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Doctor insights on: Articular Cartilage Injuries

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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

Cartilage (Definition)

Cartilage is a specialized type of tissue found in joints and areas that two bones come together. It is made up of specialized cells that live in the midst of proteins and sugars that absorb and release water similar to a sponge. Healthy cartilage helps decrease friction in joints, absorbs shock and protects the ends of the bone. Degradation of ...Read more


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Torn cartlidch from wrist bone?

Torn cartlidch from wrist bone?

Wrist: Sounds like tfcc, or triangular fibrocartilage complex tear. Consider initial splint/rest/nsaids, etc. Conservative treatment first, before considering arthroscopic removal, debridement, or repair. ...Read more

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Can knee cartilage heal?

Can knee cartilage heal?

No : Once injured, cartilage in a joint cannot typically "heal". The severity of the injury to the cartilage will determine the long term consequences such as arthritis. ...Read more

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Two fissures in articular cartilage (grade III chondromalacia patellae). No arthritis, softening, or degeneration. Could cartilage possibly heal?

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

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Triangular fibrocartilage complex injury?

Triangular fibrocartilage complex injury?

TFCC: Tfcc is a small piece of cartilage in the wrist, at the end of the ulna. Injury is one of the most common causes of ulnar sided wrist pain. If pain has been present for an extended period of time, see a hand surgeon for diagnosis and management. ...Read more

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Can the knee's ACL and PCL ligament injuries heal naturally?

Can the knee's ACL and PCL ligament injuries heal naturally?

Acl/pcl healing: If an acl and PCL tear these ligaments do not typically heal; this is due in part to the synovial environment in which these ligaments reside as well as the demand that is exacted on these ligaments. Whether one is symptomatic with these injuries is in large part measured by the degree of activity in which a patient participates in and the number of hours one is actively engaged. ...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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Horizontal Tear of the Posterior Horn of the Medial Menistic &Suprapatellar joint Effusion ,Articular Cartilage Loss & 3MM Medial Popliteal Cyst means

Horizontal Tear of the Posterior Horn of the Medial Menistic &Suprapatellar joint Effusion ,Articular Cartilage Loss & 3MM Medial Popliteal Cyst means

Arthritis and tear: The cartilage loss is similar to saying you have degenerative arthritis setting up in your knee. The meniscus is a cartilage cushion present in your knee, there is one present medically and one lateral, and you have a tear in one as well. I would go through your MRI with an orthopedic surgeon to discuss options. ...Read more

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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

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Diagnosis? Grade 2 chondromalacia, mucoid degeneration to acl, subchondral cyst tibial spines,soft tissue swelling in prepatellar- soft tissue lateral

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

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MRI Diagnosis of Horizontal undersurface tear posterior horn medial meniscus and Grade II Chondromalacia patella with trace knee effusion . Surgery?

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

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Tfcc injured. Will immobilization of the wrist heal cartilage?

Tfcc injured. Will immobilization of the wrist heal cartilage?

Varies: It varies quite a bit, depending in part on the severity of the injury to the TFCC. Some people may have a very mild injury and do fine without even immobilization, while others can have injuries severe enough they need surgery. Initial immobilization is appropriate for many TFCC injuries to see if they will heal. May want to discuss specifics if your injury with your MD. ...Read more

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Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?

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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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

Dr. Linda Callaghan
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Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more