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Doctor insights on:
Parameniscal Cyst Knee
1
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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Cyst (Definition)
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
2
MRI of knee shows "Oblique tear posterior horn medial meniscus, lateral patellar plica and minimal synovial knee effusion" will I need surgery? or ?
Possibly: It depends on the degree of tear, how much it is effecting your daily activities and whether it responds to conservative treatment. If the plica does not get better with anti inflammatory meds you will most likely need arthroscopic surgery to remove it, although your orthopedic surgeon will be the best MD to determine that. ...Read more
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3
Meniscus tear in knee--is it painful?
Yes at times: Menicus tears can be painful but some can settle down and be tolerable for years if smaller. People complain of difficulty squatting, twisting, getting up from chairs or toilets, going up and especially down stairs, sometimes sleeping and turning in bed hurts or touching your knees together in bed hurts. Injections of cortisone can give temporary relief, arthroscopy and menisectomy is the fix. ...Read more
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4
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
5
Knee small effusion ,cant bend knee.
Cannot bend knee: If you cannot bend your knee you may well have a torn meniscus. You should see an orthopedist very soon and get a good exam and probably an MRI and probably an operation. ...Read more
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6
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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7
Painful cyst in left knee adjacent to posterior horn of medial meniscus. No meniscus tear (confirmed via MRI & arthroscopy). Treatment options?
See below:: Most cysts in the back of the knee are due to knee joint causes, which improve as the causes is treated. So my recommendations would be: 1: do nothing except maybe pain meds, for 3 months; if no improvement, then; 2: aspiration (removing fluid) under ultrasonic guidance for fluid/needle biopsy; or; 3: removal of the cyst through the back of the knee, to get tissue for biopsy. ...Read more
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9
Baker's cyst behind right knee
?
Cyst full of fluids: A baker's cyst is a fluid-filled cyst that causes a bulge and a feeling of tightness behind your knee. The pain can get worse when you fully flex or extend your knee or when you're active. It is usually the result of a problem with your knee joint, such as arthritis or a cartilage tear. Both conditions can cause your knee to produce too much fluid. ...Read more
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10
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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11
Patella dislocation meniscus extruded past tibia. Swelling- large effusion mrii. Knee gave out while walking. Need for surgery? Pops clicks
Depends: Your need for surgery will depend on the stability and/or damage under your knee cap. If this is your first patella dislocation vs the latest ofmor, that could change things as well. The effusion or fluid in the knee is just a symptom of the dislocation. Its really the patella that needs to be evaluated. ...Read more
12
Mri says partial tear of anterior, posterior cruciate ligament, grade3 chondromalacia, subchondral cysts in medial tibial condyle, is operatn right thng?
See good knee...: This is purely an MRI reading of your knee.'partial' acl and PCL tears in your age group means very little to me unless you had a very significant , recent knee injury w/ a hemarthrosis .( which u don't have).'chondromalacia'( of what..Mfc, lfc, patella?) means you have a component of arthritis in your knee. See a qualified, respected knee surgeon to discuss your options . Best of luck! ...Read more
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13
Diagnosis? Grade 2 chondromalacia, mucoid degeneration to acl, subchondral cyst tibial spines,soft tissue swelling in prepatellar- soft tissue lateral
Diagnosis MRI?: Looks like a summary of an MRI Report. Grade 2 chondromalacia means you have some like age and activity related softening or wearing away of the articular cartilage in your knee. Age related changes to your ACL, but not a tear. Soft tissue swelling usually implies some swelling or bruising in the fat beneath your skin, but outside your joint ...Read more
14
Knee hematoma after knee surgery?
Can be normal?: You haven't really given much information here. Minor hematomas can be normal and managed with heat, compression and observation. Larger ones may need draining. I strongly recommend you se your surgeon sooner rather than later to avoid unwanted complications! ...Read more
15
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
16
Can a baker cyst untreated cause a meniscus tear knee injury twisted and stumbled
No: Bakers cyst usually secondary to meniscus tear or arthritis. If you fell (regardless of reason), then you can tear your meniscus. ...Read more
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17
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
18
What is ruptured knee tendon?
Broken tendon: The thigh muscle forms as a tendon as it nears its insertion in the knee. When the thigh muscles contract, it straightens out the knee. It is essential to normal walking. When that tendon ruptures (or breaks), it almost always needs to be surgically repaired. ...Read more
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19
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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20
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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