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What Does "moderate To Severe Narrowing Of The Medial Articular Cartilage" Indicate?
Question: RECENT MRI FINDINGS
Patellofemoral compartment: Moderate to severe narrowing of the medial articular cartilage with near-complete denudation of the central portion
of the medial facet. Moderate narrowing of the apex of the patella with
an area of delamination at the apex. Underlying reactive marrow edema at
the patellar apex and medial facet on image 3-11. There is a deep fissure
and possible delamination of the cartilage within the lateral trochlea with underlying marrow edema on axial series 3 images 16-18. Mild fissuring within the trochlear groove with underlying marrow edema also
noted on series 3 -18 and 7-15.
Patellofemoral compartment: Moderate to severe narrowing of the medial articular cartilage with near-complete denudation of the central portion
of the medial facet. Moderate narrowing of the apex of the patella with
an area of delamination at the apex. Underlying reactive marrow edema at
the patellar apex and medial facet on image 3-11. There is a deep fissure
and possible delamination of the cartilage within the lateral trochlea with underlying marrow edema on axial series 3 images 16-18. Mild fissuring within the trochlear groove with underlying marrow edema also
noted on series 3 -18 and 7-15.
Brief Answer:
Please find detailed answer below
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
There are certain erosive changes in the patellofemoral joint (the joint formed by the lower end of thigh bone and the knee cap). These changes are more prominent along the inner side (medial facet) and is accompanied with slight bone swelling (marrow edema) seen at the inferior end of knee cap, the pointed area (patellar apex).
The joint portion of the anterior surface of the distal femur (thigh bone), which articulates with the patella, has been referred to as the the trochlea. The trochlear surface of the femur is divided into two facets, medial and lateral (inner and outer). In your case the outer (lateral) part of the trochlea is showing erosive changes and mild swelling of the lower end of thigh bone. There are small crack like appearances also noted in between the medial and lateral facets (the trochlear groove).
In simple terms there erosive changes and bone edema (swelling) involving the knee cap (patella) and lower end of thigh bone (femur) which might be causing painful restrictive movements at the knee joint.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find detailed answer below
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
There are certain erosive changes in the patellofemoral joint (the joint formed by the lower end of thigh bone and the knee cap). These changes are more prominent along the inner side (medial facet) and is accompanied with slight bone swelling (marrow edema) seen at the inferior end of knee cap, the pointed area (patellar apex).
The joint portion of the anterior surface of the distal femur (thigh bone), which articulates with the patella, has been referred to as the the trochlea. The trochlear surface of the femur is divided into two facets, medial and lateral (inner and outer). In your case the outer (lateral) part of the trochlea is showing erosive changes and mild swelling of the lower end of thigh bone. There are small crack like appearances also noted in between the medial and lateral facets (the trochlear groove).
In simple terms there erosive changes and bone edema (swelling) involving the knee cap (patella) and lower end of thigh bone (femur) which might be causing painful restrictive movements at the knee joint.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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