What Does This MRI Report Of The Right Knee Indicate?

Posted on Sat, 29 Oct 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 29 Oct 2016 Answered on

Sat, 19 Nov 2016 Last reviewed on

Question : MRI of right knee. What does this mean?
IMPRESSION:
- Patellar tendinopathy at the tibial attachment site with marrow contusion in underlying tibia.
- Intrasubstance myxoid degeneration of posterior horn of medial meniscus.
- Sprain of anterior cruciate ligament and medial patellar retinaculum.
- Minimal fluid in patellofemoral and tibiofemoral joints.
- Early chondromalacia patella

Answered by Dr. Aashish Raghu (2 hours later)

Brief Answer:
Trauma to an ageing knee

Detailed Answer:
Hi there.

Thanks for the query.

It means that there are changes of ageing in the knee causing cartilage (meniscus) damage with bone damage due to trauma, with sprain of the knee ligament (ACL) and previous with ongoing damage to the knee cap bone (Patellar chondromallacia).

I suppose these are due to trauma to an ageing knee.

Needs 4 weeks rest, icing and pain killers. Avoid flexing the knee.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Aashish Raghu (18 minutes later)

I have been resting and following the RICE method while taking anti inflammatory daily I have also completed 8 sessions of physical therapy, with no improvement. What would be the next step to recovery?

Answered by Dr. Aashish Raghu (6 hours later)

Brief Answer:
Surgery may be required

Detailed Answer:
Hi,

Arthroscopic debridement and ACL repair may be warranted. Do speak to your Surgeon if he agrees with this.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee