Knee pain, MRI results, anyone help in layman's terms please.?Hi, I am a 56 year old female who has had a knee injury for over a year, and longstanding pain in left knee. NOt sure of exact injury or date, as I fell in to the bathtub, ( at night and narrow bathroom) and another time slipped on wet grass falling on my knees. I also have a bad back,( herniated disks at L4-L5, and bulging disks, L2-L3, L3-L4, and other things going on with back, and hip pain as well. My knee pain has been constant and the Methadone I take for my back, does nothing for the knee pain.
I posted on a health site and have not been able to get anyone to interpret my MRI results. I have to wait for a referral to see the Orthopedic DR. and would like to get an idea of what the MRI means in the meantime. Please serious only, no joking.
Findings. The anterior Cruciate ligament is diminutive. The proximal femoral attachment is NOT WELL SEEN ? The distal tibial attachment appears taut and normal. Posterior cruciate , quadriceps tendon and patellar ligaments are intact. Collateral ligaments are intact. There is some Globular signal in posterior horn of medial meniscus but it does not meet strict MRI criteria for a tear. The lateral meniscus is intact. The patella s appropriately situated. There is some articular thinning along the medial patellar facet but no focal osteochrondral defects are noted. There is no significant joint effusion, but a small amount of suprapatellar bursal fluid is noted.
Bone marrow signal characteristic show an increase in the bone marrow in the medial femoral condyle and medial tibial plateau with a corresponding decreased T1 signal. This suggests that they are healing bone contusions. Impressions: Bone marrow abnormality within the medial femoral condyle and medial tibial plateau suggest that there is healing bone contusions.These type of contusions can be associated with anterior cruciate ligament tears. The patient likely did have a tear from the femoral attachment that has re-adhered.There is some globular signal in the posterior horn of the medial meniscus but there is no associated meniscal tear identified.
( Please don't tell me that it looks like I had a ligament tear, that is stated in the report, what does the rest say or mean?What can I expect when I see the Orthopedic Dr. as far as treatment. Remember, I have had this pain for over a year now. Thank you for any answers you can give me.
Noreen
It sounds like your ligament tear did not heal properly.
Loganne
It sounds like some damage to your ACL (anterior cruciate ligament.) Possibly the ACL had a partial tear and did not heal properly. It also appears that there is some degenerative damage to your meniscus, medially. The meniscus is the cartilaginous cushion in your knee. It absorbs the shock. This isn't a tear. It is gradual damage to the cartilage on your knee from repetitive movement. The bone marrow abnormality may be associated with your meniscal damage and may prelude osteoarthritis. The suprapatellar bursal fluid probably resulted from your fall onto your knees. Do you have difficulty walking down stairs or sitting? Maybe even feel that your knee catches a bit when extending and flexing.
I would look for physical therapy in your future. Relief will only come with strength in areas surrounding the knee. I'll post a link to some exercises you can expect.
I'm not an expert, but have seen quite a few knee injuries. I hope you find relief.
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