bone infart or enchondroma

[jewel57]

Hello
Just need some help with knee xray report
I had pain and swelling in knee and could not bend it, it came on suddenly so I went and had xray and this is the report
Mild reduction in joint space is seen at the lateral facet of the patello-femoral joint. Osteophytic lipping is seen at the margins of the patello-femoral joint and lateral femoro-tibial compartment. no focal bone erosion is seen. Punctate foci of calcification are noted within the prxomal medullary cavity of the tibia and are consistent with either a small bone infarct or less likely and enchondroma. if felt clinically indicated, this may be further differentiated with ct or Mri of the region
CONCLUSION
Mild to moderate osteorthritis predominantly involving the patello-femoral joint and to a lesser degree the lateral femoro-tivial compartment. Focal calcifications within the proximal tibia consisted with either a bone infarct or enchondroma
The doctor is now sending me for a ct scan
could someone please explain this for me as I do not understand this at all
thankyou

[Sweetheart1125]

My daughter is 14 with sickle-cell anemia (SS). She was diagnosed with a bone infarct in her right distal tibia. She has had this pain for 11 months. I have taken her to several different specialists. Her hematologist say that it is not sickle cell related. My daughter has had an infarct in her left foot and when she had a biopsy, the orthopedic surgeon told me that she had an infarct, meaning that she tried to bleed. So, my question is why the same biopsy cannot be done now. She is currently taking narcotics for the past 11 months around the clock. Now, mri's or all x-rays does not show an infarct. So, what can we do? I've prayed and I'm still waiting on the Lord. Please contact La'Tonya Dunlap @ [phone]. Please help!

[em915]

Hello, I had minor surgery 5 years ago (arthroscopic surgery to loosen tendon) on my right knee and I went to physio therapy for almost 2 years. I finally bent my knee 75 degrees. Thats pretty much all i could do. I had an MRI done and they did not find any reason why it can't bend,My therapist advised me that I would need to excersize it. Its now been 3 years since I've been to physio. I try my best to excersize it but it just won't bend.
My left arm is now becoming quite weak and painful at times.My doctor says its probably just repetitive movements. I feel terrible I don't feel im getting diagnosed properly.

[JainMD]

Hi,
Enchondromas are a common benign lesion of mature hyaline cartilage in the medullary canal of the metaphysis or meta-diaphysis of bone.
Enchondroma may result from epiphyseal growth cartilage that does not remodel and persists in the metaphysis, or may be the persistence of the original cartilage.
Serial radiographs taken every 3 to 6 months or review of old radiographs can help determine whether the lesion is inactive.
Radiography shows well-defined, solitary, lytic lesions occur in the central portions of the metaphysis or meta-diaphysis, with occasional endosteal scalloping and variable intra-lesional calcifications.
The calcification pattern is described as rings and stipple, popcorn-like, and punctate.
In small tubular bones (e.g., the hand), the entire shaft usually is involved.
The cortex usually is intact, but it may be expanded mildly (by lack of remodeling in the metaphysis, not by expansion of the bone by tumor).
You can get a Bone scan done to see for radio uptake.
Serial radiographs are obtained to ensure that the cartilage lesion is not growing.
Activity modification is not necessary regardless of the size of the Enchondroma.
Patients with Enchondromas of the hand often require curettage because of weakening of the bone.
If the bone has fractured, the fracture is allowed to heal before curettage and grafting.
Keep me informed if you have any queries.
Bye.