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Author Topic: Need advice MRI and Surgery???  (Read 1241 times)

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Offline eeyoremom2

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Need advice MRI and Surgery???
« on: January 12, 2018, 02:00:22 AM »
Iím a 32 year old f
I have RA and for the last several yesr have has pain in my knees earlier his yesr I fell on my right leg and fractured my foot and ever since have had bad knee pain . I had X-rays of course were normal wen to pt pain continued so rheumy did I jectons pain still continued finally got an mri in December results as follows my knee is always in pain and always swollen it hurts constantly interferes with sleep walking stairs are really painful as is sitting for long times and standing
 Mri Knee W Wo Contrast - DetailsPrinter friendly page--New window will open
About This Test
1. No evidence for an erosive arthropathy. No evidence for synovitis.
2. Full-thickness cartilage tear of the medial patella.
3. Intact ligamentous structures. No evidence for osseous injury.
Electronically signed on 12/04/2017 Narrative


INDICATION: Right knee discomfort.

COMPARISON: Plain films dated 1/9/2017.

TECHNIQUE: MRI was obtained of the knee using routine imaging sequences and planes with and without intravenous contrast.


Menisci: The medial and lateral menisci are preserved.

Ligaments and Tendons: The anterior and posterior cruciate ligaments, medial collateral ligament, lateral supporting structures and extensor mechanism are intact. The visualized musculature is normal.

Cartilage and Bones: There is focal full-thickness fissuring involving the medial facet of the patella. The remaining cartilage is intact. No traumatic stress stress fracture, or osseous lesion is seen. There are no erosive changes.

Joint fluid, Synovium and Fat Pads: There is a mild joint effusion. There are no filling defects identified. The synovium is satisfactory in appearance. There is no abnormal or exuberant enhancement to suggest otitis.

Bursa, Popliteal Fossa and Other Extra-Articular Soft Tissues: There is a small Baker's cyst. There is a very mild amount of free fluid within the posterior lateral soft tissues. The etiology is uncertain but this may be related to capsular injury.
I was referred to an orthopedic surgeon because of the tear and the fluid etc but he acted like I had five noses and completely dismissed me is this not an issue is surgery not what is needed here I made an appoint for a second opinion but now Iím just really confused and neeed some advice andhelp

Offline reflex_nl

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Re: Need advice MRI and Surgery???
« Reply #1 on: January 27, 2018, 04:04:33 PM »
RA @ 32 is early; I hope damage of the fall was minimal. In my opinion your "focal full-thickness fissuring" is contributing to the pain. This is hard to fix, but start with rest, supplements and have another OS look at it.

Where are you located?
RK Patella Luxation in 2000
RK Scope grade 2 damage to patella
RK PT for 4 mths, recovered 90% after 4 years
LK Patella Luxation in Oct'16
LK Scope to remove loose bodies (grade 4) to patella Nov'16
LK Lateral Release + MPFL Reefing + MCIC in the UK Dec'17

Offline Jirayurth

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Re: Need advice MRI and Surgery???
« Reply #2 on: June 14, 2018, 05:59:44 AM »
Complete information and I have a lot of benefits.

« Last Edit: June 26, 2018, 06:28:57 AM by Jirayurth »