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What Does This MRI Report Indicate?

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Posted on Wed, 21 Dec 2016
Question: Hi doctor,

I have attached a report regarding my left knee condition, I am a very heatlhy perdon, ex athlete, semi pro football player, I want to understand more about cartilage deffect on posterieur lateral femoral condyle grade 2, is this located on the weight bearing area normaly, I will go for treatment very soon, arthroscopie, but I dont want to do micro fracture, what would you suggest, I still want to play soccer for fun, I am 46 now, but even for fun currently I cannot even do that, the baker cyst is far to big so I feel very unconfortable after 15 minutes of running escpecially if I put lift up my left leg after running, i feel pain in the back of my knee.

Look forward to a very proffessional reply.


Thank you.

See image and report attached, I just had my meniscus removed(30%) lateral and medial.

doctor
Answered by Dr. Dr. Praveen Tayal (49 minutes later)
Brief Answer:
It is in non weight bearing area.

Detailed Answer:
Hello,
Thanks for posting your query.
The cartilage defect on the posterior lateral femoral condyle is not a weight bearing area. The pain and edema with mild effusion that you have is suggestive of inflammation. The focal cartilage thinning on the patellar articular surface can cause pain due to movement.
The decrease in meniscus also reduces the joint space that causes pain during stressful activities of the knee. Even after the arthroscopic repair, it may not be possible for you to play soccer as the degenerative changes in the knee will progress more with stress.
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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (54 minutes later)
Thank you,

So what do you think would be the cause of the baker cyst, more likely the fact that meniscus tears was not fix proprely or the cartilage issue of the lateral femoral condyle..??

I had 2 operation on my right knew and still played with no pain....Was patella cartilage issue....and meniscus....


But this time is the baker cyst that seems to give me lot of trouble...

So what would be the best way to treat the cartilage iss issue then on the lateral femoral condyle?


Thanks.




doctor
Answered by Dr. Dr. Praveen Tayal (2 hours later)
Brief Answer:
Joint lubricant supplements can help.

Detailed Answer:
Hello.
Thanks for writing again.
The Baker's cyst is a benign cyst that appears due to degenerative changes in the knee joint structures. The cartilage defect that you have can decrease with joint lubricant supplements like Dycerin or hyaluronic acid injections. The removal of the cyst will help in reducing the space occupied by the cyst. The degenerated cartilage is difficult to regrow.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
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
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12315 Questions

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What Does This MRI Report Indicate?

Brief Answer: It is in non weight bearing area. Detailed Answer: Hello, Thanks for posting your query. The cartilage defect on the posterior lateral femoral condyle is not a weight bearing area. The pain and edema with mild effusion that you have is suggestive of inflammation. The focal cartilage thinning on the patellar articular surface can cause pain due to movement. The decrease in meniscus also reduces the joint space that causes pain during stressful activities of the knee. Even after the arthroscopic repair, it may not be possible for you to play soccer as the degenerative changes in the knee will progress more with stress. 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