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What Does This MRI Report Indicate?

Posted on Fri, 15 Jul 2016

Question: I am a college student-athlete playing basketball (Campbellsville, KY). I have played through patellar tendonitis. On a recent MRI, it stated I have patellar tendonosis with a partial thickness tear in the patellar tendon. There is also "small well defined foci of ossification seen in the proximal patellar tendon." Two doctors suggested that no surgery would be required, but I would need a PRP injection and a few months of rehab. However, two other doctors suggested that I would need an arthroscopic surgery. I am confused now, and I would like some clarification.

Answered by Dr. Aashish Raghu (8 minutes later)

Brief Answer:
Better to go with PRP and physiotherapy for now

Detailed Answer:
Hi there.

Thanks for the query.

There is no need to go for arthroscopic surgery right away. You can try the PRP injection and physiotherapy for a couple of months. If you get relieved, then nothing more to consider. If you do not get relieved, an arthroscopic procedure can be planned later on.

Usually PRP arms physiotherapy do wonders in patellar tendinosis, but you must take care to avoid excessive loading activities to the knee like jumping, squatting, cross leg sitting. This will help in faster recovery.

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. Vaishalee Punj

Follow up: Dr. Aashish Raghu (28 minutes later)

Thanks for your reply. Can you please elaborate on the ossification part? Can a PRP injection help with healing ossification? Also, as a competitive athlete who's college scholarship and collegiate athletic career on the line, what would you advise as the best approach to take, considering the limited time?

Answered by Dr. Aashish Raghu (18 hours later)

Brief Answer:
PRP can heal torn tendon but not remove ossification as arthroscopy

Detailed Answer:
The ossification is only new home formation in tiny regions of your tendon.

Nothing to worry. It won't really cause any problems as of now. Just avoid sports and strenuous activity.

PRP won't directly affect the ossification but help to heal the parts of the tendon and prevent further ossification.
If the pain does not relieve by PRP, this ossification can be removed by arthroscopic procedure.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Sonia Raina