Banner - Hide this banner

Author Topic: MRI Results  (Read 4474 times)

0 Members and 1 Guest are viewing this topic.

Offline Terrie11

  • MICROgeek (<20 posts)
  • *
  • Posts: 4
  • Liked: 0
MRI Results
« on: January 15, 2008, 10:45:43 AM »

Hi, is there anyone who could explain the results of my MRI scan please - I am due to see the OS soon and would like to be able to understand this report:

"There is tricompartmental OA most marked in the medial femero tibial compartment where it is moderate to severe and seen as global cartilage thinning, marginal osteophytosis, subchondral marrow odema and meniscal extrusion. The extruded medial meniscus is deformed and has a tear of the body and posterior horn. There is also a tear (which is smaller) affecting the body and posterior horn of the lateral meniscus. There is a tear of the deep component of the MCL, the superficial component is intact. LCL and both cruciate ligaments are intact. There is a moderate to large joint effussion which allows delineation of a partial non thickened lateral parapatellar plica."

All this sounds gobbly gook to me so is there is someone who can translate I would be very greatful. Alos I would like to know what sort of treatment of I should be offered for this.

Many thanks


Offline plantgeek58

  • SuperKNEEgeek
  • *****
  • Posts: 1358
  • Liked: 0
Re: MRI Results
« Reply #1 on: January 15, 2008, 06:01:18 PM »
Hi Terrie,
had to reply to you since we share the same name and almost the same spelling! But also, I think I can help you interpret some of this. First of all, it seems you have pretty advanced arthritis all through the knee joint. That's what is meant by tricompartmental OA. Doctors divide the knee into 3 compartments, the medial femorotibial, which is where your 2 large leg bones meet on the inside of your thigh, the lateral femorotibial, which is the same thing on the outer part of the thigh, and the patellofemoral, which is where your knee contacts your upper thigh bone. The most advanced arthritis is located on the inner part of your thigh. Osteophytes are bone spurs, which form when bone rubs against bone and gets irritated. It's the bone's way of trying to heal itself, but it does this in a disorganized kind of way, resulting in lumps of tissue that can cause more problems. Oedema is just a fancy word for swelling or fluid accumulation in the knee joint. This is again happening because of the irritation. You also have tears in both of the menisci, which are c-shaped cushions of cartilage on either side of the joint. The medial one, (the one on the inside of your thigh) has gotten pushed out of place (that's what extruded means) and deformed. It seems you also have a tear of the deep part of your MCL, which is a ligament on the inside of your thigh, but your other major ligaments are OK. Joint effusion is another term for fluid or swelling. You have a plica around the outer side of the kneecap, which is just a fold of synovial tissue that some people have, but if I'm interpreting this correctly, it doesn't seem to be inflamed, which is good.
In light of all this, I'd have to say you're going to be looking at surgery, but I'm not an OS, so I can't say for sure what type your OS will suggest. Good luck.
RK 7/04 part. m. menisc., plica resect., MF
    3/05 part. m. menisc., open OATS
    1/07 part l. menisc., MF, patellar chondroplasty
    9/08 MF
LK 11/04 & 8/06 part m. menisc.
     7/07 LR, patellar tendon debrid., part m. menisc.

Offline Terrie11

  • MICROgeek (<20 posts)
  • *
  • Posts: 4
  • Liked: 0
Re: MRI Results
« Reply #2 on: January 17, 2008, 06:44:57 PM »
 :) Hi Terre

Thanks for your reply. You wouldn't believe the game I having been having here with OS and rheumatologists. For two years I have been battling with both sides for them to take me seriously and accept that I have problems. They keep passing the buck between each other. I have OA of both knees, Psoriatic Arthritis & fibromyalgia. The OS puts it all down to the PA and the rheumy says "he doesn't do knees!".

Anyway I am due to see a new OS at the end of the month so I will go a bit better prepared.  This is the NHS. Maybe I should go private!

Anyway thanks a lot Terre.