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What Does This MRI Findings For Knee Pain Indicate?
Question: Please advise on the recent MRI with knee pain with onset date in XXXXXXX 2006 after pedestrian accident. 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:
You are getting right conservative treatment .
Detailed Answer:
Hello XXXXXX
Thanks for writing to HCM
You have degenerative knee disease i.e Osteoarthritis.
Osteoarthritis may be due to many reasons,it is related to trauma in your case.It may be aggravated due to your age.
You are getting right conservative treatment in the form of analgesics and muscle relaxants.Articular cartilage has a limited capacity for healing.
Besides medicines you can also go for physiotherapy.It will strengthen the muscles around the knee and makes the joint more stable and decreases pain. Stretching exercises also helps in keeping the knee joint mobile and flexible.
Corticosteroids or hyaluronic acid can also be injected into the knee.It will decrease inflammation.
You can also try brace,worn over the knee.It will hold the knee in place and prevent inadvertent movement.
Surgical options like knee replacement is the ultimate treatment in refractory cases.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
You are getting right conservative treatment .
Detailed Answer:
Hello XXXXXX
Thanks for writing to HCM
You have degenerative knee disease i.e Osteoarthritis.
Osteoarthritis may be due to many reasons,it is related to trauma in your case.It may be aggravated due to your age.
You are getting right conservative treatment in the form of analgesics and muscle relaxants.Articular cartilage has a limited capacity for healing.
Besides medicines you can also go for physiotherapy.It will strengthen the muscles around the knee and makes the joint more stable and decreases pain. Stretching exercises also helps in keeping the knee joint mobile and flexible.
Corticosteroids or hyaluronic acid can also be injected into the knee.It will decrease inflammation.
You can also try brace,worn over the knee.It will hold the knee in place and prevent inadvertent movement.
Surgical options like knee replacement is the ultimate treatment in refractory cases.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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