Doctor insights on:
Advanced Chondromalacia Patella
Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?
Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more
Arthritis: of the Kneecap on the inside of the knee. Grade 4 suggests significant cartilage wear/tear. Will result in pain with walking, running, going up/down stairs. See a orthopedic specialist to see in physical therapy can strengthen the knee and decrease stress in the area, otherwise surgery may be an option. Lastly, stem cell therapy can be helpful as well. Check out Regenexx.Com ...Read moreSee 2 more doctor answers
Sometimes: Patellofemoral syndrome is often successfully treated with aggressive, committed physical therapy aimed at strengthening the inside portion of your quadricep muscle. Damage of the smooth articular cartilage on the undersurface of the knee cap is called chondromalacia patella. If this damage is severe enough, then either a partial or total knee replacement may be indicated. ...Read moreSee 2 more doctor answers
MRI Diagnosis of Horizontal undersurface tear posterior horn medial meniscus and
Grade II Chondromalacia patella with trace knee effusion . Surgery?
Obviously you have -: -symptoms, so if the trouble is locking, giving way, the findings indicate a mechanical problem in the knee. You need to follow the advice of your orthopedic surgeon who is familiar with your case, especially if you have treated with him/her for a while. The surgery is only driven by your symptoms. The thing to remember is there is no orth prob so severe that it can't be made worse by surgery. ...Read more
Mri comes back with grade II to III chondromalacia patella , knee joint effusion with ganglion, longitudinal partial tear.Mcland lcl strain. ?
Conservative Rx: Depends upon your primary complaint and whether there was a mechanism of injury. Chondromalacia(i.e.Cartilage wear=arthritis) is common and can cause swelling and pain. Collateral ligament strains/partial tears (mcl+lcl) should be managed well conservatively. Recommend seeing a pt for motion, strengthening, edema control. Am a fan of a stationary bike as well (nonimpact knee motion+strengthening). ...Read moreSee 1 more doctor answer
Two fissures in articular cartilage (grade III chondromalacia patellae). No arthritis, softening, or degeneration. Could cartilage possibly heal?
Unlikely : Grade 3 chrondromalcia basically means early arthritis of your kneecap. Extremely common.You need to discuss w/ your ORS and not your radiologist.(2) fissures? How do u know...? In order to have any fissures chrondromalcia is present . At any rate, articuclar cartilage does not heal but I would not worry about it. See ORS for remedies to avoid progression. Best of Luck! ...Read more
This depends on ...: What kind of dislocation? I would guess your knee cap slid out of position and when it came back a piece of the knee cap fractured. In this case the knee cap fracture dictates the treatment course. If the fracture is out of position you may need surgery. If it is not, bracing followed by pt can be helpful. Ultimately if knee cap is unstable you may need surgery to repair ligaments. ...Read more
Mri report: 1. Complex tear of the posterior horn of the medial meniscus; 2. Grade ii/iii medial compartment chondromalacia; 3. Grade II patellofemoral compartment chondromalacia; 4. Small joint effus?
Yes...: Your MRI report notes you have a torn inside cartilage(medial meniscus) associated w/ moderate arthritis on the inside( medial) compartment of the knee.You also have moderate chondromalacia of the patellofemoral (kneecap) joint and some joint fluid( effusion).See a board certified ors for possible arthroscopy.Your prognosis worsens w/ > arthritic change in your knee. Good luck! ...Read moreSee 1 more doctor answer
I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis?
Several issues: Chondromalacia means you have abnormal cartilage in the inside part of your knee where the kneecap (patella) sits. Everything else means you have fluid and/or inflammation in various places around your knee. A bursa is a sac that usually only has a little bit of fluid in it but can get inflamed and be painful. Popliteal cyst = baker cyst, which is accumulation of fluid in the back of the knee. ...Read moreSee 1 more doctor answer
Inflammed tendon: Chronic inflammation of the patella tendon, commonly known as "jumper's knee"/ typical treatment options consist of rice, antiinflammatories, physical therapy, counterbrace supports, massage, injections... For more info http://drmarkgalland.Com/platelet-rich-plasma-may-have-edge-in-jumpers-knee/ rarely requires surgery. ...Read moreSee 1 more doctor answer
Small meniscal root tear, high grade chondral fissuring partial thickness on the medial femoral condyle, grade 4 chondromalacia patella is this bad?
Try conservative rx: Seems like most of the damage is under the patella. If you have locking you might need arthroscopy, I would first try terminal extension excercises training the quads without putting much pressure on the patella. In addition research has shown that Asperin could help the surface cartilage heal. In addition, MSM (Puritan Pride) could be helpful as a nutraceutical supplement. ...Read more
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
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
Medial meniscal tear & full thickness cartilage fissuring flap over the lateral patellar facet adjacent to apex w/ associated joint effusion?
Diagnosis? Grade 2 chondromalacia, mucoid degeneration to acl, subchondral cyst tibial spines,soft tissue swelling in prepatellar- soft tissue lateral
Diagnosis MRI?: Looks like a summary of an MRI Report. Grade 2 chondromalacia means you have some like age and activity related softening or wearing away of the articular cartilage in your knee. Age related changes to your ACL, but not a tear. Soft tissue swelling usually implies some swelling or bruising in the fat beneath your skin, but outside your joint ...Read more
Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella, subcutaneous edema
When nonop tx fails: Surgery is not usually the first line of treatment for chronic injuries such as you described: degenerative (chronic) PHMMT, and patellar tendinosis (vs partial inferio pole tear). Nonoperative management: physical therapy, stretching program, NSAIDs, rest, ice, may all help considerably. Arthroscopy to debride a degenerative meniscal tear due to persistent mechanical symptoms may be needed later. ...Read more
It's curable: If you really have a history of patella dislocation, it is something that may be successfully treated with physical therapy, but it may require a surgical procedure to help realign the patella. It is important to have an orthopedic exam and possibly an mri to differentiate a subluxation problem from a dislocation. ...Read moreSee 1 more doctor answer
Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?
Numerous : The most definitive option is a knee replacement. Knee arthroscopy is not likely to be helpful at this point. Various injections such as cortisone, hyaluronic acid/joint fluid or platelet-rich plasma are reasonable options. Meds, braces and PT are considerations. If I can help, then join my care team and virtual practice at www.healthtap.com/dr-clarkeholmes ...Read more
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