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Author Topic: My MRI results - What does it mean?  (Read 7238 times)

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Offline Machine

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My MRI results - What does it mean?
« on: April 22, 2004, 05:37:47 PM »
I have been dealing with pain in my right knee for over a year now and I can not get rid of it. I went back to the doctor's office to get a copy of my x-rays and MRI for another doctor and this is what the MRI results said. Can anyone explain in proper terms? What can be done? Any help would be apreciated!
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There is a small joint effusion.

There is intrameniscal signal seen in both medial and lateral menisci consistant with degeneration. There is no evidence of meniscal tear.

The anterior cruciate, prosterior cruciate, medial and lateral collateral ligaments appear intact. The quadraceps and the patellar tendons appear normal.

There i snormal signal seen within the bony structyres. There is no evidence of fracture or discolation.

IMPRESSION
1. Small Joint Effusion
2. Meniscal Degeneration
3. No evidence of meniscal or ligamentous tear.
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My concern now is that I have injured it even more than when I took this MRI (02-Sept-2003) because I have been active. Is it possible that I damaged my knee even more knowing the initial results?

Thanks fro your help!

-Machine

Offline Machine

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Re: My MRI results - What does it mean?
« Reply #1 on: April 22, 2004, 05:43:40 PM »
Oh yeah I forgot, this info may help.

My pain is below the patella and has been disgnosted as patellar tendonitis (by the second doctor to which I am going to bring the MRI and X-rays to). Pain mainly occurs on the patellar tendon when going down stairs. The other day I noticed that the outer part of the knee, just below the thigh and above the shin on the outside, was sensitive to touch. Actually still is sensitive to touch. Massive pains the next day after running and playing on the beach (though I was good to go, man was I wrong).

Any help would be great!

-Machine

Offline TCO

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Re: My MRI results - What does it mean?
« Reply #2 on: April 30, 2004, 04:35:26 AM »
1.  I don't know what the joint effusion means.  But go find out.

2.  I think this consult sounds a little short.  In particular there is no description of the pattelar cartilage.  You may have chondromalacia (wearing away of the cartilage) or have arthritis (wearing away down to the bone.)  The MRI is not perfect for seeing this, but in the horizontal plane views, you can image the cartilage and look for faults.  Have to have a sequence of these moving down the patella.

3.  The Merchant's view X-ray (sort of a top down onto your patella while knee is bent) can also check for this.  It's not perfect either.  Probably more likely to get false negatives than positives though.

Offline Natalie.D

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Re: My MRI results - What does it mean?
« Reply #3 on: May 06, 2004, 07:08:52 PM »
Machine,

I think effusion is a sign that there is some fluid in the knee which would probably cause swelling and pain.  When I had my cortisone shot into my knee the rheumatologist reported there was a small effusion and told me that it was fluid that had collected in my knee.

Natalie.
Dislocations since age 12
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Bone Spurs, Kissing Lesions

Offline Machine

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Re: My MRI results - What does it mean?
« Reply #4 on: May 06, 2004, 07:21:12 PM »
I just had my second opinion for my MRI/X-rays. He says that I have calcium deposits just below the patella in the patellar tendon. He suggested that I keep doing what I am doing (RICE); it may never go away; surgery is invasive and can cause more damage to remove it. So I guess I just live with it.

But I can not accept that. Has anyone heard anything about this? Any treatments? Acupuncture? Needling? Massaging? Voo-Doo?

-Machine

Offline TCO

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Re: My MRI results - What does it mean?
« Reply #5 on: February 03, 2005, 09:04:17 AM »
ask for journal articles.  Or go to a really good library and check the medline data base.

Offline Machine

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Re: My MRI results - What does it mean?
« Reply #6 on: February 03, 2005, 01:22:20 PM »
My latest MRI says the following...

1. Tear of the posterior horn of the medial meniscus
2. Tear of the body of the lateral meniscus
3. Faintly demonstrated contusion at the anterior aspect of the lateral tibial plateau

Ahhh!!!!

Although it sounds bad to me, my knee has felt great. I have been working out legs a lot and have minimized my cardio/running. I wish that I sould do more there but I just have to remember my limits.

-Machine

Offline three_screws

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Re: My MRI results - What does it mean?
« Reply #7 on: April 02, 2005, 10:42:17 AM »
Hey there :)
Tear of the posterior horn of the lateral meniscus is what i had, its easily fixed by an arthroscope. This means the thin part at the end on the crescent shaped meniscus is torn (in your case on the inner side of your knee on the back) A tear of the body of the meniscus means you have torn the 'fatter' section existing in the middle of the meniscus. A contusion is just like a bruise which most likely will heal over time :) Hope this helps :)
Bilateral Hip Dysplasia
Closed reduction on hip '85'
Salters Osteotomy on hip '87',
Osgood Schlatters 1996,
Several subluxes- right knee, meninscal cyst 1998,
Full patella dislocation left knee/cracked knee cap,
Arthroscopy on knee *2 '02', '04',
Full Hip Recon (PAO) Jan '05'

Offline Machine

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Re: My MRI results - What does it mean?
« Reply #8 on: April 02, 2005, 03:10:33 PM »
Thanks for the reply!

So I should just get out there and get it repaired. OK, now how should I go about located a good surgeon in NYC? What is the recovery like? How long will I be out of work?

-Machine

Offline three_screws

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Re: My MRI results - What does it mean?
« Reply #9 on: April 03, 2005, 06:23:27 AM »
That's okay :) I don't know about finding a good surgeon in New York as i am in Aus, but there is a list on this website that displays surgeons that are knee specialists that come recommended. Dr Ronald Grelsamer (who appears on this website alot) is a knee specialist and is located in NY so maybe you should try him? :)
Here is his website...

http://www.kneeguru.co.uk/html/names/cvs/grelsamer01.html

As far as recovery goes it depends on whether you have the damaged part of the meniscus trimmed or repaired. I had mine trimmed both times, this first time i limped around for a good couple of weeks, the second time it was only a matter of a couple of days before i was back at work, i didn't need crutches either time! It depends on how much you have trimmed away though i guess. The procedure is carried out in day surgery as well. If they repair your meniscus its a different story, the recovery process is alot slower and you'll be non weight bearing on crutches for a good period of time while it heals (i think around six weeks but i am not sure). Having it repaired though depends on the blood supply to the area and whether or not it's possible. Sometimes with meniscus tears they are not treated by surgery at all and you just do Physiotherapy, so i guess what i am saying is you would need to see a surgeon to discuss the options that would best suit you you probably don't want to leave it untreated incase it gets worse :) Also, i am no doctor so i am not sure whether the contusion you have would effect any procedures...
Goodluck :)!! Put a post up about how you go :)!
Pip
Bilateral Hip Dysplasia
Closed reduction on hip '85'
Salters Osteotomy on hip '87',
Osgood Schlatters 1996,
Several subluxes- right knee, meninscal cyst 1998,
Full patella dislocation left knee/cracked knee cap,
Arthroscopy on knee *2 '02', '04',
Full Hip Recon (PAO) Jan '05'

Offline DANIELM

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Re: My MRI results - What does it mean?
« Reply #10 on: April 13, 2005, 11:51:54 PM »
DOES ANYONE KNOW IF A 2-3 CM PLATEAU TIBIAL FRACTURE IS BAD. I HAVE GOOD RANGE OF MOTION BUT DISCOMFORT ON HYPEREXTENSION AND PAIN ON FLEXION. THE MRI STATED THAT ALL OF MY LIGAMENTS AND MENISCUS ARE FINE. DOES ANYONE KNOW WHAT THE OS WILL DO? CAST, BRACE OR SURGERY. ITS BEEN APPROXIMATELY 1 MONTHS SINCE THE INJURY

Offline blackbeltgirl

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Re: My MRI results - What does it mean?
« Reply #11 on: April 14, 2005, 03:58:32 PM »
Machine -

If you're in NYC, check out the Hospital for Special Surgery.  They have a couple of knee specialists.  You can also check out the listing on these sites.

Good luck.
ACI was supposed to be 2/21/06.  On 6/29/06 Insurance co said have another scope, and if it still looks good, they'll ok the ACI.
Microfracture Dec 7, 2004
   3cm x 6cm lesion, LFC; 3cm x 1cm lesion, trochlear groove; lateral tibial plateau lesion
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