Doctor insights on:
I have an occipital bone fracture that extends into the condyle. It's been 3 months but the CT said I still have the fracture. What would be the treat?
Skull fracture: Occipital bone referring to the base of the skull fracture and extending into the condyle. Most fratcure of the skull are evaulated for depression into the brain. After 3 months if you have a skull fracture and no treatment has been required then your doctor will most likely continue observation. Follwo the disharge instructions your trauma doctor or hospital gave you. Bring a friend to help. ...Read more
Emergency: If you truly have the injury you're suggesting, this is a medical emergency and you should seek immediate help at the nearest er! ...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
Depends: Is it your knee or elbow? Either way it sounds like an overuse injury (? Tendonitis). ...Read more
Can the TMJ retrodical tissue break entierly? In the case of a peforated and completly displaced disc, condyle deformity. Wht are the consequeces?
Retrodiscal Tear: Is a common condition when due to the trauma a retrodiscal tissue is squeezed like a sponge and allows the TMJ condyle to be fully seated in it's socket. The disc is usually positioned anteromedially causing pain, locking jaw and limited range of motion. See an orofacial pain specialist for evaluation and treatment. ...Read more
Joint padding: The cartilage is a slick rubbery substance that covers the bones that articulate so that one bone does not touch the other. It gives you cushioning and minimal friction to allow our joints to work effectively. You only get one layer so you must treat it right and avoid cartilage injuries. It demonstrates poor healing if damaged, and when it is wearing out, we call it arthritis. ...Read more
TMJ: The condyle is part of the temporomandibular joint. Asymmetry is of no significance without symptoms (joint noise, limited oral opening, pain). If you have any of those symptoms, see an oral surgeon for assessment. ...Read more
Can a perforated and distored/ folded tmj disc can be restored and have normal function? even though the condyle changed shape. Thank you
The good news is adapted retrodiscal tissue now
functions as a pseudo-disc. See Orofacial Pain specialist for evaluation and conservative, noninvasive treatment. ...Read more
Cartilage injury is graded 0 cto 4 based on the following findings (international cartilage repair society)
grade 0: (normal) healthy cartilage
grade 1: the cartilage has a soft spot or blisters
grade 2: minor tears visible in the cartilage
grade 3: lesions have deep crevices (more than 50% of cartilage layer)
grade 4: the cartilage tear exposes the underlying (subchrondral) bone. ...Read more
Body part: A condyle is at the end of long bones, which bone or area are you referring to? ...Read more
Hoffa's syndrome: Due to trauma or altered biomechanics or wear and tear inflammation, the anterior fat pad of your knee gets pinched between the femoral condyle and the kneecap. Treatment is usually conservative at first (rest, ice, nsaids, pt), but sometimes surgery is done when conservative treatment fails. ...Read more
My jaw cracks and hurts, does this mean my condyles are wearing away/ I have condular resorption?
TMJ consult: At 24 unlikely. I would get it checked out if interested. Start with your dentist and get a referral if needed. A nightguard separates teeth therefore helps with grinding, but you need to get to the etiology of the problem for definitive help/ ...Read more
What could be the best treatment for TMJ anterior disc displacemnt without reduction, condyle& disc degeneration?
Depends: Depends on symptoms, and cause of symptoms. Self treat with soft diet, jaw exercises, massage, heat/cold, OTC pain meds. A splint or physical therapy would be next. Occasionally muscle relaxants, biofeedback. Xrays are done for diagnosis. Surgery usually reserved for serious symptoms not responsive to other treatments. ...Read more
My MRI said I had full thickness cartilage loss of the medial femoral condyle, articulate surface what does that mean?
You have: Pretty much bone on that area of the knee and it will grind and hurt with a lot of weight bearing activity. ...Read more
What is the typical recovery time from a trebecular fx of the lateral femoral condyle?Also, what is the rehab period and what does it entail?
Recovery time varies: Recover time will vary depending on many factors including age, general health of the patient, infection control, smoker or not, blood sugar control, surgery or no surgery, the exact type of procedure, and post-operative and follow up care. Discuss it with your surgeon and get their opinion as to what they feel is a reasonable recovery time for you. ...Read more
So tmj eminectomy means removing part of the disc or part of the condyle? And with what is it sutured with metal anchor? Internet is confusing.thanks
Nothing Confusing: Eminectomy helps by making the non-reducing TMJ disc into a reducing. It is one of the surgical techniques of choice for resolution of this kind of TMJ dysfunction. ...Read more
Diagnosed with a fx on may 13 non displaced femoral medial condyle. When do you think I can go back to work? Work in a very busy hospital. Still, have pain when i first start walking
Complicated : Your past history indicates frequent bone problems suggesting osteoporosis or other problem. Your fx was less than a month ago and your history is complex. Prognostication is best left to the doctors and therapists that are testing not only your injury, but the underlying medical conditions. ...Read more
Unclear.: Not familiar with the term tribular? Perhaps you are referring to a medial femoral condyle bone bruise? ...Read more
Time, rest: It will heal over time, would need to avoid activities that aggravate it. ...Read more
Friction: This refers to friction between your patellar tendon (the part just under your kneecap), and the end of your femur. Misalignment of the patella can be a cause, which is why physical therapy can be very effective, to restore better patellar tracking. Other treatment options include injections, nsaids (i.e. Ibuprofen, aleve), and surgery. ...Read more
Could TMD symptoms (bone spurs, disc fragments, flattening of condyle) Resolve on its own over time?
Signs: What you are describing are signs, not symptoms. Physical damage to the jaw joint does not repair by itself. Please see an Oral Surgeon for evaluation. ...Read more
How long does it take for a TMJ splint to recapture a disc displaced anteriorly? With the mention that the condyle is deformed, disc is ruptured.
It may not:
You have a difficult condition. Sometimes the disc does not recapture well, especially if the joint is deformed.
A secondary goal can be to get your joint where it has improved function and some stability.
You could be near the point where you don't improve anymore. (maximum medical improvement). Keep the lines of communication open with your doctor. ...Read more
Spiral femur fx 6 weeks ago. I M nail with 3 distal screws. One in lateral condyle worked its way out having surg to remove. What should I expect?
Simple procedure: Simple out patient procedure Screw removal usually straight forward unless screw is broken ...Read more
How can the shape of jaw condyle (pointed) can influence a TMJ disc displaced(ADWR -left and ADWOR-right)? What can be done? Can it be reshaped?
Hard to say: Without clinical exam and scans it is hard to tell what can be done, anterior disk displacement can be treated with or without surgery depending on the symptoms, reducing the displacement or recapturing the disk can be difficult and surgery can help. Discuss the findings with your TMJ specialist before going into surgery. ...Read more
I broke my left leg lateral condyle and was operated. In 2008 with fixing a screw in it., still hurts sometimes. Please advice what to do now. Thanks.
Chronic postop pain: With this type of fracture and surgery, a little pain sometimes can be seen. An x-ray of the leg should be obtained if symptoms are worsening to make sure the hardware (screw) is in place. Bursitis and tendinitis may have developed and these can also cause pain in the region. Following up with your physician is recommended to at least obtain a formal diagnosis to get effective treatment ...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
Definitions: Articular cartilage refers to the lining of the bones in a joint (such as the knee, hip, shoulder, and wrist). It is an amazing dynamic structure that cushions the joint while allowing it to move freely. Condyles refer to anatomic parts of bones that look like rounded pegs (examples are the femoral condyle of the knees. Elbows, fingers, and toe joints also have "condyles"). ...Read more
Contusions involving lateral tibiyal condyle at anterior aspect, this was in my MRI report of Knee. What would you suggest??
Orthopedic Doctor: You may need an orthopedic specialist or sports medicine doctor to see and assess you. Most likely surgery is not needed, but it will take time to heal. If this develops into something more you may want to consider platelet or stem cell therapy to heal better, faster. Check out Regenexx. Com ...Read more
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