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What Does This MRI Of Left Knee Indicate?
Question: In 2006, I was in a pedestrian accident and hurt my left knee. Recently, I had an MRI, attached. Physical therapist said my left thigh strength was half the strength of the right thigh. My doctor recommended a lateral release. What might this arthroscopic entail in terms of recovery, physical therapy, and time from work? Also, I was told the surgery will not correct the problems, but may provide more long-term relief and lessen further problems. Thank you.
Left Knee 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.
Left Knee 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.
Brief Answer:
This is knee cap (patelloffemoral) arthritis
Detailed Answer:
Hello madam,
On the basis of MRI and your clinical presentation, you are having patellofemoral arthritis. In more simple words it is knee cap arthritis.
Arthroscopic surgery will provide you pain relief. How long it will last depends on will depend on post of physiotherapy. You have not mentioned your job work, but you will be able to walk from next day.
You will need thigh muscle strengthening exercises for 3 to 4 months which can be learnt easily and then you can do them at your home.
I believe you can go to work in a week to 10 days maximum.
I would also recommend you to avoid squatting, sitting cross leg, cycling and staircase for a month after surgery.
I hope this answer will be useful. Let me know if you want to ask any other questions.
Thanks.
This is knee cap (patelloffemoral) arthritis
Detailed Answer:
Hello madam,
On the basis of MRI and your clinical presentation, you are having patellofemoral arthritis. In more simple words it is knee cap arthritis.
Arthroscopic surgery will provide you pain relief. How long it will last depends on will depend on post of physiotherapy. You have not mentioned your job work, but you will be able to walk from next day.
You will need thigh muscle strengthening exercises for 3 to 4 months which can be learnt easily and then you can do them at your home.
I believe you can go to work in a week to 10 days maximum.
I would also recommend you to avoid squatting, sitting cross leg, cycling and staircase for a month after surgery.
I hope this answer will be useful. Let me know if you want to ask any other questions.
Thanks.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Dr. Dr. Naveen Kumar Sharma
Orthopaedic Surgeon, Joint Replacement
Practicing since :2002
Answered : 4486 Questions
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