beesknee
member
- Joined
- Jul 13, 2021
- Messages
- 185
- Age
- 63
- Country
- United States
- Gender
- Male
I pulled up the report from the Pre surgery MRI - May 2021. It looks like the main difference is the lateral Meniscus tear. I had no grinding.
It must have been torn during the operation as I have had no injury since PKR. Only have done rehab exercises to keep the knee as strong as possible.
Pre surgery I only sharp pain in knee for a few days if I ran too much. Now running is not an option and I have dull pain in knee.
I am hoping that a scope can clean it up.
Here is last year's MRI.
It must have been torn during the operation as I have had no injury since PKR. Only have done rehab exercises to keep the knee as strong as possible.
Pre surgery I only sharp pain in knee for a few days if I ran too much. Now running is not an option and I have dull pain in knee.
I am hoping that a scope can clean it up.
Here is last year's MRI.
Impression |
IMPRESSION: |
1. Evidence of osteochondral grafting along the medial femoral condyle |
with good incorporation of the osteochondral graft and minimal |
protrusion. There is fraying and diffuse irregularity of the overlying |
cartilage, but no full-thickness osteochondral defect. No underlying |
cystic change. |
2. Multifocal full-thickness articular cartilage defects along the |
patella, trochlea and medial femoral condyle(along the anterior aspect |
of the osteochondral graft) as detailed in the body the report with |
associated subchondral bone marrow edema. |
3. Shallow trochlear groove with patella alta. |
4. Multilobulated intact Baker's cyst. |
5. Irregularity along the posterior horn medial meniscus-capsular |
interface likely represents injury. |
Narrative |
MRI of the right knee without contrast |
Exam Date: 5/19/2021 |
History: Osteochondritis dissecans |
Comparison Studies: None |
TECHNIQUE: Multiplanar, multisequence MR imaging was performed without |
Gadolinium contrast per the standard protocol on a 1.5 Tesla magnet. |
FINDINGS: |
* Menisci: No medial or lateral meniscal tear. Irregularity along the |
posterior horn medial meniscus-capsular interface likely represents |
injury. |
* Ligaments: ACL, PCL, MCL, LCL all appear intact. |
* Extensor Mechanism: Patella alta. Intact extensor mechanism. |
* Joint: Small joint effusion. Intact multilobulated 1.3 x 2.1 x 4.4 cm |
Baker's cyst. |
* Articular Cartilage: |
Patellofemoral compartment: Focal full-thickness articular cartilage |
defect along the median patellar ridge measuring 0.4 x 0.3 cm with |
associated subchondral bone marrow edema. Additional focal |
full-thickness defect along the lateral patellar facet with associated |
subchondral bone marrow edema. Focal full-thickness fissuring along the |
midline trochlea with subchondral bone marrow edema. Superimposed |
diffuse thinning of the articular cartilage. |
Medial compartment: Focal 0.2 x 0.2 cm full-thickness articular |
cartilage defect along the medial femoral condyle along the anterior |
aspect of the osteochondral graft. There is good incorporation of the |
osteochondral graft with minimal protrusion. There is fraying and |
diffuse irregularity of the overlying cartilage. |
Lateral compartment: Diffuse thinning with no full-thickness defects. |
* Miscellaneous: Shallow trochlear groove. No fracture. No aberrant |
vessels. |