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Doctor insights on:
Glenohumeral Synovectomy Sign
1
Is sternoclavicular joint total anterior dislocation curable?
Sure: Young people tend to heal very well, but realize that sometimes a cure will involve surgery. See an orthopedic surgeon. ...Read more
Synovectomy (Definition)
This is a surgical procedure to remove the lining of a joint or tendon sheath (synovium) and is done for some inflammatory conditions where the synovium becomes thickened and painful. Often done in ...Read more
2
Shoulder MRI: What does this mean? Focal bony proliferation w/focal chondral labral separation suspected @ posterior labrum at the 8 o'clock position?
Labral tear: See an experienced shoulder arthroscopist to assess clinical correlation w/ this MRI report.Basically it means you MAY have a labral( cartilage) tear of your shoulder in the 'back' portion ( posterior)of your glenoid( shoulder socket).the possible 'bony proliferation' may be a response to a long- standing labral tear.Clinical Correlation needed! Best of Luck! ...Read more
3
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
4
Have multidirectional instability; dislocation chipped cartilage & caused frozen shoulder. Rom revived thru partial capsular release. Concerns?
Yes: Continued multidirectional instability will lead to significant arthritis in the future and a possible recurrence of the frozen shoulder. ...Read more
5
Popping a sign of partial hip dislocation?
Several causes: Popping with a hip implant may represent scar, impingement on psoas tendon, impingement on hip abductors, acetabular and femoral alignment, loose bodies, hip adductor impingement/strain, implant loosening, among others. ...Read more
6
What does "globular appearance of the anterior inferior glenoid labrum suggesting chronic tear" mean? "arthgrom of shoulder performed". Also says "no acuteor displaced labral tear is identified".
Complicated but...: Sometimes when things tear, they can ball up and look globular. This often happens when something is chronic in nature. Just remember that the MRI is only one piece of the puzzle. You must correlated what the MRI shows to a good physical examination. Not everything listed on the MRI is always the cause of the pain. I would ask your physician to explain it more. ...Read more
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7
Does a tear in shoulder always require surgery. Have chronic tendenitis of supraspinatus, acromioclavicular ostheoarthritis, tear of proximal supra?
NO: I would recommend a comprehensive physical therapy program in conjunction with avoidance of provacative activity, nsaids and possibly a corticosteroid injection. If this fails after several months then i would consider a surgical solution. ...Read more
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8
I had an arthroscopy for a bucket handle tear of a lateral discoid meniscus. The post op x-rays demonstrated acute arthritis of lat joint space. ?
Bad sign: Generally discoid menisci are treated early in life. It is likely you have prominent arthritis that has developed after the meniscus surgery. ...Read more
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9
Small intrasubstance signal seen in posterior horn of medial meniscus could be degenerative / grade 1 tear. It is my knee joint MRI report. ?
Probably nothing: To call a tear, you must see signal going to the edge of the meniscus. Intrasubstance signal not extending to the surface would not satisfy criteria for a tear on mri. As a side note, the quality of the scanner and the scan parameters they chose will have great impact on the ability to see subtle findings such as this. ...Read more
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10
Shoulderpain ~2 yrs. Mri-mild tendinosis of supraspinatus tendon, 2 mm interstital tear, mild subacr-subdelt bursitis, trace glenohumoral joint effusion?
See details: The MRI of the shoulder is not particularly impressive. As various therapies have not worked, consider seeing an orthopedist who specializes in shoulder issues. There is no way to be more specific with you without having the opportunity to examine the shoulder first hand. ...Read more
11
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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12
MRI Diagnosis of Horizontal undersurface tear posterior horn medial meniscus and
Grade II Chondromalacia patella with trace knee effusion . Surgery?
Obviously you have -: -symptoms, so if the trouble is locking, giving way, the findings indicate a mechanical problem in the knee. You need to follow the advice of your orthopedic surgeon who is familiar with your case, especially if you have treated with him/her for a while. The surgery is only driven by your symptoms. The thing to remember is there is no orth prob so severe that it can't be made worse by surgery. ...Read more
13
Knee pain took an MRI result says medial femoral chondromalacia osteophyte formation irregular denudation of articular cartilage what is d treatment?
This means arthritis: This means some degree of degenerative arthritis various options are available but none will cure the problem discuss with an orthopedic surgeon. ...Read more
14
Glenohumeral joint debridement,microfracture,anterior labrum repair,subacromial bursectomy decompression.5mos physio Why ROM restricted above shoulder?
Very common in your-: -age group. it takes a lot of therapy above and beyond your formal sessions to gain the notion. daily passive 2-3 times a day which requires a partner. you do what the PT protocol says to do but much more intense at home. in the long run most everyone looses ,motion after surgery. the first 2-3 months are the most important ...Read more
15
Mri, mild joint efusion seen, thickning lateral colateral legamnt sugest tendinosis, bone edema involve femora condyle n tibial plateu further treatment?
Physical therapy: Ask them to also teach you some exercises you can do at home. Take an anti-inflammatory medicine such as motrin. ...Read more
16
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 more
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17
Mra finding of "cleft" within anterosuperior acetabular labrum extending to choncdrolabral junction.. Suggestive of acetabular labral tear means what?
Small tear: The labrum is rim of cartilage around the acetabulum which helps stabilize the femoral head in the hip joint socket. Labral tears can develop from chronic wear and tear or more acute injury; in younger patients they are sometimes related to abnormal morphology of the acetabulum or femoral neck, leading to femoroacetabular impingment (fai). ...Read more
18
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
19
Medial meniscal tear & full thickness cartilage fissuring flap over the lateral patellar facet adjacent to apex w/ associated joint effusion?
See a specialist : You should be seeing and orthopedist for probable arthroscopic surgery. ...Read more
20
What kind of surgery is performed on a slap tear with torn bicep tendon, osteophytes, osteoarthritis & edema of bone marrow?
SLAP Surgery: The surgical technique most commonly used for repairing a slap injury is arthroscopy. During arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments. ...Read more