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Author Topic: Is there a grade to my MRI? If so, it's not specified.  (Read 495 times)

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Offline surikitty

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Is there a grade to my MRI? If so, it's not specified.
« on: November 01, 2016, 06:21:31 AM »
Hi, I was just diagnosed with chondromalacia patella.  I understand there are grades for the diagnosis.  My MRI report doesn't specify a grade. I'm wondering if the wording tells what grade I am, without it actually specifying.
FINDINGS: Within the femoral metadiaphysis, there are signal changes most consistent with red marrow conversion.
Lateral compartment: the lateral collateral ligament,  biceps femoral tendon and iliotibial band are intact. There are no focal chondral defect. The lateral meniscus is intact.
Intercondylar notch: the anterior and posterior cruciate ligaments are intact. There is no mass in Hoffas  fat pad.
Medial compartment:  the medial meniscus Is intact. The medial collateral ligament is intact.  The pes anserine tendons are normal.  The chondral surfaces are normal.
Anterior compartment: the quadriceps and patellar tendons are normal.  There is no supra patellar joint effusion.  The trochlear cartilage is normal. Focal chondrosis along the medial patellar facet with subchondral signal change consistent with chondromalacia patella.
Impression: chondromalacia patella
Distal femoral marrow changes most consistent with red marrow  reconversion. Correlate for anemia.
It's actually in both knees,  but the right knee is more painful than the left so the Dr decided to just get an MRI of the right knee.  I walk with a limp. The pain is about an 8, on the 1 through 10 scale. I take percocet 10 mg for the pain, but it only takes the edge off, and only lasts about 2 hours. Any suggestions and help with understanding what grade the chondromalacia patella is, is greatly appreciated.

Offline Vickster

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Re: Is there a grade to my MRI? If so, it's not specified.
« Reply #1 on: November 01, 2016, 06:51:52 AM »
It doesn't say, but it's not necessarily possible to see the grade (I.e. Level of change or damage) from an MRI, as it can't be very subtle in the early stages, the signal change is indicative

You could ask your knee specialist when you discuss the results and treatment, however he may not be able to tell you without going in and looking and probing the cartilage.

I'm not sure it's ever really been specified on my scans either and I only found out when the knee was scoped and the surgeon could look at and probe the cartilage.

However, for CP surgery isn't usually the answer so knowing the grade isn't really required, you need to know the cause and likely work with a physio to get the muscles balanced and the kneecap tracking. It's not really a diagnosis, more a symptom and you need to get to the cause and address that.

8 out of 10 is severe pain, have you had bloods done to rule out auto immune disease etc? You may also want to look into other non pharmaceutical methods of pain management if the drugs aren't helping, or look at other medications depending on what a pain specialist thinks might help. Have you tried ice, heat, massage, taping of the patella to see if those help?

Otherwise, looks like everything else is good in your knee which is positive :)

Good luck
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline surikitty

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Re: Is there a grade to my MRI? If so, it's not specified.
« Reply #2 on: November 01, 2016, 07:03:53 AM »
Thanks for your quick response.  I have tried ice and heat, but not the taping.  That's something I will definitely try.  If you're referring to a blood test for ra, yes. I have been tested. They said It was negative.

Offline Vickster

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Re: Is there a grade to my MRI? If so, it's not specified.
« Reply #3 on: November 01, 2016, 07:10:55 AM »
Try taping and get a tailored exercise programme from a physio specialised in patella issues if you can :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up















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