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Author Topic: Need help understanding MRI written report.  (Read 1510 times)

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Offline Hutto5

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Need help understanding MRI written report.
« on: June 23, 2015, 01:59:27 PM »
I just got the written report from my MRI. I don't get to see a doctor till 14 July (I'm in the Army). My history...1 ACL reconstruction, 1 Meniscus surgery. Could someone please explain what this all means.


FINDINGS: Postsurgical changes are visualized from prior anterior cruciate ligament reconstruction with susceptibility artifact arising from the tibial and femoral interference screws.

The anterior cruciate ligament graft and posterior cruciate ligaments is intact.



The medial meniscus is diminutive and truncated throughout likely of related to prior injury or debridement.  There are no displaced fragments.  The lateral meniscus is truncated along its free edge in the body with increased signal in the posterior horn which surfaces along the lateral, inferior, and superior margins.

The medial and lateral collateral ligaments are intact.  The quadriceps tendon is normal in signal.  Susceptibility artifact in the proximal and distal patellar tendon are likely related to anterior cruciate ligament graft harvest.



The osseous structures demonstrate normal alignment.  There is degenerative spurring along the medial and lateral joint lines.  There is a 1.5 cm area of full-thickness cartilage loss in the medial femoral condyle with subchondral cystic changes in the femur.  There is cartilage spurring in the lateral knee compartment as well as the patellofemoral compartment without focal cartilage defect.  There is a small suprapatellar joint effusion.

The visualized hamstring and calf muscles and tendons about the knee demonstrate normal signal.  There are no soft tissue masses.

IMPRESSION: 1. Postsurgical changes from prior anterior cruciate ligament reconstruction. The graft is intact. 2. Suspected chronic tear of the medial meniscus and/or postsurgical changes as discussed above. 3. Nondisplaced tear along the free edge and posterior horn of the lateral meniscus. 4. Cartilage loss in the lateral femoral condyle with associated subchondral cystic changes and edema. 5. Joint effusion.

Offline vickster

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Re: Need help understanding MRI written report.
« Reply #1 on: June 23, 2015, 07:20:36 PM »
You've had quite a lot of medial meniscus removed before it semester, and you've possibly got a  further tear in the remaining medial meniscus. You've also got a tear in the lateral (outer meniscus)

You've got bone spurs along the medial and lateral bone surfaces, these are indicative of arthritis (these happen as the bones try to repair their surfaces) and also around the kneecap.

On the inner knobbly bit of the bottom of the thigh bone, the condyle, you've got a hole in the cartilage through to the bone and also damage to the bone structures below.

So essentially, it sounds like you've got arthritic changes in all three parts of the knee, and swelling in the joint. Probably as a result of the damage listed.

 How old are you? The previous meniscus removal may be the cause of the damage to the bones, also there could have been trauma when your tore the ACL. I expect all the activity in the army has contributed to these degenerative changes.

Good luck with the appointment.

Have a read of the meniscus and joint cartilage / arthritis primers in the information hub so you can get a better idea of what this might mean and what your options might be. What country are you in as the available treatment options do vary depending on where you are and the access you have to healthcare
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline Hutto5

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Re: Need help understanding MRI written report.
« Reply #2 on: June 23, 2015, 07:30:29 PM »
Vickster,

I'm 33. I know my job in the Army hasn't helped my knee at all. I'm at a point where running, jumping, rucking, all hurt. Would you say that at this point it's pretty serious and may be a good time to look at making some major life changes in order to preserve what's left or is it too far gone?

Offline vickster

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Re: Need help understanding MRI written report.
« Reply #3 on: June 23, 2015, 07:38:58 PM »
I'm not a doctor, you need to talk with a knee specialist.  Get advice on your options, how to prevent further damage, get a physiotherapy programme to make sure all of the muscles are working properly to support the knee as best they can

There are potential options to replace the meniscus, and similarly to try to fix the hole in the femur surface you need a very specialist surgeon to discuss either of those options with

Very few surgeons if any would countenance any sort of total knee replacement at your age, so it'll be about preservation and relieving the symptoms. I'd avoid running, jumping and rucking and anything else that hurts :)
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone















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