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knee posterior horn of medial meniscus

by krishnn, Nov 08, 2009 11:17AM
I just got my mri from ge 1.5 tesla machine.

report and finding shows below.

1. grade 3 tear involving posterior horn of medial meniscus.
2. interstitial injury involving ACL
3. bone marrow oedema involving medial tibial condyle
4. mild joint effusion

how serious is my injury? what should I do. please guide me.
Member Comments (5)

by Dr Vinod, Nov 08, 2009 06:54PM
To: krishnn
Hello!

You have a grade III menisci injury and also associated inflammation of the ACL and marrow edema.

If your knee is locked it would be manipulated under anesthesia till the knee relaxes and then the torn menisci will fall into its place and the knee is unlocked.

The knee is immobilized in compression bandage for 2-3 weeks and this is followed by physiotherapy.

If you orthopedician wants to excise the torn menisci microscopically you can go for arthroscopic surgery.

You should visit an orthopedician to go for the best course of treatment: conservative or surgical.

Take care!

by krishnn, Nov 08, 2009 10:47PM
dr.vinod , thanks for comments

I just come to know that arthroscopic surgery will boost early arthritis.

any possibility of self repair by rest and physiotherapy?

by krishnn, Nov 09, 2009 11:42PM
my knee is not locked. I am able to walk but feel small popping in twist movement and pain start again for around 1 hour.

what happen if I will not go to arthroscopic surgery.

I am asking because after arthroscopy, early arthritis will come.

my age is 34. I am scared.

by Dr Vinod, Nov 10, 2009 07:24PM
To: krishnn
Hello,

You can always start conservative treatment. Let it be bandaged/brace for 4-6 weeks and then see if it recovers, and if it does it is always good and  then you can go for physical therapy.

You can always delay or plan arthroscopy later and you can ask your orthopedician that you are interested in conservative therapy.

Take care!

by krishnn, Nov 12, 2009 10:53PM
thanks again for reply.

I am very much satisfied now. I will let you know after 4-6 weeks.

currently I am walking with straight legs but started leg movement and little knee exercise to stop muscle stiffness.

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