards center-line. So essentially it's saying you have a break in the meniscus (cartilage pad that helps stabilize the femur bone on the tibia) that runs from front to back in the medial side meniscus - but luckily one of the pieces have shifted at all.

At least, that's my best guess  at the medicalese. does that help any?

  -Judy
Dx: bi-lat subluxating patellae w/chondromalacia 4/1977
6/78 LR - LK
1/80 TTT-Hauser LK; 12/80 Proximal Realignment Mystery- RK
1/82 Maquet TTT- LK
11/06 Meniscectomy; Mild OA- RK, 12/06 Meniscectomy; Mod OA- LK
3/07 Bi-lat severe arthritis
9/18/07 bi-lat TKR

Offline Leentje

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Re: MRI translation please
« Reply #2 on: October 08, 2007, 06:35:23 PM »
Some adds :

Superior : the higher lying parts
Inferior : the lower lying parts
Posterior : backside

So you have a tear in your medial meniscus running from the back to the middle

Fracture here means tear, you can't "break" a meniscus

Helena
Bilat patellar malalignment/PFdysplasia
00/06/83 L wrist #
11/12/00 L knee LR + chondroplasty
21/08/02 L knee TTT
02/03/04 L knee stretched PCL
11/09/07 L ankle dislocation/medial avulsion #
25/05/09 L ankle medial avulsion # AGAIN!
05/06/13 R ankle dislocation

Offline tanyap

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Re: MRI translation please
« Reply #3 on: October 08, 2007, 08:21:44 PM »
Thanks so much guys - re-reading fracture as tear and posterior as backside does vertical fracture (or tear) mean that its torn across the midline of the C or down along the back of the C? Does that make sense?

Helena when you say back to middle - I guess what Im asking is 'what bit of the C is the middle and what bit is the back?'
1986 - recurrent dislocations of right patella began
1988 - Modified Hauser Procedure
1991 - dislocations started again
2005 to 2007 - 150 dislocations in 2 years - OUCH!!!
June 2007 - new OS, new physio
Oct 2007 - VMO woke up
Mar 2008 - big quads, still dislocating
Apr 2008 - next OS app

Offline Leentje

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Re: MRI translation please
« Reply #4 on: October 09, 2007, 08:16:37 AM »
When you would look into your knee from above (like just taking the tighbone away) the medial meniscus is C-shaped. So the tear will probably go from the bottom part from the C  to the center of the C. The outher part of the C (the outher curve, the tummy) are thicker then the inner part.


Best is to ask your OS! I am not a dr remember? Have loads of ortho experience but still can't know everything!

Good luck! Let us know how it turns out to be!

Helena
Bilat patellar malalignment/PFdysplasia
00/06/83 L wrist #
11/12/00 L knee LR + chondroplasty
21/08/02 L knee TTT
02/03/04 L knee stretched PCL
11/09/07 L ankle dislocation/medial avulsion #
25/05/09 L ankle medial avulsion # AGAIN!
05/06/13 R ankle dislocation

Offline tanyap

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Re: MRI translation please
« Reply #5 on: October 09, 2007, 09:29:19 AM »
Thanks Helena - youre very sweet to post a pic and all!!!
Ive a better understanding of it now - my OS acknowledged there was a tear but said he wouldnt do anything about it? Im not sure why.
1986 - recurrent dislocations of right patella began
1988 - Modified Hauser Procedure
1991 - dislocations started again
2005 to 2007 - 150 dislocations in 2 years - OUCH!!!
June 2007 - new OS, new physio
Oct 2007 - VMO woke up
Mar 2008 - big quads, still dislocating
Apr 2008 - next OS app