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Author Topic: Please help me understand my MRI results!  (Read 4305 times)

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Offline mummy2mybois

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Please help me understand my MRI results!
« on: February 22, 2012, 01:01:41 AM »
hi im a 25 yo female that had an an accident n hurt my knee. beforehand i never had any problems with my knees what so ever! i had an mri done n didnt quite understand what my specialist was talking about with all his technical terms lol. i was wondering what my mri results are showing.....

evidence of at leasst subacute lateral patellar dislocation event with clear chrondal fissuring centered about the median ridge at the mid to superior aspect and a possible 1.7 cm osteochrondral fragment supero-latterally.
Full thickness are of chrondral loss within the LFC at the lateral margin with subsequent cystic change and oedema. this is consistant with an area of accelerated OA.
minor mucoid change posterior horn lateral meniscus without discrete tear.Unremarkable appearances of medial tibio-femoral compartment. only small joint effusion.early joint line oesteophytes
 thnak u in advance

Offline captainruss

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Re: Please help me understand my MRI results!
« Reply #1 on: February 22, 2012, 04:53:38 AM »
Mummy,

You should get a response from the moderator or one of the very smart knee geeks on this site.  I am not one of those people.  I would suggest that you return to your specialist.  Before you go to your appointment, write down as many questions as you can think of.  I have to write them down because I am so nervous at the office I forget.  Second, do not let him/her leave until they have explained it in some manner you can understand.  Yes, he/she has eight years of college, but they can explain it so that you are very clear on what the diagnosis is, what the plan of treatment will be, what your alternatives are, and who you should see for your second and third opinion.  I made a huge mistake not knowing what my options were and not getting a second and third opinion.

The only dumb question is the one you don't ask.  Any OS should take no offense to you getting more opinions.  My first OS had no patella similar to my condition and had a right TKR.  I should have seen the doctor that did his knee because my doctor's TKR turned out a whole lot better than mine did.  More importantly, I had ROM and was able to work and play every day with pain and swelling.  I now cannot work or play eight surgeries later and have increased pain and swelling.  I would be so much better if I had found Knee Guru prior to surgery.

Russ
80 Shattered patella 5 surg
09  TKR 
09  MUA
09  MUA
09  Knee infected??
10  TKR  Scar Tissue
10  2nd OS  Diagnosis Infection
10  TKR with antibiotic spacer, no joint
4/11  TKR
11  TKR PT
11  TKR
11  TKR  AF diagosis
12/11  HO diagnosed
2012  Intractable Pain
2012  OS split
amputation possible?

Offline TwoBadKneesUSA

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Re: Please help me understand my MRI results!
« Reply #2 on: February 22, 2012, 02:52:20 PM »
This is what I am getting from what you posted:

“evidence of at leasst subacute lateral patellar dislocation event with clear chrondal fissuring centered about the median ridge at the mid to superior aspect and a possible 1.7 cm osteochrondral fragment supero-latterally.”

Lateral kneecap dislocation – kneecap went toward the outside of the knee, with some cracking/breakdown of cartilage from the middle of the kneecap to the top (I think)

“Full thickness are of chrondral loss within the LFC at the lateral margin with subsequent cystic change and oedema. this is consistant with an area of accelerated OA.”

Some loss of cartilage to the bone at the outer side of the kneecap, with swelling (possibly advanced osteoarthritis)

“minor mucoid change posterior horn lateral meniscus without discrete tear.Unremarkable appearances of medial tibio-femoral compartment. only small joint effusion.early joint line oesteophytes”

Looks like the meniscus is ok, some possible age related changes. The other parts of the knee joint (not kneecap) look ok but with some early arthritic changes.

Hope this helps some.  Also don't feel bad about asking the doc to explain in plain English either.  Not everyone understands medical terms.

Milly
'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 captainruss

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Re: Please help me understand my MRI results!
« Reply #3 on: February 22, 2012, 07:50:37 PM »
Milly,

Okay, just want you to know you should get all the answers you want!  I understand exactly what you are talking about.  I took my 14 year old daughter Kiani to my OS today and he indicated she has Chondromalaysia of the patella which I believe is what you have.  He says he wants to scope her and make a snip to do a lateral release and remove foreign (Plica) bodies if they are there.  He thinks they may not show up on the MRI but are there.

We are going to All Children's Hospital in St Pete to see a Pediatric arthropod for a second opinion.  My daughter is eager to get it done, but I am fearful of complications. 

Russ
80 Shattered patella 5 surg
09  TKR 
09  MUA
09  MUA
09  Knee infected??
10  TKR  Scar Tissue
10  2nd OS  Diagnosis Infection
10  TKR with antibiotic spacer, no joint
4/11  TKR
11  TKR PT
11  TKR
11  TKR  AF diagosis
12/11  HO diagnosed
2012  Intractable Pain
2012  OS split
amputation possible?