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What Does The X-Ray Report Indicate?
Question: I have knee joint pain going down stairs and steep grades. An X-Ray study was ordered, and I am trying to understand the report. It says: Calcification present along the right medial femoral
condyle, likely related to Pellegrini-Stieda. Bilateral varus deformity is
seen. There is a large right knee joint effusion containing lucencies. Marked
right patellar spurring seen. Degenerative change present right patellofemoral
joint. Lateral tilt of the right patella seen.
condyle, likely related to Pellegrini-Stieda. Bilateral varus deformity is
seen. There is a large right knee joint effusion containing lucencies. Marked
right patellar spurring seen. Degenerative change present right patellofemoral
joint. Lateral tilt of the right patella seen.
Brief Answer:
You are having osteoarthritis of knee.
Detailed Answer:
Hi
Thanks for your query
I'm Dr Sudhir Kumar
I have gone through your query and understand your concern. You are likely to be having osteoarthritis of both knees. Your x ray report is also showing of osteoarthritis ( degenerative arthritis). X ray report is showing calcification ( calcium deposition) consistent with pelligrini Steida ( calcification of medial collateral ligament).Bilateral varus deformities means there is knee is angulated inside in both knee . Large knee joint effusion means much fluid inside the joint . Joint effusion commonly is seen in osteoarthritis. spurring of patella means osteoarthritis of patella.Most of these changes are consistent with degenerative ( osteoarthritis) arthritis. Treatment of it is glucosamine and analgesic such as ibuprofen for pain relief. Quadriceps excercises are helpful. If needed ( not relieved by these measures) you may need aspirations of effusion under aseptic conditions. Fluid can be send for cultural and sensitivity to rule out septic arthritis and other arthritis. You may contact local orthopaedician for it.
You can discuss with your doctor about it.
Hope your query get answered. If you have any clarification then I will be happy to help you.
Wishing you a good health.
Take care.
You are having osteoarthritis of knee.
Detailed Answer:
Hi
Thanks for your query
I'm Dr Sudhir Kumar
I have gone through your query and understand your concern. You are likely to be having osteoarthritis of both knees. Your x ray report is also showing of osteoarthritis ( degenerative arthritis). X ray report is showing calcification ( calcium deposition) consistent with pelligrini Steida ( calcification of medial collateral ligament).Bilateral varus deformities means there is knee is angulated inside in both knee . Large knee joint effusion means much fluid inside the joint . Joint effusion commonly is seen in osteoarthritis. spurring of patella means osteoarthritis of patella.Most of these changes are consistent with degenerative ( osteoarthritis) arthritis. Treatment of it is glucosamine and analgesic such as ibuprofen for pain relief. Quadriceps excercises are helpful. If needed ( not relieved by these measures) you may need aspirations of effusion under aseptic conditions. Fluid can be send for cultural and sensitivity to rule out septic arthritis and other arthritis. You may contact local orthopaedician for it.
You can discuss with your doctor about it.
Hope your query get answered. If you have any clarification then I will be happy to help you.
Wishing you a good health.
Take care.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
Thank you Dr. XXXXXXX I understand the general diagnosis and suggested treatment, and your detailed explanations of terminology. One clarification, is the bilateral varus deformity related to the osteoarthritis, or from some other cause? BTW, since the injection in the knee of cortisone, I am experiencing significant reduction of symptoms. I have several questions. One, do you think there is much chance of being able to get back to my strenuous hiking exercise, given the degenerative osteoarthritis? Second, long term, will my condition likely get worse? Third, are there surgical options that could restore my full function? If so, what are the pros and cons?
Brief Answer:
Bilateral varus deformity is generally caused by osteoarthritis .
Detailed Answer:
Hi
Welcome back
Bilateral varus deformity is generally caused by osteoarthritis as it involves first medial( inner) compartment of knee leading to bending of knee in varus. Cortisone causes significant reduction of pain in osteoarthritis. You can return back to hiking, it depends upon pain. There are off and on periods of pain. Glucosamine can slows progression of degeneration and to some extent repair these changes. As it is degenerative arthritis so it is likely to slowly deteriorate with age but it is generally very slow .Surgical options can be discussed after seeing x ray films and if available MRI. One surgical option is Total knee replacement but it is only required if you are having moderate to severe pain and pain is not controlled by analgesics. Benefits of operation is painfree knee. Risks involved are of mainly infection and operation risks.
You can discuss with your doctor about it.
Everything else already discussed.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho
Wishing you good health
Take care
Bilateral varus deformity is generally caused by osteoarthritis .
Detailed Answer:
Hi
Welcome back
Bilateral varus deformity is generally caused by osteoarthritis as it involves first medial( inner) compartment of knee leading to bending of knee in varus. Cortisone causes significant reduction of pain in osteoarthritis. You can return back to hiking, it depends upon pain. There are off and on periods of pain. Glucosamine can slows progression of degeneration and to some extent repair these changes. As it is degenerative arthritis so it is likely to slowly deteriorate with age but it is generally very slow .Surgical options can be discussed after seeing x ray films and if available MRI. One surgical option is Total knee replacement but it is only required if you are having moderate to severe pain and pain is not controlled by analgesics. Benefits of operation is painfree knee. Risks involved are of mainly infection and operation risks.
You can discuss with your doctor about it.
Everything else already discussed.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho
Wishing you good health
Take care
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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