Doctor insights on:
Chondromalacia Of The Patella Treatment
What is the treatment plan for a nondisplaced subarticular fracture of the medial femoral condyle?
Crutches brace: A non displaced fracture of the femoral condyle can be treated with non weight bearing/crutches and bracing to prevent deformity in specific cases . It needs to be follwed closely. Often your doctor will suggest or recommend that it be treated surgically. It depends on the fracture pattern and mechanism of injury. ...Read more
What is chondromalacia medial femoral condyle and chondromalacia patella? My MRI of the left knee result. Is this serious? What is the treatment?
Thin cartilage: Chondromalacia is thinning or loss of cartilage from multiple causes, mostly trauma from direct injury or overuse. Rest &knee joint support, including upper leg muscle strengthening are the main rxs. Adjunctive relief may be possible from a 7 active ingredient glucosamine product and epa omega 3 fish oil at a dose of at least 600 mg, but a response should not exceed 4 weeks. Wt control is key! ...Read more
Therapy: Chondromalacia patella (runners knee) is due to overload of the patellofemoral joint (knee cap against the end of the thigh bone). Running causes high forces in this portion of the joint. So does arising from a chair, going up/down stairs. Treatment consists of activity modification, ice, anti-inflammatory meds and therapy aimed at flexibility and strengthening, especially of your core. ...Read moreSee 1 more doctor answer
What is best treatment for 3mm osteochrondal defect in medial femoral condyle? Kissing contusion of the knee joint?
Let me advise you: Many patients appear to do well from an arthroscopic washout and debridement where any loose bodies of cartilage are removed and the defect is tidied back to healthy cartilage. However, when this treatment fails to relieve symptoms it is unclear what the best treatment is. ...Read more
Synovial fold: Medial plica is a thickening or fold in the synovial lining of the knee. (plica synovialis mediopatellaris = medial plica: extends from the infrapatellar fat pad to the medial capsule of the knee, in the coronal plane.) this is a common finding which generally causes no problems. Very rarely it can cause a painful plica syndrome. ...Read more
What is chondrocalinosis mean? Areas of the cartilage abnormality in the medial compartment and on the medial aspect of the patellar articular surface
Calciumpyrophosphate: Chondrocalcinosis/pseudogout relates to deposition of crystals in the cartilage of joints. Arthritis occurs with acute painful swelling in one or more joints that last for days or weeks. The most commonly affected joint is the knee. Disease increases with age. Medical treatments can help relieve pain and reduce inflammation. Abnormality seen on x-ray or ct. Consult rheumatologist for therapy. ...Read moreSee 1 more doctor answer
What treatment is available for mild tendinopathic enlargement of the juxtamalleolar portion of the peroneus longus tendon w/o discrete tear?
Time will tell : Progress. With your history, It may be worthwhile to get a second opinion from an osteopathic physician, DO, who can do a musculoskeletal evaluation and treatment. S/he can also review your records, imaging and give you a better idea on management moving forward, especially if PT didn't help. Many great DO's in your area in LA. ...Read more
Chondromatosis: Synovial chondromatosis is a rare, benign condition of the thin tissue lining your joints (synovium). This tumor does not spread to other parts of the body, it can cause severe damage to the knee ankle or other joints and lead to osteoarthritis. Early treatment is important to relieve painful symptoms and prevent further damage. For more info: http://orthoinfo.aaos.org/topic.cfm?topic=A00602 ...Read more
Nonoperative usually: Most chondromalacia of the patella (injured cartilage) is effectively managed with nonoperative measures consisting of activity modification, rest, physical therapy and quadriceps strengthening, non-steroidal anti-inflammatory medications, intrarticular steroid injections and viscosupplementation. At least 6 months of nonoperative treatment is attempted before offering arthroscopic surgery. ...Read moreSee 3 more doctor answers
Knee MR found advanced loss of articular cartilage in medial compartment of tibio-femoral and patella-femoral joint. What are my options?
Depends: Medications / injections or surgery. Depends upon how much pain you have and what your response to prior interventions has been. Generally try the easy things first and advance to surgery when nothing else works. ...Read more
Right knee advanced loss of articular cartilage in medial compartment of tibio femoral and patella femoral joints. What are surgical options?
What does medial facet of the patella were some chondral changes of the medial parapatellar region mean?
Patellar cartilage: The patella is the kneecap. Cartilage is the smooth lining on the back of the kneecap that allows the kneecap to glide effortlessly. When cartilage is abnormal, this is called a chondral change, usually on an MRI or surgical report. Chondral changes may include thinning of the cartilage, or loose and damaged areas of cartilage. ...Read more
Mri results: an osteochondral defect on the posterior surface of the patella does this mean surgery also chondromalacia patella and small joint effusi?
Depends: None of these problems necessarily reuire you to have surgery, but the first 2 could be improved with surgery. It depends on your degree of impairment/pain/ability to get around. A small effusion (fluid) is not unexpected. You need to discuss risks of surgery, prognosis, amount of rehab, etc with your pcp and/or orthopedist. ...Read moreSee 1 more doctor answer
Rest, therapy: Chondromalacia patella (runners knee) is due to overload of the patellofemoral joint (knee cap against the end of the thigh bone). Running caused high forces in this portion of the joint. So does arising from a chair, going up/down stairs. Treatment consists of activity modification, ice, anti-inflammatory meds and therapy aimed at flexibility and strengthening, especially of your core. ...Read more
Following is the MRI report of my right knee,
1.Partial tear of acl
2.Moderate joint effusion
3.Tear of popliteofibular ligament.
Natural cure ?
Not likely: Ligaments have poor vascular supply, so the likelihood of complete healing after an injury is low. The acl tear could scar somewhat, but injury to the latter represents damage to one of the posterolateral corner structures which is an important stabilizer to the knee and which could predispose to further knee damage. ...Read moreSee 1 more doctor answer
MRI states grade 2 degenerative changes of the posterior horn of the medial meniscus with moderate amount of joint effusion. Whats the best treatment?
Weight bearing Xrays: Weight bearing Xrays become important in a situation like you describe. Such images allow your physician to see your knee as a worst case scenario and determine if you have any significant component of underlying arthritis or loss of cartilage in the medial compartment. Your orthopaedic surgeon also needs to help determine if the meniscal irregularity is your actual pain generator. ...Read moreSee 1 more doctor answer
What is meaning of full thickness chondral loss to medial patella and what is heterogeneity of lateral patellar?
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