Doctor insights on:
Femoral block complications. Can masses around the femoral nerve
and femoral artery complicate femoral
Hip fracture: In teenagers, the ball of the hip is like an ice cream ball on an ice cream cone. It is possible for the "ball" (epiphysis) to move out (slip) of the "cone." this occurs through the growth plate (physis). ...Read more
Right hip narrowing of superior joint space. Subchondral cyst formation seen and spurs in right femoral head and superior acetabulum. Suggestions?
Weight loss, : Exercise, use of a cane if needed and use of otc meds if no contraindications otherwise you can try physical therapy and perscription medication. If symptoms do not improve or worsen, see an orthopaedic surgeon for options which could include joint replacement surgery. You are describing hip arthritis. ...Read more
Mild cartilage wear: The medial femoral condyle is the inner (medial) side of your thigh bone (femur) at the knee joint surface. It is covered by articular cartilage that prevents bone on bone. Grade 2 changes means that there is some mild wear and cracks (fissures) of the cartilage instead of having a smooth cartilage surface. It is mild wear and tear. This is not arthritis and may or may not lead to arthritis. ...Read more
What does slight lateral positioning of the patella and shallow trochlear groove with min. anterior lateral femoral condyle ridge reactive change mean?
Common MRI : It means that your kneecap sits slightly off to the side on the end of the thigh bone( trochlea) @ 90degrees of bend. ( flexion), and your 'groove' ( trochlea) is slightly shallow on your femur. Very common radiologic ' diagnosis' , seen most commonly in patients w/ 'mild' patellar instability or ' kneecap' pain. See your ORS for significance . Best of Luck! ...Read more
Diffuse grade 2-3 chondromalacia in lateral compartment w/lg area of full thickness cartilage loss & fissuring f/weightbearing lat. femoral condyle?
Good question: Osteotimy is a cut in the bone. In a derotational osteotimy, the bone is cut and then rotated to a better position and this corrected position is usually then held in place by a plate and screws. In this case, the surgery is done on the tibia and femur. The most common indication would be severe malalignment of the leg such as a severe case of "in- toeing." ...Read more
Athroscopic debridement & menisectomy, partial medial & lateral. Grd1 oa changes lt medial femoral condyle, large posterior horn tear lateral meniscus?
Yikes: The wear on your lateral side and lateral meniscus tear is a not great. The lateral meniscus is responsible for balancing and distribution of force more so than the medial. Be very cautious returning to plant and pivot sports. ...Read more
Less dense: Likely that you are looking at a report of an X-ray. There is a standard density that bone has. On an X-ray anything with an appearance more dense than that would be called sclerotic and anything less dense could be called lucency or osteopenia or photopenia. An X-ray is like a photo, it can be under or over penetrated; so a more true measure of bone density would be to get a dexa scan. ...Read more
Right knee advanced loss of articular cartilage in medial compartment of tibio femoral and patella femoral joints. What are surgical options?
Yes: Yes. Common configuration.Get a more detailed answer ›
My xray says: tricompartmental osteoarthrosis with prominent narrowing involving the medial knee joint. Also spurs at the femoral condyle and patellar?
Explain my anomaly: sup. Sag. Sinus extending into posterior fossa in the midline w/bifurcation into two veins draining into jugular bulbs?
Hernias can do a lot: The "posterior cutaneous nerve" I think is AKA posterior division of the lateral femoral cutaneous nerve (LFCN). LFCN problems mess up feeling in the front, outside of the thigh. Symptoms usu. happen with seat belt inj., bone grafts and diabetes. There are many weird hernias in the pelvis so it seems possible to compromise the LFCN but in 30 yrs of reading CT and MRI, I've not seen it. ...Read more
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
Holding neck straight upward, there is a small lump approx. 1 inch above collarbone directly on top of sternomastoid. Thyroid or jugular lymph node?
Just a guess: If it's very superficial, likely neither. If directly deep to the muscle, it's probably a lymph node (unless your thyroid is very large). Dozens of nodes are present in the neck, and it can be normal to be able to feel a few. If it's new, enlarging, over about 1cm, firm, or if you have a history of cancer or are simply just concerned, it is never inappropriate to see a doctor (ent, etc.). ...Read more