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Doctor insights on: Soreness Lateral And Posterior Femoral Head

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What does slight lateral positioning of the patella and shallow trochlear groove with min. anterior lateral femoral condyle ridge reactive change mean?

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

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What causes an avulsion fracture of the left anterior superior iliac sartorius?

What causes an avulsion fracture of the left anterior superior iliac sartorius?

Sudden muscul force: The mechanism of injury in apophyseal avulsions is sudden forceful concentric or eccentric muscle contraction during running, jumping or kicking a ball, which results in traction on the unfused apophysis. Extreme passive stretching and chronic repetitive microtrauma have also been implicated in the development of apophyseal avulsion. ...Read more

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Right hip narrowing of superior joint space. Subchondral cyst formation seen and spurs in right femoral head and superior acetabulum. Suggestions?

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

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Pain near my inner elbow bone more towards the medial epicondyle muscle or annular ligament ?

Pain near my inner elbow bone more towards the medial epicondyle muscle or annular ligament 
?

Med. epicondylitis: Possible medial epicondylitis - sometimes called golfers elbow. Needs ice, NSAIDs, sometimes PT can help Cortisone shot can help a lot. Good luck ...Read more

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Can MRI see the lateral side of leg when viewing from medial side?

Can MRI see the lateral side of leg when viewing from medial side?

It depends: on how the scan was performed. If the field of view includes the entire leg in the transverse plane, then yes. ...Read more

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Is first ray drop of the foot >likely due to nerve irritation behind medial maleolus, medial knee, shin, lateral hip, spine or brain?

Is first ray drop of the foot >likely due to nerve irritation behind medial maleolus, medial knee, shin, lateral hip, spine or brain?

Foot drop: The most common cause of a foot drop is either peroneal neuropathy or L5 radiculopathy. Usually an EMG can discern the difference. I would see your neurologist for further workup. Good luck and well wishes. ...Read more

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Can popliteal artery entrapment syndrome cause swelling around the ankle region with a palpable bulge along the lateral aspect of the achilles tendon?

Can popliteal artery entrapment syndrome cause swelling around the ankle region with a palpable bulge along the lateral aspect of the achilles tendon?

Varies: It varies somewhat on what structures are involved. Compressuon of the popliteal artery alone would usually cause primarily arterial inflow issues, but if the venous structures are involved, then venous outflow problems can cause swelling in the leg and foot. It is probably a lot more common, though, that you also have a condition in your foot/ ankle that is contributing. Be seen if concerned. ...Read more

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Oblique tear of the posterior horn and body of the medial meniscus involving inferior articular surface and peripheral meniscal margin. W/severe pain?

Oblique tear of the posterior horn and body of the medial meniscus involving inferior articular surface and peripheral meniscal margin. W/severe pain?

See your doc: Sounds like it will not get better without arthroscopic surgery. See your ortho for an evaluation. He/she will probably recommend surgery. Conservative treatment can help decrease the pain but will not resolve the problem. Good luck! ...Read more

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Ext. digitorum longus muscle is sticking out. Pain along peroneal tendon. Had MRI from medial side. Shouldn’t they have used MRI from lateral instead?

Ext. digitorum longus muscle is sticking out. Pain along peroneal tendon. Had MRI from medial side. Shouldn’t they have used MRI from lateral instead?

Mri: it should include both when you have it done. There is no medial or lateral its a full scan from side to side depend on sagittal or frontal or transverse ...Read more

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Sharp posterior and medial forearm muscle pains, worse when eg. in the gym. Hand weakness follows. Pain when press ulna and radial bones together ?

Sharp posterior and medial forearm muscle pains, worse when eg. in the gym. Hand weakness follows. Pain when press ulna and radial bones together ?

Varies : There are several potential causes. Medial epicondylitis is an inflammation of the flexors of the wrist and hand. Cubital tunnel syndrome is an entrapment of the ulnar nerve on the medial aspect of the elbow that can cause weakness in the hand. I would not hesitate to be seen for an accurate diagnosis. ...Read more

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I have fractures of the bilateral superior pubic rami rt comminuted & mildly displaced. Fracture rt inferior pubic ramus. Also a buckle fracture of the anterior aspect lf sacrum. Stable or not stable?

I have fractures of the bilateral superior pubic rami rt comminuted & mildly displaced. Fracture rt inferior pubic ramus. Also a buckle fracture of the anterior aspect lf sacrum. Stable or not stable?

Hard to say: Certainly these are serious injuries, but they likely do not need surgical fixation - depends on the displacement. Unfortunately, a patient with these fractures will need to be immobilized for a few weeks in order to facilitate proper healing. ...Read more

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Please tell me MRI high signal identified within inner aspect medial cuneiform and lateral aspect of 3rd cuneiform along outer anterior aspect cuboid?

Please tell me MRI high signal identified within inner aspect medial cuneiform and lateral aspect of 3rd cuneiform along outer anterior aspect cuboid?

I'd need the images.: In creased signal can be due to marrow edema (swelling) or stress fracture. If it is rounded it may represent a bone cyst. There are many causes of increased signal, and it depends on what pulse sequence the signal is increased. Fat causes increased signal on t1, but is dark on stir. ...Read more

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What does signal changes in the posterior left medial menicus and posterior lateral meniscus mean?

What does signal changes in the posterior left medial menicus and posterior lateral meniscus mean?

Degeneration: Mri scans image tissue by measuring hydrogen atoms such as are found in water (h2o - 2 parts hydrogen, 1 part water) . As a meniscus ages the tissue degenerates and is replaced by fluid which is mostly water. Increased MRI signal ( increased fluid) usually means some degeneration of the meniscus which is a consequence of aging. ...Read more

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My xray says: tricompartmental osteoarthrosis with prominent narrowing involving the medial knee joint. Also spurs at the femoral condyle and patellar?

My xray says: tricompartmental osteoarthrosis with prominent narrowing involving the medial knee joint. Also spurs at the femoral condyle and patellar?

See below: Unfortunately, that means fairly extensive osteoarthritis throughout your knee. You may want to consider physical therapy, injections, or even surgery to help with any pain that you are having. ...Read more

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MRI says recurrent tear of surgically repaired posterior supra and infra tendons w/23mm of medial retraction& 23mm anterior to posterior gap.This bad?

MRI says recurrent tear of surgically repaired posterior supra and infra tendons w/23mm of medial retraction& 23mm anterior to posterior gap.This bad?

Ask Orthopedic Surgn: The MRI just gives an anatomical report, it tells you nothing about how it moves. Your question is better posed relating to "function" (i.e., "can you still use the shoulder, & for how long?"). This question is best asked of the doctor who ordered the MRI (& should have a copy of the report). If you get no answer, take your MRI picture + report to an Orthopedic Surgeon. Use HealthTap Prime for ref ...Read more