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What Does My MRI Scan Test Report Indicate?

Posted on Mon, 4 Apr 2016

Question: My Father is having Knee pain and doctors has suggested to go through Arthroscope, is it necessary or we can have any alternative for this.
MRI reports says :
Protocol:
Coronal T1W FSE, T2 FRFSE Fat Sat
Sagittal PD FRFSE, T2GRE, Axial T2 FRFSE Fat Sat
Imaging Findings :
"Horizontal tear with Vertical component noted involving body & posterior horn of lateral Meniscus"
"Radial tear noted in body medial meniscus. Grade i hyperintensity noted in posterior horn of medial meniscus"
No evidence of meniscal cysts identified
Anterior and posterior cruciate, the collateral ligaments and patellar ligament appear normal
"Multiple cystic lesions noted between medial aspect of proximal tibia and medial collateral ligament."
No significant joint effusion seen
"Edema involving Hoffa's fat pad and prefemoral fat is noted"
"superfical chondral erosions noted in medial femoral condyle"
patellofemoral articulation appears normal with no evidence of chondromalacia
"Marginal osteophytes noted in the femoral and tibial condyles."
"subchondral hyperintensities noted in the medial facet of patella"
"subchondral cyst noted in the posteromedial aspect of medial tibial plateau"
"subcutaneous hyperintensities noted around the knee"

can you please suggest.

Answered by Dr. Aashish Raghu (3 hours later)

Brief Answer:
Arthroscopic repair of the meniscus is a better option

Detailed Answer:
Hi there.

Thanks for the query.

According to the MRI Report, there are tears in both medial and lateral meniscus.

The tears can be visualised in the arthroscopic procedure better and repair can be attempted or removal of small damaged portion can be done. Other procedures will not be able to address this issue.

In my opinion, arthroscopic visualisation and repair of excision is better than other procedures to treat these tears.

Exercise and physiotherapy can be done to improve muscle strength around the knee. Acid climbing stairs, cross leg sitting, squatting, kneeling. Apply hot packs to the painful regions.

It is a wise choice to attempt repair of the meniscus by arthroscopic technique to ensure better chance of healing of the years.

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. Chakravarthy Mazumdar

Follow up: Dr. Aashish Raghu (7 hours later)

Acid climbing stairs, cross leg sitting, squatting, kneeling. Apply hot packs to the painful regions. these should be performed or avoid.

Current Medications used are helpful to heal or just pain killers.
Neugaba 75
Zevert PVG
Zerodol - p
PAN 40
Glynase-mf(Sugar)
cartigen

Whether the Current Medications are going to show us any long term disadvantages. I heard using excess of pain killers will effect the Kidneys is it true.

Exercise are going to benefit or early Arthroscopic repair is the best option

Answered by Dr. Aashish Raghu (1 hour later)

Brief Answer:
Yes. Long term Medicine can cause damage

Detailed Answer:
Sorry for the typing error. It's Avoid climbing stairs, kneeling, squatting, cross leg sitting.

These medicines are pain killer with muscle relaxant and cartilage regeneration Medicine.

Excess pain killer can cause ulcer in stomach and kidney damage. So avoid taking more than 10 days. These medicines can cause dependence, nausea, vomiting, headache, gastritis, kidney failure, liver damage etc. in long term use.

Perform exercises and physiotherapy to strengthen muscles and reducer pain and improve performance.

Arthroscopic procedures is still the best surgical option to relieve pain.

Let me know if there are any further queries.

Regards

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