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Doctor insights on: Chondral

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What is high Grade Chondral Malacia involving the aceetabulum?

What is high Grade Chondral Malacia involving the aceetabulum?

Chondromalacea: Is a disease of CARTILAGE often due to chronic trauma (sometimes due to an acute episode of trauma multiple times) and is basically a THINNING of the cartilage itself!

Hope this is helpful
Dr Z ...Read more

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What is a nondisplaced chondral flap tear?

What is a nondisplaced chondral flap tear?

Articular cartilage: An articular cartilage ('end of the chicken bone cartilage') injury (to the knee, I presume) that is not out of place or 'unstable'.hope that helps! Best of Luck! ...Read more

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What does 'vague high signal in the chondral cartilage in the lateral compartment' mean?

What does 'vague high signal in the chondral cartilage in the lateral compartment' mean?

High signal in cart: It means you need to talk to the Dr who ordered the test. Without knowing your history, physical exam it is not possible to interpret. ...Read more

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Does a MRI show a chondral injury? If it does what are the symptoms of having a chondral injury

Does a MRI show a chondral injury? If it does what are the symptoms of having a chondral injury

MRI: Mri's are very sensitive and will show chondral damage. There are 4 grades: i: softening, ii: fraying, iii: crabmeat appearance, iv: bare bone. Mri's are sensitive to even show bone bruising: increased blood flow to the bone surface. Chondral injury symptoms can be pain with weight bearing, catching, clicking or in severe cases pain even at rest. ...Read more

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What does medial facet of the patella were some chondral changes of the medial parapatellar region mean?

What does medial facet of the patella were some chondral changes of the medial parapatellar region mean?

Early wear: The knee cap (patella) has 3 parts. The medial and lateral facets and the median ridge. Changes in the articular surface indicate wear changes. ...Read more

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What are chondral flaps and where are they located? What is grade2 and 3 chondromalcia with unstable chondral flaps on the patella mean?

What are chondral flaps and where are they located? What is grade2 and 3 chondromalcia with unstable chondral flaps on the patella mean?

Articular cartilage: The bearing surface of a joint is made of cartilage. It is white, shiny, and smooth (what you see on the end of a chicken leg). Arthritis is damage to this surface. During knee arthroscopy, damage to this surface is graded (grade 1-4). Grade 2-3 chondral flaps means that there were moderate degenerative changes on the undersurface of your knee cap or patella. ...Read more

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What is a chondral flap in knee?

What is a chondral flap in knee?

Cartilage pealing up: Chondral means cartilage. Flap means a piece of cartilage surface has torn and is pealing up like a flap.
This can cause clicking or pain or swelling.
This is treated with an arthroscopy trimming the flap if it is symptomatic. ...Read more

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What does chondral changes in the knee mean?

What does chondral changes in the knee mean?

Cartilage loss: "chondral" pertains to cartilage the cartilage lining the joint spaces of the knee can become thinned or irregular for many different reasons, including general wear and tear. The term "chondral changes" is fairly nonspecific but probably indicates there is some softening and/or irregularity and/or thinning of the cartilage indicating some early degenerative changes in the joints. ...Read more

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On MRI is "high grade chondral defect overlying the central MFC which measures 6mm" bad? Also "absence of PH of MM suggest chronic partial tearing"

On MRI is "high grade chondral defect overlying the central MFC which measures 6mm" bad? Also "absence of PH of MM suggest chronic partial tearing"

Depends: This means you have a small defect in your knee cartilage and perhaps some 'wear and tear' on oyur meniscus. Whether anything needs to be done about this depends on your symptoms. If you are having severe knee pain, these things might be contributuing and could therefore be addressed. Follow up with Dr who ordered the MRI to discuss the way forward. ...Read more

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What does chondral changes mean in the knee? I had surgery in the knee and that is what shown

What does chondral changes mean in the knee? I had surgery in the knee and that is what shown

Let me help you: Chondreal changes means that the cartilage covering the end of the bone in your joint are not normal (smooth) like before. The surgeon some grade them on how sever those change are.
Good luck. ...Read more

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I am 36 with a grade 4 chondral lesion on medial femur/patella s/p microfracture sx. What are other?

I am 36 with a grade 4 chondral lesion on medial femur/patella s/p microfracture sx. What are other?

Grade I-IV: Depending on the severity of injury the chondral lesions are graded from i-iv. Grade IV is worst and inthis bone is exposed. ...Read more

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Chondral fissure and flap formation of the medial patellar facet. I had a knee scan and this is the comments from the results.

Chondral fissure and flap formation of the medial patellar facet. I had a knee scan and this is the comments from the results.

This means: That a piece of cartilage along the knee cap (patella) has torn but not completely come off (just a little flap). ...Read more

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I have a complex tear of my posterior horn medial meniscus at the root, tricompartmental chondral thinning and gout. What are my options?

I have a complex tear of my posterior horn medial meniscus at the root, tricompartmental chondral thinning and gout. What are my options?

See a orthopedist: You need to be seen and evaluated by a knee specialist. At you age, conservative care should be tried first. If the cartilage thinning is significant and conservative care doesn't help, surgery will be needed. There are options, but an evaluation will help determine the best ones for you. ...Read more

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I just went to P.t. and was told that something is blocking my knee from bending? I just had knee surgery 3 weeks ago for chondral defect. Please

I just went to P.t. and was told that something is blocking my knee from bending? I just had knee surgery 3 weeks ago for chondral defect. Please

See your surgeon: If you have difficulty bending your knee, (esp if you feel a mechanical component)3 weeks after a knee scope for an articular cartilage 'defect' see your surgeon and get re- examined. Difficult to elaborate without knowing the severity of the defect (? Small, focal)or more extensive and the treatment performed (? chondroplasty, microfracture, OATS, etc.)Best of luck! ...Read more

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Where are the chondral flaps in the knee? Abnormalties posterior horn of the lateral mensicus does that mean a possible tear in the area?

Where are the chondral flaps in the knee? Abnormalties posterior horn of the lateral mensicus does that mean a possible tear in the area?

Possibly: Chondral flap tears are when a portion of the articular cartilage delaminates and flips into the joint. The symptoms are swelling, catching and pain. Meniscal abnormalities on MRI may be intrasubstance degeneration which is a normal process of aging. Abnormal signals in the meniscus of young patients on MRI irate very common and usually considered normal. ...Read more

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Small meniscal root tear, high grade chondral fissuring partial thickness on the medial femoral condyle, grade 4 chondromalacia patella is this bad?

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

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What is the likelihood of success of a chondral transplant from my knee to my toe?

What is the likelihood of success of a chondral transplant from my knee to my toe?

Uncertain...: There is literature to support use of cartilage grafts "borrowed" from the knee to treat defects in the ankle... But I do not believe there is any scientific literature for use in the toe. I also never like the idea of operating on a joint that doesn't hurt to try and heal a joint that does. Which toe? Why? How old are you? Are there arthritic changes? ...Read more

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What complications are associated with a chondral transplant from my knee to my toe?

What complications are associated with a chondral transplant from my knee to my toe?

Lots: You could have a number of complications in your knee such as infection, swelling, pain, arthritis, etc. You could also have the same complications in the toe in addition to the toe not improving. Talk to your surgeon for more information. ...Read more

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I have a 15mmx15mm subchondral cyst in my talus dome with intact overlying chondral plate and cartilage. Pain when doing single heel raise. Options?

I have a 15mmx15mm subchondral cyst in my talus dome with intact overlying chondral plate and cartilage. Pain when doing single heel raise. Options?

Subchondral cyst: Usually can be managed by aspiration, injection of small amount of lidocain and steroids will offer significant relief of pain ...Read more

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MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome. Increased signal distal syndesmosis -- need surgery?

MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome. Increased signal distal syndesmosis -- need surgery?

Talar Dome Lesion: Kolleen, you have a large lesion off soft bone inside your ankle. Surgery can be an option, but attempting to create a pain free environment (from boot to just activity restrictions), contrast bathing nightly to increase circulation, Exogen bone stimulator for 9 months, repeat MRI in 6 months to see if improvement is being made, and other treatments available may avoid surgery. Dr Blake ...Read more

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Chondral loss in my lateral patellar and femoral trochilea. Minimal joint effusion and bone marrow edemia. What are my options?

Chondral loss in my lateral patellar and femoral trochilea. Minimal joint effusion and bone marrow edemia. What are my options?

Osteoarthritis: Your description is consistent with osteoarthritis. Keep your weight controlled. A strengthening program for your quadriceps muscles as well as stretching your hamstrings will help to reduce symptoms. You may benefit from physical therapy or water exercise classes. Pain can be treated with tylenol (acetaminophen) or nsaids. You could possibly benefit from viscosupplementation such as synvisc or euflexxa. ...Read more

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Shoulder MRI: What does this mean? Focal bony proliferation w/focal chondral labral separation suspected @ posterior labrum at the 8 o'clock position?

Shoulder MRI: What does this mean? Focal bony proliferation w/focal chondral labral separation suspected @ posterior labrum at the 8 o'clock position?

Labral tear: See an experienced shoulder arthroscopist to assess clinical correlation w/ this MRI report. Basically it means you MAY have a labral (cartilage) tear of your shoulder in the 'back' portion (posterior)of your glenoid (shoulder socket).the possible 'bony proliferation' may be a response to a long- standing labral tear. Clinical Correlation needed! Best of Luck! ...Read more