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Author Topic: MRI Results....Being referred to Specialist  (Read 554 times)

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Offline ladyduran

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MRI Results....Being referred to Specialist
« on: February 15, 2017, 03:13:05 PM »
Hi everyone I recently got my MRI results and the GP is referring me to a Knee Specialist.

I have no idea if this is a big problem and if I need surgery.

Does anyone understand my results:-

9mm long X 5mm wide area of chondromalacia with superficial fissuring/ulceration with mild underlying subchondral bony change affecting the inferior edge patellofemoral and medial trochlear groove.
Also accompanied with a 2.5cm long posteromedial popliteal cyst

Offline Vickster

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Re: MRI Results....Being referred to Specialist
« Reply #1 on: February 15, 2017, 03:47:50 PM »
You have some damage to the cartilage (gristle) on the back of your kneecap and the groove in which the kneecap sits and moves

It's not a serious problem, or something a surgeon (at least in the UK - where are you based) would necessarily operate on (NHS) as the results of a clean up or some sort of repair to the patella (kneecap) are poor.  What you need to deal with is why this has happened, is it wear and tear (how old are you) which has been caused by the kneecap not tracking properly in the groove.  This can often be addressed by physiotherapy, getting the muscles strong and balanced so they support the kneecap and help it move right.

It's very common, especially as we get older.  Most knees have some wear to the cartilage

Or did you have a trauma like a dislocation which damaged the kneecap?

What symptoms do you have?  Pain?  Cartilage doesn't have nerves, so it'll be the damage to the subchondral bone being scraped as you bend the knee that is probably causing the pain, especially if it's not moving smoothly

This might provide some info, there also a more general primer on joint cartilage/arthritis
http://www.kneeguru.co.uk/KNEEnotes/primers/patella-primer

Removing the cyst might help if it's a source of pain, but they can come back

Good luck :)
« Last Edit: February 15, 2017, 04:00:36 PM by Vickster »
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 ladyduran

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Re: MRI Results....Being referred to Specialist
« Reply #2 on: February 15, 2017, 04:09:25 PM »
Thanks for your response...I am 46 years old and believe it is wear and tear..

I get pain and the knee seems to lock if I kneel. After it locks I have to straighten my leg through excruciating pain to which it clunks back into place. You can physically see it clunks back in .

Offline Vickster

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Re: MRI Results....Being referred to Specialist
« Reply #3 on: February 15, 2017, 04:11:20 PM »
Have you seen a Physio, find one with a knee specialism. Might need to pay if in UK. Sounds like a muscle or tracking issue?
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 ladyduran

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Re: MRI Results....Being referred to Specialist
« Reply #4 on: February 15, 2017, 04:13:59 PM »
Ye my GP says it seems to be the tracking, he seems to think it's surgery to repair.

Offline Vickster

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Re: MRI Results....Being referred to Specialist
« Reply #5 on: February 15, 2017, 04:23:21 PM »
To fix the tracking?
Have you had a CT scan to assess and measure the misalignment. Are you seeing a kneecap specialist?

That link should provide some info about bony realignment (aka osteotomy)

have you always had the issue with tracking?
« Last Edit: February 15, 2017, 04:28:27 PM by Vickster »
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 ladyduran

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Re: MRI Results....Being referred to Specialist
« Reply #6 on: February 15, 2017, 04:34:53 PM »
I guess so I am really not sure....The referral is to a knee surgeon/specialist...The locking has been going on for about 4 or 5 years now. I had an arthroscopy 2 years ago where they trimmed my plica.

Thanks for the info

Offline Vickster

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Re: MRI Results....Being referred to Specialist
« Reply #7 on: February 15, 2017, 04:48:06 PM »
Hopefully it's a simple fix with no major surgery :)

Could the plica have scarred and be causing issues?
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 ladyduran

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Re: MRI Results....Being referred to Specialist
« Reply #8 on: January 23, 2018, 08:18:47 AM »
I saw the specialist last year who said to exercise to strengthen my knee and see how it goes.

Recently it has started to cause a bit of pain and feels unstable. The feeling is like I used to get just before it locked/came out of the groove.

Think I may have to go back but really don't want to have surgery.