Question 1

what does altered marrow signal in distal femur and proximal tibia accompanied with hemosiderin deposition & thickened synovium in mri left knee mean?

Accepted Answer

Hemosiderin MRI: This may be consistent with a condition of the knee called pigmented villodular synovitis.  This is caused by inflammation of the lining of the knee joint (synovium) and resulting deposit of breakdown of blood products.  The cause is largely unknown.  The diagnosis of pigmented villonodular synovitis is confirmed by biopsy, and the treatment of choice is synovectomy.

Question 2

i have femur fracture and knee proximal tibia, what foods should i take for full recovery of my bones ?  it's been 3 months after the surgery.

Accepted Answer

Ck your D level: I find my patients don't heal well if their Vitamin D levels are low

Question 3

baby had joint deformity in wrists & ankles.fracture proximal tibia, milt bowing right femur & pelvic tilt.no spinal deformity.what causes this?

Accepted Answer

Joint contractures : Of prenatal onset are called arthrogryposis. There are different etiologies (causes) of this, depending on the findings on physical exam. A fracture of the tibia in a newborn could be associated with one of the types of osteogenesis imperfecta. Certainly, evaluation by a geneticist is warranted,  as well as by a pediatric orthopedist & a pediatric neurologist, ideally before you take baby home.

Question 4

pet ct whole body fdg showed mild diffuse increased marrow uptake. pet done for proximal femur tumor that tumor board couldnt id w/o increased uptake. is next step a bone marrow and femur tumor biopsy to ck for mets/malignancy? have apt w/ortho onc?

Accepted Answer

: Biopsy of the femoral tumor is indicated. The increased marrow uptake (mild and diffused) is not a specific finding so I would not go for bone marrow biopsy yet if the three cell lines are normal. Good luck with your appointment.

Question 5

i received my mri it says 1. full thickness tear of the proximal acl with anterior translation of tibia with respect of femur, do i need surgery?

Accepted Answer

ACL surgery?: Depends on your situation.  Most young, athletic, and otherwise healthy patients can benefit from acl reconstruction.  If you are a high level or elite athlete,  you may certainly benefit from acl repair.  However, if you are in poor health and not physically active, surgery may not be the best option. Consulting with a qualified and experienced orthopedic surgeon should be your 1st step.

Question 6

what does exostosis proximal  tibia metaphysis?

Accepted Answer

Bone growth: Usually at the insertion of a tendon. If the cartlige cap is abnormal it is of concern.

Question 7

what is cyst in the anterior midline aspect of the proximal tibia?

Accepted Answer

Many possibilities: A unicameral bone cyst (called a simple bone cyst), is a fluid-filled cavity in the bone, lined by compressed fibrous tissue. It usually occurs in the long bones of a growing child, especially the humerus or femur, but also other bones. The webpage http://www.Radiologyassistant.Nl/en/494e15cbf0d8d shows many possible bone cysts or tumors, varying with the patient's age and the appearance on x-ray.

Question 8

sudden pain proximal tibia no trauma can't weight bear much feels like my leg is slowly breaking wen i do step especially stepping on front of foot?

Accepted Answer

Knee pain: Sounds like a tendonitis, but stress fracture is a possibility.  Have you changed your work-out routine recently?  If  you are women, are your periods regular?

Question 9

pea sized lump when pressing at the end of the tibia under the knee. proximal tibia area. no pain, or swelling. could this be cancerous ?

Accepted Answer

Evaluation: You should see your doctor to be evaluated and have CT and may need the biopsy/or resection of lesion to find the cause of problem , so you bee treated.

Question 10

pain r leg proximal tibia n ankle. doc says ligament instability what is that? oteoarthritis in both knees connected?

Accepted Answer

Related...yes: Ligaments connect bone to bone.  Ligament instability means that the supporting structures are not holding the joint in alignment for efficient motion.  The knee, leg (tibia) and ankle are all connected and if one component is weak, the others will compensate.  Osteoarthritis is basically a wear and tear of the joint.  If the joint is not stable, the bones rub and become irritated and inflamed.

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Doctor answers about:

Increased uptake in distail femur and proximal tibia

A member asked:

What does altered marrow signal in distal femur and proximal tibia accompanied with hemosiderin deposition & thickened synovium in mri left knee mean?

A member asked:

I have femur fracture and knee proximal tibia, what foods should i take for full recovery of my bones ? it's been 3 months after the surgery.

A member asked:

Baby had joint deformity in wrists & ankles.fracture proximal tibia, milt bowing right femur & pelvic tilt.no spinal deformity.what causes this?

A member asked:

Pet ct whole body fdg showed mild diffuse increased marrow uptake. pet done for proximal femur tumor that tumor board couldnt id w/o increased uptake. is next step a bone marrow and femur tumor biopsy to ck for mets/malignancy? have apt w/ortho onc?

A member asked:

I received my mri it says 1. full thickness tear of the proximal acl with anterior translation of tibia with respect of femur, do i need surgery?

A member asked:

What does exostosis proximal tibia metaphysis?

A member asked:

What is cyst in the anterior midline aspect of the proximal tibia?

A member asked:

Sudden pain proximal tibia no trauma can't weight bear much feels like my leg is slowly breaking wen i do step especially stepping on front of foot?

A member asked:

Pea sized lump when pressing at the end of the tibia under the knee. proximal tibia area. no pain, or swelling. could this be cancerous ?

A member asked:

Pain r leg proximal tibia n ankle. doc says ligament instability what is that? oteoarthritis in both knees connected?

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