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What Does This MRI Report Indicate?

Posted on Sat, 16 Jan 2016

Question: hi
i had an accident some time back and the MRI Report of my left knee showed below details

The study reveals tear of the femoral attachment of anterior cruciate ligament.
"depressed fracture of lateral tibial condyle is seen posteriorly with associated marrow edema.
assosiated mild joint effusion is seen appearing hypointense on TIW & huperintense on T2W images.

i am feeling regular pain at times and can't do anything that puts pressure on my left knee and running is now like a dream to me.

Answered by Dr. Dr. Sudhir Kumar (37 minutes later)

Brief Answer:
Needs more details.

Detailed Answer:
Hi
Thanks for your query

I'm Dr Sudhir Kumar

I have gone through your query and understand your concern. I want to know when you got the injury and how injury was treated (crepe bandage/ plaster/ operation ) ? I think injury is at least 3 months old. At present you need physiotherapy in the form of quadriceps excercises and analgesic such as ibuprofen for pain relief. 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. Sonia Raina

Follow up: Dr. Dr. Sudhir Kumar (1 hour later)

i got this injury about an year ago and i was a bit casual about it that time.
i hope you have seen the MRI report attached.

But i didn't invested 199 rs for this answer.
i can directly go to the doctor and get all solutions at one place.
why i tried this way is because i wanted to get a proper advise. Do i have to undergo a surgery as suggested by the report because i cannot run is what i can feel.

i think this is totally unprofessional way of earning people's money totally dissatisfied by your answer.

i would like to get my money back.

i have not undergone any operation. just used crap bandage.

Answered by Dr. Dr. Sudhir Kumar (1 hour later)

Brief Answer:
ACL reconstruction is advisable.

Detailed Answer:
Hi
Welcome back
Your fracture is still visible on MRI and also having ACL ( anterior cruciate ligament) tear. As you want to do activities like running etc, so it is advisable for ACL reconstruction ( possibly by key hole surgery). If there are no strenous activity in life the treatment approach can be different. Hence the next step for you is get a a fresh X-ray again and if fracture is still un united then it needs fixation by operation.
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:
XXXX

Wishing you good health
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Sudhir Kumar (1 hour later)

Thank you for your feedback.
could you also please recommend any hospital and how much could be the surgery cost.

Thank You.

Answered by Dr. Dr. Sudhir Kumar (2 hours later)

Brief Answer: XXXXXXX is best centre.

Detailed Answer:
Hi
Welcome back XXXXXXX is best institution for treatment. Here there you can go to sport injury centre. Cost of treatment is nearly 50000 Rs depending upon centre to centre.
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:
XXXX

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. Vaishalee Punj