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    Old 03-29-2011, 05:21 PM   #1
    kwjeter29's Avatar
    Join Date: Mar 2011
    Location: Roseville, CA
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    Please help me out understanding this diagnosis

    This was the diagnosis on the MRI disc. I am trying to understand what it means. Do I need to fix the meniscus and ACL? Sounds like it. I was hoping someone with more knowledge could help me out.


    TECHNIQUE: Sagittal PDS FSE and T2 fat sat FSE, coronal and axial PD fat
    sat FSE, coronal T2 FSE through region of the ACL.
    FINDINGS: There is a vertical cleavage tear involving the peripheral
    one-third of the posterior horn of the medial meniscus that extends from the
    junction of the posterior root medially to the medial corner of the
    posterior horn, which is best seen on the sagittal sequences. Vertical
    increased linear signal intensity is seen extending to the superior meniscal
    surface along the posterior peripheral margin of the posterior horn of the
    lateral meniscus lateral to the level of the junction of diminutive ligament
    of Wrisberg compatible with vertical cleavage tear, reference images 5-8 of
    series 4 and 5. There is relatively diffuse architectural distortion and
    heterogeneous intermediate signal intensity alteration of the ACL compatible
    with complete ACL tear that is subacute to chronic, given lack of
    surrounding soft tissue inflammatory edema within the intercondylar notch or
    presence of bone contusions to indicate acute injury. The PCL is intact.
    Mild intermediate interstitial signal is seen in the PCL that could
    represent early myxoid degeneration or residua of mild sprain injury. The
    collateral ligaments are intact. The extensor mechanism is intact. The
    visualized bones are intact with overall normal bone marrow signal pattern.
    The articular cartilage of the patellofemoral and tibiofemoral joints is
    maintained. No knee effusion or popliteal cyst is seen. Visualized muscles
    and soft tissues about the knee are normal.

    Last edited by kwjeter29; 03-29-2011 at 05:23 PM. Reason: FOrgot to type in some help.

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