Doctor insights on:
48yr kneemri osteonecrosis 5.1mm osteochondral defect & chondromalacic ulcer apex patella 7.8mm tranvers diam. Grade4 chandro erosion. Replace or fix?
35 lady w/bilateral femoral hip impinge, rgt labral tear, osteoarthritis, 200 lbs 5'9'. PT, Ned's no help. Hip arthroscopic or total hip replacement?
Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?
? Patellar dislocate: Sounds more like a patellar dislocation. Rx varies with traumatic, 1st time, no trauma involved, also depends on ur alignment . Could b surg repair 2 realignment procedure , soft tissue or boney or both. A lot needs 2 b taken into evaluating the cause & then deciding on a rx. ...Read more
Treatment for grade 4 chondromalacia medial patellar facet with patella alta with pt / pl ratio of 1.6?
Per l knee MRI report, what is grade 4 medial compartment chondromalacia with high-grade, full thickness condral loss? Mild patellar tendinosis?
Cartilage loss: We all lose cartilage to some degree as we age, which is the cause of arthritis. There is a spectrum from mild thinning, to complete absence. Full thickness chondral loss refers to an area where there is no cartilage. Mild patellar tendonosis refers to a mild inflammation in the patellar tendon, the tendon which connects your patella (knee cap) to your tibia (shin). ...Read moreSee 1 more doctor answer
Knee pain: It's the most common knee pain that we see in the clinic. Many athletes and walkers get it and get concerned that it might be something more serious. Also many of the first time marathon runners get it as well. The best treatment for it is physical therapy including some easy stretches and warm-up before and after exercise as well as anti-inflammatories (natural and chemical). ...Read moreSee 2 more doctor answers
About to have 3rd knee arthroplasty, previous partial meniscectomy, & have mild chondromalacia patella. How many scopes before replacement?
Need arthroscopy: Usually arthroscopy can fully determine and often treat a torn meniscus. Mri might be interpreted incorrectly and often a surgeon will either find the MRI not representing what they see during video arthroscopy. The ulcer however should be better explained as it can be due to a number of causes and treatment will vary depending on the cause. Find an orthopedic specialist who treats athletes. ...Read more
MRI results on L knee- Patellaofemoral, medial compartment Chrondomalacia with slight joint effusion. 1yr post MCL repair. Do I need another surgery?
No surgery needed: The results are consistent with thinning of the cartilage in two of the three main compartments of the knee. This is essentially osteoarthritis of the knee with the swelling (aka effusion) likely a result of that. You do not need surgery for this, you need to have an effective plan for managing arthritis in the long term. An orthopedic specialist can help you create such a plan. ...Read more
Female, 69, knee pain, very active, good health, mri-complex medial meniscal tear with small medial femoral condylar marrow contusion.Surgery only? Thx!
During arthoscopy, was diagnosed with chondromalacia patella and medial femoral ostechondrial defect. What are best exercises for rehab?
MRI came back clear of tears/loose bodies. BUT small suprapatellar effusion, trace knee effusion w/thin superior suprapatellar plica. Future issues?
Closed kinetic chain: Closed kinetic chain exercises and quadricep set exercises are the best exercises. Hamstring flexibility and achilles flexibility is a must. ...Read more
Cartilage damage: Chondromalacia patella originally referred to "softening" of the articular cartilage on the back of the kneecap; today the term describes injury to the cartilage that can range from softening to thinning to fissuring to complete breakdown (ie cartilage worn down to bone). It is not reversible, but it is treatable-a good physical therapy regimen is the mainstay. Good luck! ...Read moreSee 2 more doctor answers
Can someone explain this.. Moderate patellar chondromalacia w/ prominent cartilage fissuring in the lateral patellar facet?
Cartilage wear: Chrondromalacia means softening of the cartilage that covers the bone. It is a form of cartilage injury or degeneration. Moderate is a grade worse than "mild", but not as significant as "severe". The lateral patellar facet is the outside and back part of the patella. Fissuring means there is a groove-like defect in the cartilage. ...Read moreSee 3 more doctor answers
Mri, mild joint efusion seen, thickning lateral colateral legamnt sugest tendinosis, bone edema involve femora condyle n tibial plateu further treatment?
Patella dislocation meniscus extruded past tibia. Swelling- large effusion mrii. Knee gave out while walking. Need for surgery? Pops clicks
Depends: Your need for surgery will depend on the stability and/or damage under your knee cap. If this is your first patella dislocation vs the latest ofmor, that could change things as well. The effusion or fluid in the knee is just a symptom of the dislocation. Its really the patella that needs to be evaluated. ...Read more