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What Does This MRI Report Indicate?

Posted on Tue, 17 Jan 2017

Question: I am having significant knee stiffness when I get up from sitting. There is some pain with those first few steps on the inside of my knee as well. The MRI from my Ortho says there is a small tear of the posterior horn of the medial meniscus. What should I do?

Answered by Dr. Aashish Raghu (19 minutes later)

Brief Answer:
Arthroscopic debridement

Detailed Answer:
Hi there.

Thanks for the query.

In your case, you have knee arthritis and due to that a degenerative tear of the posterior horn of the medial meniscus.

It is best to be treated conservatively or arthroscopically. Using the scope, the torn portion can be removed by a key hole Incision.

Avoid squatting, cross leg sitting, climbing stairs and kneeling. Perform quadriceps strengthening exercises.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Aashish Raghu (23 minutes later)

thank you. do you have any experience with PRP in this case or would you like to look at the MRI report- I have a fair amount of pain over the inside part of my knee right where the knee gets bent

Answered by Dr. Aashish Raghu (19 hours later)

Brief Answer:
PRP isn't very efficacious. Please upload MRI.

Detailed Answer:
PRP isn't very useful and could take 6 months to a year for some relief. Not many studies have been done to prove its efficacy.

Do upload your MRI. It will be helpful.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Aashish Raghu (5 hours later)

I just uploaded the MRI report to make sure that I gave you all of the information.
I was told by another orthopedist that since I had had a partial debridement 3 years ago that the less I do to remove tissue the better which is why I was hoping that PRP or my own stem cells might be able to heal the tears without debridement.

Answered by Dr. Aashish Raghu (1 hour later)

Brief Answer:
PRP insignificant in your case

Detailed Answer:
You seem to be having significant cartilage damage in your knee such could be a major cause for the pain. It's less likely due to the meniscus tear alone.

You can try Stem cell therapy, Autologous Chondrocyte Implantation (ACI), Osteochondral Autologous Transfer System (OATS). These are latest advanced procedures done by arthroscopic methods to help regenerate your damaged cartilage and will help to restore the large cartilage detect that you have in your knee.

PRP can be tried but effect won't be satisfactory because you have significant joint damage.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (2 days later)

I sent the images that I could get from my file- does this help you with your opinion?
thank you

Answered by Dr. Aashish Raghu (8 hours later)

Brief Answer:
Yes. Patellofemoral arthritis. Needs cartilage regeneration

Detailed Answer:
I have viewed all the screen shots and reports.

Yes, there is an element of Patellofemoral arthritis did to fluid collection in that joint. Chondral damage I couldn't visualise in these photos maybe because it involves other MRI cuts.

I think you must go forward in consulting a Sports Medicine Specialist who is trained in cartilage regeneration procedures.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (26 minutes later)

thank you
what are those procedures to which you are referring

Answered by Dr. Aashish Raghu (1 minute later)

Brief Answer:
ACI, OATS and Mosaicoplasty

Detailed Answer:
Autologous chondrocyte implantation or ACI, Osteochondral Autologous transfer system or OATS, Mosaicoplasty.

Above answer was peer-reviewed by : Dr. Nagamani Ng