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Author Topic: MRI knee scan report, can someone tell me what this means for me?  (Read 2041 times)

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Offline reserves

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Here is the report from my MRI, I would be really interested to get some opinions, as I'm not sure the advice I was given is the best.

"There is early patello-femoral osteophyte formation with an otherwise intact extensor mechanism. Marginal osteophyte formation is noted in relation to the medial tibio-femoral compartment also. No definite meniscal tear is indentified and the posterior cruciate and collateral ligaments are intact. There is abnormality identified in relation to the anterior cruciate ligament. ACL fibers are identified more distally towards the tibial insertion of the ligament, altough normal ligament is not identified proximally towards the femoral insertion with abnormal soft tissue identified at this level with associated oedema changes. These appearances would be in keeping with those of ACL tear."

I'm 34 and love sports, snowboarding etc.

Any help in translating the above would be fantastic.

Cheers



Offline queeny

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Re: MRI knee scan report, can someone tell me what this means for me?
« Reply #1 on: July 14, 2008, 10:11:57 AM »
You have a partial anterior cruciate ligament tear and the beginnings of bone spurs.

ACL is quite a serious injury with long recovery times but a good prognosis. It's likely that you will need the ligament reconstructed. However, I dont know much about bone spurs, but they are often indicators of other problems and they will complicate things compared to a straightforward ACL reconstruction.

Offline reserves

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Re: MRI knee scan report, can someone tell me what this means for me?
« Reply #2 on: July 14, 2008, 10:25:14 AM »
Thanks for your reply.

What's surprising is until I dug deeper I was told that my ligaments were fine and there was only 'possible' damage to my ACL, BUT nothing that requires surgery.

I was told to undertake physio, which I have been for 12 weeks now, however my knee still aches after exercise and I don't feel like I can continue with my sports etc. I damaged my knee back in November 2007.

I am under the NHS in the UK, is it worth me going back to them and pushing for an arthroscopy, will this tell me anymore? Also will an arthroscopy do any long term damage to my knee, I understand that it's not risk free.

I'm in the dark somewhat here and that makes it worse, is there a chance that I will not need surgery or was the advice wrong? I really want to continue being as active as possible.

By what you've said it sounds pretty serious to me and that I'll need more that physio?

Not sure if I should move this to the ACL forum.

Appreciate your help.
« Last Edit: July 14, 2008, 10:33:31 AM by reserves »

Offline queeny

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Re: MRI knee scan report, can someone tell me what this means for me?
« Reply #3 on: July 14, 2008, 10:39:49 AM »
ACL tears can heal on their own, but they take an awful long time. 12 weeks isnt long when it comes to ACL injuries, whether it's physio whilst it's healing or physio after a reconstruction

You can function without an ACL, but it's very important for sports that involve twisting or cutting actions with the knee. If you do a lot of sports, I'd really question your OS a lot about it, especially recovery times and how well you can regain full function and/or ask for a reconstruction.

The NHS is a double edged sword. Im glad I have private medical insurance. Can you afford to pay to see an OS privately? Where in the UK are you?

They are very helpful in the cruciates section.

Offline Silkncardcrafts

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Re: MRI knee scan report, can someone tell me what this means for me?
« Reply #4 on: July 14, 2008, 10:48:00 AM »
It is definitely worth seeing someone privately. Don't think you've been the best advice to date.

Not sure where you are in the UK, but Pure Sports Medicine is a great sports medicine clinic in London. They have contacts with some of the best knee surgeons in the country. Their website is www.puresportsmed.com I was a patient there for a couple of years when I lived in London. They were fantastic !!!

Good luck !!!  :D
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline reserves

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Re: MRI knee scan report, can someone tell me what this means for me?
« Reply #5 on: July 14, 2008, 10:55:47 AM »
Thanks again.

I'm in Brighton, I was considering getting someone like the London Knee Clinic to have a look at the MRI scan (which I have a copy of). Are they going to be able to tell me anymore though as it's 180 just to talk to them (i'm happy to pay of course but not if it's totally pointless), or would I be better off pushing for a arthroscopy? (I've just read kjwilkin's recommendation of puresportsmed, same applies here)

I don't mind whatever work (and money to a certain point) it takes for me to get fit again, I want to carry on playing football and snowboarding too, but it's hard if I feel it might not get better without surgery.

Also how much more likely is it that I will damage my knee further? Should I give up all sports completely for now, I went snowboarding and my knee was fine, and made my legs feel much stronger and in turn made my knee feel better?

If an admin could move this to the ACL section that would be great.


Offline Silkncardcrafts

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Re: MRI knee scan report, can someone tell me what this means for me?
« Reply #6 on: July 14, 2008, 11:07:23 AM »
Hi there,

I would go to Pure Sports Medicine first and see a sports doctor there first. They should be able to help and put you in the right direction. I know they certainly don't charge that much to look at the MRI.

Good luck !!!
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline queeny

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Re: MRI knee scan report, can someone tell me what this means for me?
« Reply #7 on: July 14, 2008, 11:11:56 AM »
Snowboarding isnt particularly high risk for your knee as the foot is fixed to the board, but you can potentially do a lot more damage to your knee without (or with a compromised) ACL. it is important that you build up the muscles in that leg through straight line sports such as swimming (NOT breaststroke though) and static cycling (best). Strong muscles help support the knee and if you do have an arthroscopy and/or reconstruction, your recovery is easier if you had good muscles before.

My surgeon is fantastic and operated on the Queen's knee a few years ago. He is based here http://www.wimbledonclinics.co.uk/. I was roughly ACL reconstruction number 800  ;D

Really, you need a thorough consultation with a good knee specialist who can advise you on sports, whether you need a reconstruction and whether you need an arthroscopy. My gut instinct is no to the arthroscopy, especially if you need a reconstruction, but a good surgeon should be able to advise a course of action from the physical exam and the MRI results, without the need for arthroscopy.

If you have arthroscopy, and then need a reconstruction, the healing from the arthroscopy will set you back quite a long time.