Edema of the bone marrow medial condyle of the tibia
Traumatologist-orthopedist | 03.ru - medical advice online
Question to traumatologist-orthopedist.
The dear doctor!
I appeal to you with the following question:
3 years ago, I had an operation-a partial meniscusctomy of both menisci, static stabilization with PKC autotransplant.
Recently, I fell and again injured my knee. About 2 weeks after falling, when walking, I began to click the joint. I made an MRI:
On the MR-tomography of the knee joint, performed insagittal, coronary and axial scan planes on T1, T2-VI, tibia displaced forward to 5 mm. Channels in the femoral and tibia are usually formed, there is no liquid in them. The screws do not protrude beyond the edges of the bones. The anterior cruciate ligament transplant is traced all over, positioned correctly.
The joint gap is not narrowed. The joint surfaces are even. Subdominal osteosclerosis is noted in the medial parts of the tibial plateau. In the lateral condyles of the femoral and tibia bones are areas of the edema of the bone marrow.
The articular cartilages of the femoral-tibial articulation are traced all over, in the medial departments are thinned.
Cartilage of patella is not thinned, uniform thickness, cartilage contours equal, cartilage structure along medial joint facet is heterogeneous.
The posterior cruciate ligament is clearly traced, excessively curved.
The position of the collateral ligaments, the patellar supports, the tendon of the 4-head of the muscle, the own patellar ligament is preserved, the ligament structure is uniform.
The anterior horn of the medial meniscus is of regular shape, the contours are even, the structure is not uniform, the body and hindbone are not visualized.
The lateral meniscus is usually located, the horn of a lower height, with uneven contours, of a heterogeneous structure.
In the medial parts of the fat pad - a rough fibrous changes.
The amount of fluid is increased in the joint cavity and the suprasclerotic bag, the most pronounced in the lateral turn of the suprascoat bag.
In the medial sections of the popliteal fossa is a synovial cyst 30x28x12 mm in size.
Conclusion: The condition after partial meniscusctomy of both menisci, static stabilization with PKC autografts on 21.12.2009. No signs of bankruptcy of the transplant have been revealed.
Areas of edema of the bone marrow in the lateralcondyles of the femoral and tibia. Chondromalacia of the medial facet of the patella Ist. Degenerative changes in the anterior horn of the medial meniscus, posterior horn of the lateral meniscus.
Synovitis. The synovial ceca of the popliteal fossa.
How is treatment necessary in this case?