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What Does This MRI Report Indicate?

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Posted on Mon, 11 Jul 2016
Question: Please suggest regarding nature of illness is acute or chronic.


A 35 yrs/male patient c/o Left Knee Anterior Cruciate Ligament Tear with Posterior Cruciate Ligament Tear. As per patient there is h/o fall on 30/03/2016. patient hospitalised from 31/03/2016 to 02/04/2016. (Patient underwent ACL reconstruction with MFC and LFC, with synovectomy and lavage.)
As per investigation report -
MRI - Left Knee Joint (dated 31/03/2016) finding suggest
- Complete tear involving femoral attachment of ACL with buckling of PCL.
-Mild laxity involving infra-patellar tendon with intrasubstance signal proximill, suggest of interstitial injury.
-Grade-I signal involving posterior horn of medial meniscus.

Please suggest regarding nature of illness is acute or chronic - as there are no any acute inflammatory changes in MRI findings. Kindly suggest.
doctor
Answered by Dr. Aashish Raghu (27 minutes later)
Brief Answer:
Acute illness

Detailed Answer:
Hi there.

According to your history, the patient has suffered from Acute trauma causing ACL tear which was treated with ACL reconstruction.

This is an acute illness treated with surgery.

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. Sonia Raina
doctor
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Follow up: Dr. Aashish Raghu (3 hours later)
Dear Sir,

As there are no any acute inflammatory changes in MRI findings (Please find attached investigation report). Kindly suggest.
doctor
Answered by Dr. Aashish Raghu (5 hours later)
Brief Answer:
Acute trauma due to fall Inflammation is not a distinct feature of ACL tear

Detailed Answer:
Since there is Acute trauma due to fall, this becomes an acute injury and not a chronic injury.

Inflammation in this setting may be rare because it is traumatic in nature.
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
doctor
Answered by
Dr.
Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5482 Questions

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What Does This MRI Report Indicate?

Brief Answer: Acute illness Detailed Answer: Hi there. According to your history, the patient has suffered from Acute trauma causing ACL tear which was treated with ACL reconstruction. This is an acute illness treated with surgery. I hope I have answered your query. I will be available to answer your follow up queries. Regards, Dr. Aashish Raghu