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17 June 2015 @ 06:20 pm
Getting Out a Medical Dictionary  
MRI Knee Right Without Contrast

Keeping in mind that I had a former injury where I hit the inside of my knee on the edge of the bathtub and shower track with my full weight in 2008, it's been tender ever since, but in February of this year I did a couple of stupid things that reawakened that knee pain but also included pain down my leg, knee popping and great difficulty bearing weight that persists despite physical therapy. Ortho doc gave me a long lecture about OA though I've been told based on xrays that my OA is mild to moderate and it mostly hurt me when rising to a standing position, on stairs, or if riding in car for long periods. I had good flexibility prior to February's injury, could do deep squats for instance since I have back pain and avoid bending. Ortho doc said prior to this MRI that I had to beg for that no one in his department would ever do surgery on someone of my weight even if needed. I may have to go somewhere for a second opinion. I'm taking my husband to the appointment with him on the 26th so perhaps we'll have a more polite discussion. Just getting this MRI involved enormous pain from having to hold one position throughout and sleep is getting to be very difficult. Every time I move my leg it hurts enough to wake me up.

INDICATION: Question meniscal or chondral injury, knee pain

COMPARISON: Knee radiographs 03/16/2000 10:15

TECHNIQUE: MRI KNEE RIGHT WO CONTRAST SAG PD FS, SAG PD, AX PD FS, COR PD FS,
COR T1

REPORT: Quadriceps and patellar tendons intact with mild proximal patellar
tendinosis and quadriceps insertional enthesophyte with trace reactive edema.
Anterior and posterior cruciate ligaments intact. Collateral ligaments and
popliteus intact. Possible horizontal undersurface tear body of the medial
meniscus, with signal abnormality with borderline abutment of the inferior
articular surface of the meniscus.

Grade 3 medial femoral condyle and lateral tibial plateau chondrosis with areas
of near full-thickness chondral loss. Grade 3 patellar chondrosis with
perpendicular near full-thickness chondral fissuring. More mild chondrosis
elsewhere.

Large suprapatellar effusion with thickened superior suprapatellar plica.
Approximately 2 x 3 x 1 cm popliteal cyst.



Impression:

IMPRESSION:
1. Possible horizontal undersurface tear body of the medial meniscus.
2. Tricompartmental grade 3 chondrosis.
3. Large suprapatellar effusion with thickened superior right hip.
4. 2 x 3 by 1 cm popliteal cyst.
4. Mild proximal patellar tendinosis and quadriceps insertional enthesophyte
with trace reactive edema.

 
 
 
Tapatitapati on June 18th, 2015 01:43 am (UTC)
Looking up terms online
I don't know if anyone mentioned to doc who made this report that the leg already had chronic edema though I'm sure the injury increased it in the knee, at least it seems so to me.

http://www.rcmclinic.com/patient-info/knee/diagnosis/44-medial-injuries/78-grade-iii-chondrosis-medial-compartment

http://www.howardluksmd.com/posterior-horn-medial-meniscus-tears/ Yes I figured out years ago that I tore my meniscus when I fell in the shower. I must have re-injured it. (Frustrated because this happened just as I finally got a chair that was easier on my knees getting up.)

http://www.mayoclinic.org/diseases-conditions/bakers-cyst/basics/definition/con-20023332
That explains the incredible tenderness and pain behind my knee and why I fall asleep with an ice pack under my knee as well as on top.

http://www.aafp.org/afp/2000/0415/p2391.html


http://emedicine.medscape.com/article/89569-overview

I kind of felt they should look at the entire lower leg so not sure if all this explains the pain across my shin and the pain going down the right side and the rear of my calf completely. Possibly referred pain or the tendinitis, IDK.

This looks like a lot of words to indicate that as long as I try to bear any weight at all on this leg I am so screwed. The only thing that relieves it is to knock myself out for a full night on ambien so I get better sleep. But as soon as I bear weight for even part of the day I go right back to full inflammation. And I can't take anti-inflammatory meds at all, not NSAIDS anyway.