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Doctor insights on: Artial Fibulation

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Knee injury. MRI report "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?

Knee injury. MRI report  "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?

Yes, it should if-: -U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion. ...Read more

Fibrillation (Definition)

Fibrillation is the rapid, irregular, and unsynchronized contraction of muscle fibers. An important occurrence is with ...Read more


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Chronic partial tear of anterior talofibular ligament need cirgury?

Chronic partial tear of anterior talofibular ligament need cirgury?

Probably not: It would depend on the symptoms. If there is no instability, surgery is probably not needed. ...Read more

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Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

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

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Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella, subcutaneous edema

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

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PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?

PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?

Yes, it should if-: -U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion. ...Read more

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Partial atfl tear and tensosynovitis of ankle on mri. Suffer future sprains?

Partial atfl tear and tensosynovitis of ankle on mri. Suffer future sprains?

Orthotics can help: There is most likely a biomechanical issue. If the deltoid and posterior ligaments are intact, you should be able to recover fairly well. Alignment and stability issues can be addressed via custom orthoses/bracing. ...Read more

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MRI for my knee. The results: - ACL sprain with full thickness disruption, chronic proximal mcl sprain, patella alta w/o pf malaligment. English?

 MRI for my knee. The results:  - ACL sprain with full thickness disruption,  chronic proximal mcl sprain, patella alta w/o pf malaligment. English?

Stretch of ligaments: Sprains occur when ligaments (tissues holding joints together) stretch. The ACL is a ligament in the inside of the knee. The MCL is on the middle side of the knee. Disruption os ACL means it was probably/partially torn. Patella alta means that your knee cap is higher than usual. You should discuss these findings with the ordering physician so she/he can determine appropriate treatmen ...Read more

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Complete full-thickness retear of infraspinatus 1.5 cm retracted after revision rotatr cuff repair. Other rotatr cuff tendons intact.Fixable and how?

Complete full-thickness retear of infraspinatus 1.5 cm retracted after revision rotatr cuff repair. Other rotatr cuff tendons intact.Fixable and how?

Arthroscopic: Most rotator cuff tears, even repeat tears can be fixed using an arthroscopic technique. The tear is mobilized and then reattached to the proximal humerus usually using what are known as suture anchors. Best wishes. ...Read more

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3 fx of med and post malleolus w oblique fx of fib, disruption of syndesmosis, several ligaments torn via eversion injury. Classification?(weber, etc)

3 fx of med and post malleolus w oblique fx of fib, disruption of syndesmosis, several ligaments torn via eversion injury. Classification?(weber, etc)

Depends: Depending on the level of the fibular fracture, this is either a weber b or c. The c category shows a fracture above the syndesmosis and is much more unstable. ...Read more

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Bone bruising involving the medial aspect of the medial femoral condyle. Partial thickness tear of the medial collateral ligament adjacent to the fem.

Bone bruising involving the medial aspect of the medial femoral condyle. Partial thickness tear of the medial collateral ligament adjacent to the fem.

Orthopedic followup: Sounds like a traumatic injury, athletic or otherwise. How recent? How much pain, swelling do you have? What level of activity are you returning to? An orthopedic specialist & physical therapist can help. ...Read more

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Athroscopic debridement & menisectomy, partial medial & lateral. Grd1 oa changes lt medial femoral condyle, large posterior horn tear lateral meniscus?

Athroscopic debridement & menisectomy, partial medial & lateral. Grd1 oa changes lt medial femoral condyle, large posterior horn tear lateral meniscus?

Yikes: The wear on your lateral side and lateral meniscus tear is a not great. The lateral meniscus is responsible for balancing and distribution of force more so than the medial. Be very cautious returning to plant and pivot sports. ...Read more

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Can arthroscopic knee surgery correct fracture of femoral condyle?

Can arthroscopic knee surgery correct fracture of femoral condyle?

Can assist: Certain fracture patterns of the femoral condyle can be assisted by using arthroscopy. It can judge whether out not the fracture is significantly displaced or if there is an associate cartilage damage. Some fractures can be percutaneusly resuced and screws place tohold the fragments in place and not require an open procedure. ...Read more

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Mri says partial tear of anterior, posterior cruciate ligament, grade3 chondromalacia, subchondral cysts in medial tibial condyle, is operatn right thng?

Mri says partial tear of anterior, posterior cruciate ligament, grade3 chondromalacia, subchondral cysts in medial tibial condyle, is operatn right thng?

See good knee...: This is purely an MRI reading of your knee.'partial' acl and PCL tears in your age group means very little to me unless you had a very significant , recent knee injury w/ a hemarthrosis .( which u don't have).'chondromalacia'( of what..Mfc, lfc, patella?) means you have a component of arthritis in your knee. See a qualified, respected knee surgeon to discuss your options . Best of luck! ...Read more

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Complete overriding fracture distal thirds of radius and ulna, bayonet apposition heals? How long?

Needs surgery: If the pt you are describing is you (26 years old) then the answer is it would most certainly be best to have this fracture fixed surgically after which it would take about 3 months for it to heal reasonably well but 2 years for it to fully remodel also check you vit d level and try to get it up to >50 ng/ml for optimal healing. ...Read more

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