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Author Topic: Please help with RMI Findings  (Read 1492 times)

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Offline mgdad

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Please help with RMI Findings
« on: June 25, 2009, 08:24:43 PM »
I don't know what this all means, but what I do know is my knees ache terrible almost all day now, especially when seated.

LEFT- A small knee effusion is noted. The medial and lateral menisci appear intact. The anterior cruciate ligament, posterior cruciate ligament, medial collateral ligament and the lateral ligamentous complex appear unremarkable.  Mild degenerative changes are noted in the patellofemoral joint compartment, associated with minor cartilage loss along the medial facet and mild chondromalacia patella. Incidental note is also made of a small amount of fluid anterior to the lower patella and the patellar tendon, consistent with mild prepateller bursitis and/or inflammation.

RIGHT - A small knee effusion is noted. The medial and lateral menisci appear intact. The anterior cruciate ligament, posterior cruciate ligament, medial collateral ligament and the lateral ligamentous complex appear unremarkable. Mild degenerative changes are noted in the patellofemoral joint compartment, associated with minor cartilage loss along the medial facet, small subchondral cysts in the patella, and mild chondromalacia patella.  Mild tendinosis of the quadriceps tendon in also seen.

Offline TwoBadKneesUSA

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Re: Please help with RMI Findings
« Reply #1 on: June 25, 2009, 09:01:52 PM »
Hi there -

Looks like you've got some swelling in both knees.  The left kneecap has some degeneration of cartilage on the side toward the middle of your body and some bursitis in the kneecap.  The right looks like it also has some degeneration of cartilage the same as the left.  Also the right has tendonosis (defined on wiki - Tendinosis, sometimes called chronic tendinitis, chronic tendinopathy or chronic tendon injury, is damage to a tendon at a cellular level) of the quad tendon.

Subchondral cyst formation is characteristic of osteoarthritis and can be routinely found on x-rays. A subchondral cyst is a fluid-filled sac that extrudes from the joint, consisting of thickened joint material (mostly hyaluronic acid, a substance found in normal joint fluid that serves to lubricate the joint). (This is from About.com - Osteoarthritis  http://osteoarthritis.about.com/od/osteoarthritissymptoms/f/subchondralcyst.htm)

Basically looks like you have some arthritis going on in there and inflammation.  When to you see your doc next?   My knees hurt a great deal when I sit a long time too.  I try to prop my legs up if I can or at least use a foot rest at work to change the angles from time to time.  I also get up a move around too.  It does not take the pain away, but does help me out some.  Best of luck to you, hope you find some relief.
'83 lt knee scope
'88 lt knee LR
'89 rt knee LR (6 mos. after left)
'05 rt knee scope (clean up)
7/5/07 - scope, LR left, right clean
3/19/08 - LR failed, Supartz failed
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=47974.0
8/21/08 - new OS apt
8/5/09 - TTT, LR, PFJR sched.

Offline mgdad

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Re: Please help with RMI Findings
« Reply #2 on: June 25, 2009, 09:40:59 PM »
Thank-you... most helpful.  I am going to see an orthopedic knee specialist as soon as I can get in to see him... likely in a month or so.  In the meantime I will try the foot rest idea.  Sitting any longer than about thirty minutes starts the aching pain so I'm up and about alot!

Offline TwoBadKneesUSA

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Re: Please help with RMI Findings
« Reply #3 on: June 26, 2009, 02:40:02 PM »
Glad I could help out.  If ice helps your out you can try that.  I actually found some by ACE brand that have a refreezable ice pack with a neoprene wrap you put it in.  Stays on so much better than a bag of ice or frozen peas. 

I found an example on amazon.com, it's a true fit brand, but the idea is the same.  http://www.amazon.com/Ice%252fHeat-Multi-Wrap-Gel-Pack/dp/B000WKSVOA/ref=pd_bxgy_misc_img_b

Good luck.
'83 lt knee scope
'88 lt knee LR
'89 rt knee LR (6 mos. after left)
'05 rt knee scope (clean up)
7/5/07 - scope, LR left, right clean
3/19/08 - LR failed, Supartz failed
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=47974.0
8/21/08 - new OS apt
8/5/09 - TTT, LR, PFJR sched.