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1. Grade III tears of medial and lateral meniscus, medial worse than lateral 2. Articular surfaces universally irregular and disrupted 3. Trochlear groove articular surface disruption 4. DJD lateral condyle

Folio LRF - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: 1. Grade III tears of medial and lateral meniscus, medial worse than lateral 2. Articular surfaces universally irregular and disrupted 3. Trochlear groove articular surface disruption 4. DJD lateral condyle

History: Patient had a football injury in high school, exact mechanism unclear. Chronic obesity (avg 350 lbs, max up to 480 lbs) with continued aerobic activity irritating right knee. Increasing pain over the years with continued overweight issues. Also has chronic patellar dislocations associated with pain. His Patella does not glide normally, rather pulls to the lateral aspect with movement. Regular repeated movement, like an hour on the elyptical trainer, tends to cause a minor feeling of dislocation that can be immediately released by manipulating his knee and inducing a "pop" where the patella returns to its normal position. Status post Roux-n-Y Gastric Bypass surgery in 1998 just after he reached his peak wt of 480 lbs.

Findings: There is a grade III tear of lateral meniscus anterior and posterior horns. Note absence of low signal intensity of the femoral condylar articular surface on the T1. STIR Sagital better demonstrating degree of grade III tear of lateral meniscus anterior and posterior horns, also shows the murkiness of the joint effusion, verified by joint aspiration before injection T1 Coronal shows grade III tears in both lateral and medial meniscus with DJD evident with osteophyte. Note absence of low signal intensity of the femoral condylar articular surface T1 SE demonstrates the grade III tear of the lateral meniscus, also note absence of low signal intensity of the femoral condylar articular surface Osteophyte on lateral concdyle STIR saggitals show the extent of the medial meniscus tear across posterior horn and mid body. These images also demonstrate the irregularity of the articular surfaces.

Ddx: None

Dxhow: Joint effusion on aspiration. No arthoscopy was done.

Exam: Joint effusion- crepitus, point tenderness and pain c/w meniscus injury, patellar tracking abnormality. Ligaments intact.

No MeSH data available.


STIR saggitals show the extent of the medial meniscus tear across posterior horn and mid body. These images also demonstrate the irregularity of the articular surfaces.
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MPX1277_synpic21565: STIR saggitals show the extent of the medial meniscus tear across posterior horn and mid body. These images also demonstrate the irregularity of the articular surfaces.


1. Grade III tears of medial and lateral meniscus, medial worse than lateral 2. Articular surfaces universally irregular and disrupted 3. Trochlear groove articular surface disruption 4. DJD lateral condyle

Folio LRF - MedPix

STIR saggitals show the extent of the medial meniscus tear across posterior horn and mid body. These images also demonstrate the irregularity of the articular surfaces.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1277&req=5

MPX1277_synpic21565: STIR saggitals show the extent of the medial meniscus tear across posterior horn and mid body. These images also demonstrate the irregularity of the articular surfaces.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: 1. Grade III tears of medial and lateral meniscus, medial worse than lateral 2. Articular surfaces universally irregular and disrupted 3. Trochlear groove articular surface disruption 4. DJD lateral condyle

History: Patient had a football injury in high school, exact mechanism unclear. Chronic obesity (avg 350 lbs, max up to 480 lbs) with continued aerobic activity irritating right knee. Increasing pain over the years with continued overweight issues. Also has chronic patellar dislocations associated with pain. His Patella does not glide normally, rather pulls to the lateral aspect with movement. Regular repeated movement, like an hour on the elyptical trainer, tends to cause a minor feeling of dislocation that can be immediately released by manipulating his knee and inducing a "pop" where the patella returns to its normal position. Status post Roux-n-Y Gastric Bypass surgery in 1998 just after he reached his peak wt of 480 lbs.

Findings: There is a grade III tear of lateral meniscus anterior and posterior horns. Note absence of low signal intensity of the femoral condylar articular surface on the T1. STIR Sagital better demonstrating degree of grade III tear of lateral meniscus anterior and posterior horns, also shows the murkiness of the joint effusion, verified by joint aspiration before injection T1 Coronal shows grade III tears in both lateral and medial meniscus with DJD evident with osteophyte. Note absence of low signal intensity of the femoral condylar articular surface T1 SE demonstrates the grade III tear of the lateral meniscus, also note absence of low signal intensity of the femoral condylar articular surface Osteophyte on lateral concdyle STIR saggitals show the extent of the medial meniscus tear across posterior horn and mid body. These images also demonstrate the irregularity of the articular surfaces.

Ddx: None

Dxhow: Joint effusion on aspiration. No arthoscopy was done.

Exam: Joint effusion- crepitus, point tenderness and pain c/w meniscus injury, patellar tracking abnormality. Ligaments intact.

No MeSH data available.