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Author Topic: MRI Report - Interpretation?  (Read 306 times)

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Offline JMV

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MRI Report - Interpretation?
« on: May 03, 2017, 08:16:46 PM »
I'm supposed to meet with my doctor soon, but wanted to see if anyone could interpret this for me.

The medial meniscus appears to be torn with tear in the posterior horn and body with defect in the inferior articular surface.

I kind of understand the posterior horn part but I have no clue what "defect in the inferior articular surface" means. Can anyone explain? Thanks!

Online Vickster

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Re: MRI Report - Interpretation?
« Reply #1 on: May 03, 2017, 09:14:00 PM »
You have a meniscus tear and a defect in the articular cartilage (the shiny gristle on the bones). You need to better understand which bone, the grade of the defect and the size of it. The meniscus can be trimmed or repaired if lucky, the cartilage defect is potentially more problematic, but there are possible options for repair (you need a knee surgeon specialised in cartilage repair if you go that route, can be big surgeries with long recoveries). Have you had a trauma to cause this? Or wear abs tear? How old are you? Are you seeing a physiotherapist?

The learning portfolio has good primers on both the meniscus and joint cartilage (aka arthritis) issues.

http://www.kneeguru.co.uk/KNEEnotes/learning-portfolio
« Last Edit: May 03, 2017, 09:16:12 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 JMV

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Re: MRI Report - Interpretation?
« Reply #2 on: May 03, 2017, 09:51:21 PM »
Thanks a bunch for the explanation. I am in my mid-30's and I don't think there was trauma to the knee. I wonder if its just a degenerative tear. I am seeing a knee surgeon this coming week.

Online Vickster

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Re: MRI Report - Interpretation?
« Reply #3 on: May 03, 2017, 09:57:33 PM »
Could be degenerative. Commonly are in the posterior horn. Good luck with the surgeon. What symptoms do you have?
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 JMV

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Re: MRI Report - Interpretation?
« Reply #4 on: May 03, 2017, 10:09:52 PM »
Mostly medial pain but some clicking/popping.

Online Vickster

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Re: MRI Report - Interpretation?
« Reply #5 on: May 04, 2017, 09:14:21 AM »
If you have full ROM and no locking or buckling (clicking, popping ok if not painful), best exhaust conservative options first before going the surgical route, i.e. Physio :). At your age, you want to try to keep the meniscus if it's not causing mechanical issues. Removing it will potentially accelerate the arthritis that's already started by the sound of things if the meniscus is degenerate and the articulate cartilage is damaged
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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