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Doctor insights on: Chondromalacia Medial Compartment

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Dr. Umesh Patel
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Dr. Mark Ingerman
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Chondromalacia (Definition)

Chondromalacia describes injury, destruction or abnormal appearance of cartilage within a joint. Chondromalacia is most commonly described in the knee (Chondromalacia Patellae) and is usually the result of irritation or inflammation in the joint that has the ...Read more


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Per l knee MRI report, what is grade 4 medial compartment chondromalacia with high-grade, full thickness condral loss? Mild patellar tendinosis?

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 more

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Dr. Umesh Patel
Board Certified
36 years in practice
388K people helped
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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?

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 more

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Dr. Umesh Patel
Board Certified
36 years in practice
388K people helped
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MRI of l knee I see a dime size white spot on my bone. Is that what is referenced as "medial compartment chrondomalacia" or could it be osteoncrosis ?

MRI of l knee  I see a dime size white spot on my bone. Is that what is referenced as "medial compartment chrondomalacia" or could it be osteoncrosis ?

Impossible to: venture a guess based on limited information and lack of the images themselves. If you have no training in MRI interpretation, you will go nuts trying to decipher all of the sequences and the various darker and brighter areas that they produce. ...Read more

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MRI results on L knee- Patellaofemoral, medial compartment Chrondomalacia with slight joint effusion. 1yr post MCL repair. Do I need another surgery?

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

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Treatment for grade 4 chondromalacia medial patellar facet with patella alta with pt / pl ratio of 1.6?

Treatment for grade 4 chondromalacia medial patellar facet with patella alta with pt / pl ratio of 1.6?

Varies: It varies in part on your age, the condition of the other compartments of your knee, and the overall alignment of the limb. Grade IV chondromalacia infers severe loss in the normal cartilage under that part of your knee cap. Thank you for your question. ...Read more

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What is grade 4 chondromalacia medial patellar facet?

What is grade 4 chondromalacia medial patellar facet?

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 more

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Dr. Umesh Patel
Board Certified, Cardiology
36 years in practice
388K people helped
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