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What Do These Following MRI And X-rays Findings Indicate?
Question: Good day doctor
Patient XXXX was involved in an accident, 17 Nov, 2016 with injuries including broken left fibula. An MRI was performed Fri, 09 Dec, 2016 for detailed assessment of injury to knee region.
3 X-Rays from the first 2 weeks of fibula following injury uploaded to Google Drive:
1. https://drive.google.com/open?id=0B90glucIcidFa3p2TDgyWlVFSjA (17 Nov)
2. https://drive.google.com/open?id=0B90glucIcidFVUlWTFBvQkIyTFk (25 Nov)
3. https://drive.google.com/open?id=0B90glucIcidFTDRqR0RPX2pJSTA (02 Dec)
MRI from 9 Dec uploaded to Google Drive:
4. https://drive.google.com/open?id=0B90glucIcidFLS1ReUo2Ym9EQVE (09 Dec), with Hospital assessment.
Google Drive DICOM folders have both ZIP, plus the extracted DICOM files to choose from for download.
Patient feedback:
* Foot and knee are swollen.
* Mild bearable discomfort.
* Range of motion ~20-30 degrees.
1. Does your evaluation of the MRI concur with Hospital findings (if not, what is omitted and / or additional comments)?
2. What does the MRI translate to, in simple terms, to the patient?
3. What are the possible paths / timelines to recovery (surgery, physiotherapy, nutrition, exercises)?
XXXX
Patient XXXX was involved in an accident, 17 Nov, 2016 with injuries including broken left fibula. An MRI was performed Fri, 09 Dec, 2016 for detailed assessment of injury to knee region.
3 X-Rays from the first 2 weeks of fibula following injury uploaded to Google Drive:
1. https://drive.google.com/open?id=0B90glucIcidFa3p2TDgyWlVFSjA (17 Nov)
2. https://drive.google.com/open?id=0B90glucIcidFVUlWTFBvQkIyTFk (25 Nov)
3. https://drive.google.com/open?id=0B90glucIcidFTDRqR0RPX2pJSTA (02 Dec)
MRI from 9 Dec uploaded to Google Drive:
4. https://drive.google.com/open?id=0B90glucIcidFLS1ReUo2Ym9EQVE (09 Dec), with Hospital assessment.
Google Drive DICOM folders have both ZIP, plus the extracted DICOM files to choose from for download.
Patient feedback:
* Foot and knee are swollen.
* Mild bearable discomfort.
* Range of motion ~20-30 degrees.
1. Does your evaluation of the MRI concur with Hospital findings (if not, what is omitted and / or additional comments)?
2. What does the MRI translate to, in simple terms, to the patient?
3. What are the possible paths / timelines to recovery (surgery, physiotherapy, nutrition, exercises)?
XXXX
Brief Answer:
Fractured upper ends of tibia and fibula.
Detailed Answer:
Hello,
Thanks for posting your query.
I have seen the reports mentioned.
MRI scan suggests a fracture of upper end of tibia and fibula with sprain of anterior cruciate ligament. A degenerative cyst present at the back of the knee has ruptured and the fluid has leaked causing swelling at the back of the knee.
In addition to it the X-ray shows a fracture of shaft of fibula that is not covered in knee MRI scan.
All these fractures can heal well with immobilization in a cast for 8-10 weeks. Once the fractures show sign of healing, partial weight bearing can be allowed and gradual physiotherapy can be started. The full recovery is expected in 3-4 months.
Right now only immobilization is needed keeping the leg elevated on two pillows to reduce the swelling.
To make the fractured bones heal faster, dietary modifications and some lifestyle changes do play an important role.
1. You need to abstain from alcohol and smoking, avoid caffeine - tea, coffee, colas. Take calcium and vitamin D3 supplements as prescribed by your orthopedician.
2. You need to give adequate rest and immobilization of the affected leg for a faster healing. Constant movement causes mild displacement of fractured fragments thus delaying the healing.
3. The foods you need to take include yogurt, milk, dry fruits- dates & almonds, apples, soybean, broccoli, red grapes, peanuts, oatmeal and sesame seeds.
4. Lysine, Boron, Zinc, Vitamin C and Vitamin K supplements do also play a major role in bone healing along with calcium and Vitamin D3. You can add a multimineral supplement to your daily routine.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Fractured upper ends of tibia and fibula.
Detailed Answer:
Hello,
Thanks for posting your query.
I have seen the reports mentioned.
MRI scan suggests a fracture of upper end of tibia and fibula with sprain of anterior cruciate ligament. A degenerative cyst present at the back of the knee has ruptured and the fluid has leaked causing swelling at the back of the knee.
In addition to it the X-ray shows a fracture of shaft of fibula that is not covered in knee MRI scan.
All these fractures can heal well with immobilization in a cast for 8-10 weeks. Once the fractures show sign of healing, partial weight bearing can be allowed and gradual physiotherapy can be started. The full recovery is expected in 3-4 months.
Right now only immobilization is needed keeping the leg elevated on two pillows to reduce the swelling.
To make the fractured bones heal faster, dietary modifications and some lifestyle changes do play an important role.
1. You need to abstain from alcohol and smoking, avoid caffeine - tea, coffee, colas. Take calcium and vitamin D3 supplements as prescribed by your orthopedician.
2. You need to give adequate rest and immobilization of the affected leg for a faster healing. Constant movement causes mild displacement of fractured fragments thus delaying the healing.
3. The foods you need to take include yogurt, milk, dry fruits- dates & almonds, apples, soybean, broccoli, red grapes, peanuts, oatmeal and sesame seeds.
4. Lysine, Boron, Zinc, Vitamin C and Vitamin K supplements do also play a major role in bone healing along with calcium and Vitamin D3. You can add a multimineral supplement to your daily routine.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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