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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Lab Report Indicate?

Should I be worried with this report: Subtle cortical deformity along the posterior rim of the lateral tibial plateau with an adjacent punctate ossific fragment, which may represent a small fracture of indeterminate chronicity. No other fracture is identified. Moderate tricompartmental degenerative changes of the knee, most pronounced in the patellofemoral compartment. Lateral patellar tilt and mild subluxation. The tibial tubercle-trochlear groove distance measures 13 mm. There is no evidence of the femoral trochlear dysplasia.
Mon, 4 Sep 2017
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Orthopaedic Surgeon 's  Response
your Xray basically describes a knee which has gone through the ageing process. degenerative changes indicate that wear and tear has affected the articulating areas of the bone especially the upper end of the shin bone (tibia). i would confirm with you regarding your symptoms and its severity before further action.
some patients may have horrible X-rays but minimal symptoms and can function quite well. these people do well just with observational treatment. on the other hand other patients may have near normal xrays but experience debilitating pain.
in any case, if you do have confirmed debilitating arthritic knee symptoms, there are a few options:
1. muscle strengthening exercises, focusing on the quadriceps and hamstrings with range of movement exercises. this will reduce the load borne by the joint and can significantly improve symptoms
2. anti-inflammatories for acute exacerbation of pain
3. injections around the knee to improve lubrication and / or reduce inflammation
4. surgical treatment ranging from realignment to joint replacement
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What Does This Lab Report Indicate?

your Xray basically describes a knee which has gone through the ageing process. degenerative changes indicate that wear and tear has affected the articulating areas of the bone especially the upper end of the shin bone (tibia). i would confirm with you regarding your symptoms and its severity before further action. some patients may have horrible X-rays but minimal symptoms and can function quite well. these people do well just with observational treatment. on the other hand other patients may have near normal xrays but experience debilitating pain. in any case, if you do have confirmed debilitating arthritic knee symptoms, there are a few options: 1. muscle strengthening exercises, focusing on the quadriceps and hamstrings with range of movement exercises. this will reduce the load borne by the joint and can significantly improve symptoms 2. anti-inflammatories for acute exacerbation of pain 3. injections around the knee to improve lubrication and / or reduce inflammation 4. surgical treatment ranging from realignment to joint replacement