Needing Clarification On This MRI Report. 23 Year Old Male
 
                                    
                                    
                                          
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                                           Sat, 29 Jun 2019
                                           
                                        
                                        
                                        
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                                                Sat, 29 Jun 2019
                                                
                                            
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                                            Question : Needing clarification on this MRI report. 23 year old male who lives an active lifestyle and recently enlisted in military service. Started having knee ache/pain that improved on the inside side of my knee joint after kneeling down and getting back on my feet at work. Initially after incident had pain when taking steps and bearing weight for about two days. Got better a month later still having tenderness to %E2%80%9Cinside%E2%80%9D side of knee. Hoping to avoid any sort of surgery. 
Doctor thought could be a meniscus tear and ordered an MRI. Not seeing surgeon until next week. Running does not bother it, however will ache when standing for long periods of time. Bending down or squats does not irritate it, however activites such as climbing ladders will. Can run and jump without pain.
RESULTS: Full-thickness chondral fissure of the lateral facet of the patella. Small effusion. Mild bone marrow edema in the fibular head. Differential considerations include stress reaction and contusion.
                            Doctor thought could be a meniscus tear and ordered an MRI. Not seeing surgeon until next week. Running does not bother it, however will ache when standing for long periods of time. Bending down or squats does not irritate it, however activites such as climbing ladders will. Can run and jump without pain.
RESULTS: Full-thickness chondral fissure of the lateral facet of the patella. Small effusion. Mild bone marrow edema in the fibular head. Differential considerations include stress reaction and contusion.
 RESULTS: Full-thickness chondral fissure of the lateral facet of the patella. Small effusion. Mild bone marrow edema in the fibular head. Differential considerations include stress reaction and contusion.
                                    Brief Answer:
Mild inflammatory changes only.
Detailed Answer:
Hello,
Thanks for posting your query.
I have seen the attached report. This is suggestive of inflammatory reaction in the area due to stress. This is a minor change in the knee joint and does not need any surgery. Taking rest and avoiding all the painful activities will help. You can also use an elastic knee support for an extra support. Taking mild anti inflammatory pain killer will also help.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
                                    
                            Mild inflammatory changes only.
Detailed Answer:
Hello,
Thanks for posting your query.
I have seen the attached report. This is suggestive of inflammatory reaction in the area due to stress. This is a minor change in the knee joint and does not need any surgery. Taking rest and avoiding all the painful activities will help. You can also use an elastic knee support for an extra support. Taking mild anti inflammatory pain killer will also help.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Thank you for the follow up! I appreciate it. The full-thickness chondral fissure was my main concern as research showed it is due to cartilage loss. 
                                
                            
                                    Brief Answer:
Stem cell injections can help.
Detailed Answer:
Hello.
Thanks for writing again.
Chondral fissure is associated with cartilage loss. In case this does not heal with conservative treatment like rest and anti inflammatory medicines then local stem cell injections and joint lubricant supplements can help.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
                                    
                            Stem cell injections can help.
Detailed Answer:
Hello.
Thanks for writing again.
Chondral fissure is associated with cartilage loss. In case this does not heal with conservative treatment like rest and anti inflammatory medicines then local stem cell injections and joint lubricant supplements can help.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
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