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Suggest Treatment For Meniscus Injury
Question: Hi, I am an active 53 year old woman. I have had an MRI of my right knee in February and again in March. I have also had 2 cortisone injections. The 1st on the lateral side of my knee and the 2nd on the medial side. The second MRI was done shortly after my 2nd injection as my pain and swelling had become intolerable. The 1st MRI showed possible medial meniscus tear and possible ACL sprain. The 2nd shows a root tear to the posterior horn of the medial meniscus with medial subluxation of the body of the meniscus. It also shows extensive marrow edema to the medial femoral condyle with a sub cortical curvilinear band of hypo intensity consistent with insufficiency fracture/osteonecrosis. I have not been able to reach my orthopedic surgeon and I wonder how serious this is and what I should do about it?
Brief Answer:
It will require most probably arthroscopic meniscectomy (surgery).
Detailed Answer:
Hi
Thanks for your query
I'm Dr Sudhir Kumar
I have gone through your query and understand your concern. You are mainly having meniscus injury. It will require most probably arthroscopic meniscectomy (surgery).Till then you may continue with quadriceps excercises and analgesic such as ibuprofen for pain relief. As you also has ACL laxity so some kind of knee splintage can be used to give rest to joint. Your second MRI also suspected fracture, whether you got recent injury to your joint?
You can discuss with your doctor about it.
Hope your query get answered. If you have any clarification then I will be happy to help you.
Wishing you a good health.
Take care.
It will require most probably arthroscopic meniscectomy (surgery).
Detailed Answer:
Hi
Thanks for your query
I'm Dr Sudhir Kumar
I have gone through your query and understand your concern. You are mainly having meniscus injury. It will require most probably arthroscopic meniscectomy (surgery).Till then you may continue with quadriceps excercises and analgesic such as ibuprofen for pain relief. As you also has ACL laxity so some kind of knee splintage can be used to give rest to joint. Your second MRI also suspected fracture, whether you got recent injury to your joint?
You can discuss with your doctor about it.
Hope your query get answered. If you have any clarification then I will be happy to help you.
Wishing you a good health.
Take care.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Hi Dr. XXXXXXX
Thank you for your response. I have never had a knee problem. My knee problem started this past summer with the gradual onset of pain. I have not had any kind of joint injury. At some point between the two cortisone shots, I felt something "pop" in my knee while I was stretching. I'm guessing that might have been when my meniscus was torn. My real concern is my insufficiency fracture or osteonecrosis. I have no idea how or why this happened or how it should be treated. Do you have any thoughts on this?
Thank you for your response. I have never had a knee problem. My knee problem started this past summer with the gradual onset of pain. I have not had any kind of joint injury. At some point between the two cortisone shots, I felt something "pop" in my knee while I was stretching. I'm guessing that might have been when my meniscus was torn. My real concern is my insufficiency fracture or osteonecrosis. I have no idea how or why this happened or how it should be treated. Do you have any thoughts on this?
Brief Answer:
May need core decompression.
Detailed Answer:
Hi
Welcome back
So you have two problems one is meniscus tear and another is osteonecrosis leading to insufficiency fracture. Cause of osteonecrosis is generally not known ( idiopathic). Popping is due to meniscus tear. Pain can be due to combined effect of both. The treatment of osteonecrosis depends upon its stage, and I feel this is probably it is in early stage. It can be treated by arthroscopy along with meniscectomy by decompressing the condyle (core decompression) by multiple drill holes ).
You can discuss with your doctor about it.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho
Wishing you good health
Take care
May need core decompression.
Detailed Answer:
Hi
Welcome back
So you have two problems one is meniscus tear and another is osteonecrosis leading to insufficiency fracture. Cause of osteonecrosis is generally not known ( idiopathic). Popping is due to meniscus tear. Pain can be due to combined effect of both. The treatment of osteonecrosis depends upon its stage, and I feel this is probably it is in early stage. It can be treated by arthroscopy along with meniscectomy by decompressing the condyle (core decompression) by multiple drill holes ).
You can discuss with your doctor about it.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho
Wishing you good health
Take care
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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