Monday, September 19, 2011

Please help me understand MRI report!I am freaking out!My f/u apt. is in a month.Serious reply's please. Thx.

It says:Today's images demonstrate chondromalacia related changes and articular cartilage of the medial femoral condyle. Marked narrowing of medial lateral joint compartments. ACL completely torn, partially distended and dissecting bakers cyst posteriorly. Conclusion: previous cartilage injury is seen in the medial femoral condyle, diffuse degenerative chances seen of medial lateral joint compartments, with chondromaliacia related changes. Partial subluxation of the medial meniscus from the joint spaces result. Chronic complete acl tear is seen. Distended and dissecting posterior bakers cyst is noted. Incidentally noted again is extensive red marrow seen within the distal femur,has been previously visualized. Help, my f/u is in a month.I am f/37 with EDS Type1,3previous surgeries on rt knee.

ACL tear, can it be fixed, whats a bakers cyst,is it bad?What is red marrow within the distal femur?Sounds bad.Report is freaking me out. Please be patient,explain simply. No stupid remarks.
Please help me understand MRI report!I am freaking out!My f/u apt. is in a month.Serious reply's please. Thx.
You have a torn anterior cruciate ligament, a Baker's cyst is cyst formation in the joint synovia. Degenerative changes are present. Bone marrow is normal. Catilages are degenerating. Treatment? See your orthopedist.
Please help me understand MRI report!I am freaking out!My f/u apt. is in a month.Serious reply's please. Thx.
In plain english, you have a previous serious knee injury, a badly torn ligamet-most likely fixable thru surgery, and cysts forming in your joints. It sounds alot scarier than it really is. It IS a serious injury, however, and the doc should've done more explaining to you about it to help set your mind at ease. Sometimes the medical syntax itself is a little intimidating. Call the doc if you feel you need to ask questions- it's what they are there for. Good luck, and feel better soon.
Well, you said a mouthful there. I only understand a few bits of that. It looks like you had some sort of skiing accident years ago, and you have re-aggrivated it, but it never healed properly the first time. The diagnosis says that you are likely have continual problems with your knee (Tearing ligaments on a regular basis.) The distal femur is the lower part of your thigh bone(closest to the knee.) Red Marrow pooling there (I think) means that your arteries are continually damaged, and leaking blood. This seems to be caused by your EDS, I'm sure that part was explained to you already. Although expensive, I would recommend surgery, a partial reconstruction or replacement would likely take care of your problem, but then again...Who am I other than some guy on Yahoo Answers.
ACL refers to the anterior cruciate ligament in your knee . It can be surgically repaired. Seriously, don't sit around freaking out. Call your doctor and ask for his/her explanation of the report. (Why do you have the report if you haven't seen the doctor for follow-up? That is very unusual, in my experience.)
Hello,

The MRI report suggests that despite knee surgery your knee has developed Osteoarthritis in all three compartments. The options are a total knee replacement if pain is intolerable. High tibial Ostetomy is another option to postpone a total knee replacement.
call your doctor.
Anterior cartilaginous-or cruciate ligament (ACL) is one of two ligaments in knee can get damaged in sportsmen. If it is causing problems with pain and restriction of movement, it needs a minor surgery like arthroscopy to fix it and usually means removal the ligament which is very successful.



Baker's cyst is a cyst arising from the synovial membrane (lining membrane of any joint) with fluid and it is felt as a fluctuating swelling at the back of the knee joint Again can be fixed by removal of the cyst as it sometimes can restrict the knee joint movement.



Red marrow is the normal inside of any bone responsible for production of blood. It is ok.





You are unnecessarily freaking out. See your doctor, rather orthopaedician. Not a serious problem but can cause arthitic changes in the long run. Try not to engage in any sports which put stress on knees.



Swimming is very good. Cycling, running are no no.
You have torn ligaments, degenerative joint disease, and an arthritic knee (chondromalacia). A baker's cyst is a growth behind the knee on the back side and yes, you have damage that can be repaired. RELAX and let the doctor talk with you during your follow up. ...and good luck.
Wow, I'm seeing a lot of damage. The ACL is the anterior cruciate ligament.and basically holds the knee together. It's completely torn. It can be repaired surgically. Baker's cyst is a synovial cyst that forms at the back of the knee and is often associated with theumatoid arthritis and other inflammation. Fixable. There's old cartilage damage at the end of the femur (thigh bone) where it articulates (meets) with the knee joint. Chondromalacia (note spelling) is a softening of the cartilage often see after knee injury. Partial subluxation of the medial meniscus is an incomplete dislocation of the knee cartilage on the inside of the knee, the side that faces the other knee. We have both yellow and red bone marrow. Red bone marrow is essential in the manufacture and maturation of red blood cells, most white blood cells and platelets. That the marrow can be seen may mean that the femoral (thigh) bone end is deteriorated or damaged enough so that the marrow inside is visible. The distal end of a bone is the end farthest from the torso and this would be the end that articulates with the knee joint. All the damage I'm seeing is perhaps due to the Ehler's-Danlos and joint hypermobility and which may have prompted the 3 other surgeries. There's no reason you can't speak with your doctor before your f/u. If I can be of any further help to you, contact me at nurselmh@sbcglobal.net



It's nice that a doctor responded and his information is good even though he's an %26quot;eye doctor%26quot; and not an internist or orthopod.