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Doctor insights on: Fissure Of Lateral Facet Cartilage

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An MRI of my knee shows a fissure of the lateral facet, nearly perpendicular, extending through the full cartilage thickness with a small focus of und?

An MRI of my knee shows a fissure of the lateral facet, nearly perpendicular, extending through the full cartilage thickness with a small focus of und?

Question? HT Prime.: I assume you have a question regarding this finding on MRI, however none is stated. If you are having symptoms & want to know treatment options, I suggest you use HealthTap Prime so you can talk to a live doctor, upload the pictures & MRI report, & discuss how the symptoms developed. That way, your doctor'll have the best information with which to give you good advice. Hope you feel better soon. ...Read more

Fissure (Definition)

Grooves or clefts in various anatomical structures such as the brain (transverse fissure between cerebrum & cerebellum), the skull (sphenoidal fissure), the liver (for the ligamentum teres), the lung (oblique fissure), the spinal cord (ventral median fissure), or other structures such as the palpebral fissure between upper & lower eyelids. Can also be a tear in a structure ...Read more


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Prominent cartilage fissuring in the lateral patellar facet. What does this mean? Is it just holes in the cartilage?

Prominent cartilage fissuring in the lateral patellar facet. What does this mean? Is it just holes in the cartilage?

Like cut coconut: It is like a cut in the white coconut flesh. If cut down to the shell it leaves a fissure and u can pry it open. Come back the next day and it's still there, no healing. Articular cartilage is the same, once cut it remains cut for ever as this cartage has no ability 2 heal as it has no blood supply. It's not a hole but like the coconut the fissure remains. ...Read more

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Can someone explain this. Moderate patellar chondromalacia w/ prominent cartilage fissuring in the lateral patellar facet?

Can someone explain this. Moderate patellar chondromalacia w/ prominent cartilage fissuring in the lateral patellar facet?

Cartilage wear: Chrondromalacia means softening of the cartilage that covers the bone. It is a form of cartilage injury or degeneration. Moderate is a grade worse than "mild", but not as significant as "severe". The lateral patellar facet is the outside and back part of the patella. Fissuring means there is a groove-like defect in the cartilage. ...Read more

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What does this mean there is a small area of scalloping of the cartilage at the medial patellar articular facet mean?

What does this mean there is a small area of scalloping of the cartilage at the medial patellar articular facet mean?

Defect: That means there is a small defect in the cartilage at the inside part (medial) of the joint surface of the kneecap (patellar articular facet). This can occur from trauma or from arthritis. ...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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Explain? Mild l4-l5 facet hypertrophy. L5-s1 mild diminished signal intensity & although/annulus fissure is similar. The foramina are mildly narrowed.

Explain? Mild l4-l5 facet hypertrophy. L5-s1 mild diminished signal intensity & although/annulus fissure is similar. The foramina are mildly narrowed.

No explanation: Is needed. You basically have mild arthritic changes which are insignificant and simply as a result of time and gravity. If you have back pain it is most likely muscular because this MRI result could be found on someone who has no pain. ...Read more

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What does a linear fissure formation within the articular cartilage overlying the patella apex mean? This is on a MRI report. Please explain.

What does a linear fissure formation within the articular cartilage overlying the patella apex mean? This is on a MRI report. Please explain.

Crack: The surface of healthy cartilage is usually smooth and continuous. A fissure is a crack in the cartilage. It can usually be either from a trauma or as a result of a degenerative condition. Don't hesitate to be seen and discuss with an orthopedic surgeon. ...Read more

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Hello frnds. I play badminton, one year I am having pain in left knee, I don't feel pain while playing but while coming down stairs. Cartildge fissure.

Hello frnds. I play badminton, one year I am having pain in left knee, I don't feel pain while playing but while coming down stairs. Cartildge fissure.

Femeropatellar syndr: Pain in knee coming down the stair can be due to1runnersknee also called pattellofemoral pain syndrome, it is problem in the way patella moves2chondromalacia patella is damage to the cartilage of the knee cap3 osteoarthritid. You need to consult an orthopedic specialist or a sport medicine specialist. ...Read more

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Hi Doctor, I am male, 41 yrs, my MRI report says "3rd & Lateral ventricles, cortical sulci & sylvian fissures are mildly prominent" is it alarming?

No significance: This is called an incidental finding seen on your MRI, it would need to be correlated by your ordering physician with any physical problem you were having, but by itself is not suggestive of problems. ...Read more

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There is patchy mild cartilage thinning within the lateral compartment. Does this suggest a tear? Please help I am in a lot of pain.

There is patchy mild cartilage thinning within the lateral compartment. Does this suggest a tear? Please help I am in a lot of pain.

Difficult to assess: Based on limited info. I assume you are referring to the knee. That said, the description would suggest mild early degenerative arthritis rather than a meniscal tear. ...Read more

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What is a grade 4 lateral facet changes.

Generally: Speaking its discussing the wear and tear of the cartilage on the patella/kneecap. Grade 4 is significant wear and tear, suggesting that there could be bone on bone issues. Most people with this may need surgery to correct this. You could consider stem cell therapy as an option for relief. Check out Regenexx. Com ...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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What does neutral position lateral subluxation of the patella approximately 6mm mean? What is spur formation of the lateral facet mean?

What does neutral position lateral subluxation of the patella approximately 6mm mean? What is spur formation of the lateral facet mean?

Hard 2 explain as --: -neutral does not give me any idea what that position is. Also was it a Merchant's view, or the knee straight or flexed? Give a little more info & will B glad 2 help, ...Read more

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I have complex lateral meniscal tear w/ the lateral flap involving the anterior horn and body. Full thickness cartilage injuries to wt bearing surface?

I have complex lateral meniscal tear w/ the lateral flap involving the anterior horn and body. Full thickness cartilage injuries to wt bearing surface?

Arthritis: Lateral meniscal tears are always a concern, but even more worrisome when arthritis is present. The tear could be incidental. Assess the joint space with standing straight, flexed views and assess alignment. Be very cautious when discussing the source of your pain and optimal treatment. ...Read more

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What do you advise if I had keyhole surgery on my knee15 weeks ago to repair torn cartilage and laterial ligament.?

My advice is 2...: ...follow the protocol of Ur surgeon's. He is the 1 2 answer such questions as he knows
U & the situation as well as the process U R making. ...Read more

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Outer lateral cartilage of knee is reduced so pain in the lateral knee, what can be best treatment, what should be done?

Outer lateral cartilage of knee is reduced so pain in the lateral knee, what can be best treatment, what should be done?

Not clear: Not clear your question orthopedic injuries are usually help by rest for a couple of weeks and splinting. You can restate your question. Seen orthopedist for specific diagnosis and treatment ...Read more

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What is facet hypertrophy l Flatten the ventral thecal sac and encroach upon the lateral recesses abutment of the traversing nerve roots?

What is facet hypertrophy l Flatten the ventral thecal sac and encroach upon the lateral recesses abutment of the traversing nerve roots?

Pain and weakness: Can result from compression of the nerves that exit at the level of the narrowing caused by bony overgrowth of the facets (the area where the vertebral bones meet) In the lumbar region the nerves exit at a higher level and "traverse" the space next to the facets below this before they exit the spinal canal at a lower level. Discuss this with your doctor. ...Read more

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Outer lateral side of knee cartilage is torn so there is no space between femer and tibia in that region, what is the best advice for this?

Outer lateral side of knee cartilage is torn so there is no space between femer and tibia in that region, what is the best advice for this?

Varies: It varies a little based upon whether there is any malalignment of the knee and whether arthritis is set in. If it is well aligned, non arthritic, then a meniscal transplant may be an option. Visco supplementation can be an option as well as off loading with a brace. All based on your specific factors. ...Read more

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My MRI results for left kneew reveals: mild thinning of the cartilage along the lateral femoral condyle with out full thickness defect or underlying reactive change. There is mild to moderate thinning of the medial compartment cartilage w/out full thickn

You: You have several reasons for pain based on this report. Where is your pain? Along the inside, front, or back of the knee. Based on the fact that there is mild to moderate thinning of the articular (joint surface) cartilage in the medial (inside) compartment, I assume your partial menisectomy in 2000 was on the inside (medial) aspect of your knee. If that is the case, you have done very well for the past 12 years considering that you are a runner only to have mild thinning! Grading of arthritis in an MRI (where most likely you were laying down) is sometimes a little artificial so it is a little hard to tell how bad it really is. You definitely have thinnning, and it is probably a little more advanced in the medial (inside) compartment than for age, although basing this on a report is very subjective. The baker's cyst is located in the back of the knee, so if your pain is in the back, then this is the most likely the culprit. That being said, the baker cyst is a direct result of the joint being irritated, either from the medial meniscus tear or arthritis. Pain from the current meniscus tear should be along the inside of the knee, and it may be associated with instability, locking or catching. Based on this report, you should see a sports medicine professional to discuss your options. Good luck! . ...Read more

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Hi I have ruptured disc in the lower back l4-s1, lateral recess stenosis, facet authropathy. Please tell me options for the pain is unbearable?

Hi I have ruptured disc in the lower back l4-s1, lateral recess stenosis, facet authropathy. Please tell me options for the pain is unbearable?

Discectomy vs. Fusio: The simplest solution is to have the disk removed by a micro discectomy procedure. If you have a long history of back pain which predominates over leg pain you might consider fusion as an alternative. In my practice patients that have a history of back pain do better with fusion procedures. The priority for you should be reducing your dependence on narcotic medications as clearly outcomes seem to be worse if you're on high doses of those medications pre-surgicall. ...Read more

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Left s1 nerve root within the lateral recess against the l5/s1 facet joint. What does this mean?

Left s1 nerve root within the lateral recess against the l5/s1 facet joint. What does this mean?

Means: That the facet joint at L5/S1 is in contact with the nerve root suggesting maybe the facet joint has some growth or arthropathy (arthritis/bone spurs) that could irritate the nerve and cause pain. Without more info hard to say anything else. ...Read more

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I got a bump on the left side of my upper lateral cartilage on my nose, it's swollen and sore, is it broken?

Trauma?: If you have sustained trauma, there's a very good chance that it's broken. If not, I'd be thinking infection. ...Read more

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My MRI says I have lateral recess stenosis, mass effect on my s1 nerve root, and facet authropathy diffusley from l2-s1. What's this mean for me?

My MRI says I have lateral recess stenosis, mass effect on my s1 nerve root, and facet authropathy diffusley from l2-s1. What's this mean for me?

Needs correlation: The films suggest potential compression of the s-1 nerve root, which might explain numbness over sole of foot and weakness of calf muscles, besides pain radiating from lower back to foot. Could be treated conservatively, and may respond to epidural steroid injection, but if bladder involved, surgery is far preferable. Do have lengthy discussion with spine surgeon. ...Read more

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I have ruptured l-5-s1, nerve damage, facet syndrome l-2-s1, lateral recess stenosis. What could be done to give me reliefothee than pain manegement?

I have ruptured l-5-s1, nerve damage, facet syndrome l-2-s1, lateral recess stenosis. What could be done to give me reliefothee than pain manegement?

Back pain: Exercise! Recommend that you do a neutral spine core stability program for a 6-8 weeks. Consider an inversion table or nubax trio. If not significantly improved it may be time to have it evaluated by pain management. Can see videos of neutral spine exercises on youtube. This includes planks and "birddog". ...Read more

Cartilage (Definition)

Cartilage is a specialized type of tissue found in joints and areas that two bones come together. It is made up of specialized cells that live in the midst of proteins and sugars that absorb and release water similar to a sponge. Healthy cartilage helps decrease friction in joints, absorbs shock and protects the ends of the bone. Degradation of ...Read more


Facet (Definition)

Facet joints are places on the spinal bones where two bones actually meet and articulate. Many times arthritis or inflammation can arise ...Read more