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Doctor insights on: Chronic Synovitis Knee

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Any jumper's knee (patellar tendinitis) treatmenet?

Any jumper's knee (patellar tendinitis) treatmenet?

Inflammed tendon: Chronic inflammation of the patella tendon, commonly known as "jumper's knee"/ typical treatment options consist of rice, antiinflammatories, physical therapy, counterbrace supports, massage, injections... For more info http://drmarkgalland.Com/platelet-rich-plasma-may-have-edge-in-jumpers-knee/ rarely requires surgery. ...Read more

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Dr. Michael Kleerekoper
88 doctors shared insights

Synovitis (Definition)

The synovial membrane is the lining of a joint and synovitis is inflammation of that lining. It can cause joint pain, swelling, and stiffness. When inflamed, the lining will create excessive joint fluid, causing swelling and increased joint pressure. The lining can also become thickened and cause apparent joint enlargement. Commonly associated with ...Read more


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Could a knee replacement surgery treat patellofemoral syndrome or chondromalacia patella?

Could a knee replacement surgery treat patellofemoral syndrome or chondromalacia patella?

Sometimes: Patellofemoral syndrome is often successfully treated with aggressive, committed physical therapy aimed at strengthening the inside portion of your quadricep muscle. Damage of the smooth articular cartilage on the undersurface of the knee cap is called chondromalacia patella. If this damage is severe enough, then either a partial or total knee replacement may be indicated. ...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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Bilateral knee pain, arthritis?

Bilateral knee pain, arthritis?

Possibly: Bilateral knee pain is most often related to arthritis but occasionally bursitis or tendinitis can be responsible. The only way to know is to have the knees evaluated and x rays done. ...Read more

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What is suprapatellar joint effusion with synovitis?

What is suprapatellar joint effusion with synovitis?

The definitions: Supra=means above, so suprapatellar means above the patella. Synovitis=inflammation of the synovium, the tissue lining of the joint capsule (the fibrous, tough tissue surrounding your joint--see picture). So, you have sme fluid/swelling above the patella and inflammation along the edges of your joint. These terms =big bucks? :-)) hope that makes sense. Good luck. ...Read more

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Could knees popping out of joint, post bilateral partial knee replacements for grade 4 patella chondromalacia in feb, cause a torn meniscus?

Could knees popping out of joint, post bilateral partial knee replacements for grade 4 patella chondromalacia in feb, cause a torn meniscus?

Depends: If your kneecap is popping in and out, this is a problem with the surgery and likely will not cause a meniscus tear. But if your knee itself is subluxating/popping out (rare), this certainly could cause a meniscus tear. ...Read more

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I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis?

I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis?

Several issues: Chondromalacia means you have abnormal cartilage in the inside part of your knee where the kneecap (patella) sits. Everything else means you have fluid and/or inflammation in various places around your knee. A bursa is a sac that usually only has a little bit of fluid in it but can get inflamed and be painful. Popliteal cyst = baker cyst, which is accumulation of fluid in the back of the knee. ...Read more

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Mri comes back with grade II to III chondromalacia patella , knee joint effusion with ganglion, longitudinal partial tear.Mcland lcl strain. ?

Conservative Rx: Depends upon your primary complaint and whether there was a mechanism of injury. Chondromalacia(i.e.Cartilage wear=arthritis) is common and can cause swelling and pain. Collateral ligament strains/partial tears (mcl+lcl) should be managed well conservatively. Recommend seeing a pt for motion, strengthening, edema control. Am a fan of a stationary bike as well (nonimpact knee motion+strengthening). ...Read more

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Knee locking causes?

Knee locking causes?

Possibly: Osteochondritis dikseccans. A chip comes out of the back of the knee cap and forms a foreign body that can lock the joint. Also an old injury might. Needs x-ray. ...Read more

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Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?

Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?

? Patellar dislocate: Sounds more like a patellar dislocation. Rx varies with traumatic, 1st time, no trauma involved, also depends on ur alignment . Could b surg repair 2 realignment procedure , soft tissue or boney or both. A lot needs 2 b taken into evaluating the cause & then deciding on a rx. ...Read more

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Why pain after cortizone (hydrocortisone) injection. Mri says grade 2/3 sprain in both knee mcls, joint effusion, patella tilt &chrondomalica patella. Result of fall.

Why pain after cortizone (hydrocortisone) injection. Mri says grade 2/3 sprain in both knee mcls, joint effusion, patella tilt &chrondomalica patella. Result of fall.

Patella femoral : If your pain is in front/under your knee cap, then most likely chondromalacia patella. Best managed with exercise to strengthen your quads to improve tracking, and avoiding deep knee bending activities. Also oral or topical nsaids can be of benefit, as well as a brace. Injection of cortisone or hyaluronic acid also very popular. Mcl injuries can be braced & need time not cortisone injections. ...Read more

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Loose cartlige in knee vs arthritis in knee?

Loose cartlige in knee vs arthritis in knee?

Same?: This may be one and the same. Cartilage loosens as arthritis progresses. If you have locking and catching then an orthopedic surgeon may help. ...Read more

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I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis? Whats the treatment?Thanks

I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis? Whats the treatment?Thanks

Chondromalacia: Chondromalacia is damage to the cartilage surfaces of joints. In the knee it's similar to the wearing away of tire treads. This can cause inflammation which can produce increased fluid in the knee (effusion). If you have minimal pain and no locking, strengthening your thigh and leg muscles is recommended. Icing and anti inflammatories and pt can be helpful. Arthroscopy is recommended with locking. ...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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Can a knee replacement surgery help treat patellofemoral syndrome or chondromalacia patella?

Can a knee replacement surgery help treat patellofemoral syndrome or chondromalacia patella?

Yes,but: Knee replacement should be reserved (in my non-orthopedic) opinion for severe knee disease-not the 2 conditions you mentioned. ...Read more

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Knee injury seems related to patellar tendon rupture. Xray?

Knee injury seems related to patellar tendon rupture. Xray?

Physical exam: An xray will not directly show a patellar tendon rupture, however, typically your knee cap will be further up your leg than normal. The xray will also show if a piece of bone was pulled off of the patella or tibia. The diagnosis is made clinically - you cannot raise your leg straight up while keeping your knee straight. You may also feel a defect in the tendon. ...Read more

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For post patellar dislocation, can knee supports really support the knee from recurring patellar dislocation?

For post patellar dislocation, can knee supports really support the knee from recurring patellar dislocation?

Patellar dislocation: If you do your rehab and utilize your brace you have a chance for recovery without recurrence, but you are more at risk for redislocation than individual that has not had a dislocation. There are multiple structural factors which come into play. This is something for you to discuss with your orthopedist ...Read more

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What is chronic lateral ankle instability?

What is chronic lateral ankle instability?

Ankle instability : Ankle sprains and specifically bad ankle sprains or multiple ankle sprains can create a situation in which the ligaments are left in a state of "stretch" known as laxity. When ligaments are lax they are less effective at holding the joint in place. That can lead to lateral ankle instability. Bracing and therapy can help. Sometimes that is not enough and the ligaments might need repaired. ...Read more

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I'm a dancer.Have knee pain since 1yr.Initial mri-grade 1 intrasubstance ACL tear.Recent MRI -mucoid degeneration in medial meniscus.A 2nd damage?

I'm a dancer.Have knee pain since 1yr.Initial mri-grade 1 intrasubstance ACL tear.Recent MRI -mucoid degeneration in medial meniscus.A 2nd damage?

MRI report : This is an MRI report; see your orthopedic surgeon for clinical correlation. Your knee pain may not be related to these MRI findings( i.e.U may have tendinitis).Injuries to the meniscus and acl in your age group are usually clinically obvious on exam. Grade 1 signal in a meniscus is usually a normal finding and mucin outs degeneration would be rare in a 24 yr. Old. Good luck! ...Read more