Orthopedics


        

Case Discussion

knee injery   Posted By Azza Shaaban    Date : 22-Nov-07   05:20 PM     Reply

Dear sir,

I fall on my knee couple of days ago, I had MRI done, I would like to know what do you think before I see my doctor. The following is the finding in the MRI:

1. Fuzzy outline of the anterior cruciate ligament that appears severed from its femoral attachment with low lying of its distal fibres and diplaying diffuse intrasubstance high signal intensity.

2. The posterior horn of the medial meniscus shows intrasubstance diffuse high signal intensity reaching menisco capsular attachment and meniscal articular surfaces.

3. The posterior horn of the lateral meniscus shows grade I degenerative streaky high signal intensity not reaching menisco capsular attachment or meniscal articular surfaces.

4. Periligamentous oedema is seen in relation to both collatral ligaments showing preserved integrity of their fibers.

5. Normal appearance of the posterior cruciate, retinacular ligaments and patellar tendon.

6. Mild osteoarthritic changes of the patellofemoral and tibiofemoral articulations manifested by thining of their articular cartilage, marginal osteophytic lipping and mild degenerative marrow changes of the articular surfaces.

7. Moderate knee joint effusion extending to the suprapatellar recess.

8. Diffuse blurring of the periarticular subcutaneus and popliteal fossa fat planes by fluid signal representing post traumatic oedema/ hematoma.

OPINION: a. Torn anterior cruciate ligament. b. Grade I injury (sprain) of both collateral ligaments. c. degenerative tear of the posterior horn medial meniscus. d. Knee osteoarthritis and moderate joint effusion.

I would like to add that I had 2 surgeries in the same knee about 9 years ago because of tear in the meniscus. Your assessment is highly appreciated.


Replies to the above case discussion :

Re : knee injery - dr amit kale 24-Nov-07    12:54 AM

Re : knee injery - DR RAHUL KHARE 24-Nov-07    06:43 AM

Re : knee injery - DR SHIRISH PATHAK 25-Nov-07    10:08 AM




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