After 10+ years of playing hurt, i finally decided to get a MRI exam on my right knee. As it turns out.... i have a "almost" torn ACL. I guess I can say good bye to sports for at least 6months...the doctor was actually pretty shocked that I was still able to play all the sports. If you have any experience or advise regarding an ACL surgery, I would love to hear about it.
Here is the report from my MRI exam:
Technique: The following sequences were performed of the right knee: o
Axial, Proton Density Fat Sat
o
Coronal T1, T1 Inversion Recovery sequences
o
Sagittal Proton Density, Sagittal T2
Impression: 1. HIGH
GRADE NEAR COMPLETE TEAR OF THE MID TO PROXIMAL ACL. THIS TEAR MAY BE OLD AS
THERE IS LITTLE ASSOCIATED EDEMA AND ONLY SMALL EFFUSION 2. POSTERIOR
HORN MEDIAL MENISCUS TEAR INVOLVING THE PERIPHERAL THIRD, WITH EXTENSION TO THE
INFERIOR SURFACE ASSOCIATED MENISCOCAPSULAR SEPARATION IS NOTED 3. SMALL
JOINT EFFUSION
Findings:
Menisci: There is an irregular diffuse area of increased T2
signal in the posterior horn of the medial meniscus involving the peripheral
third with extension to the inferior articular margin and peripheral surface.
No displaced fragments are evident. The lateral meniscus appears normal
Ligaments and Tendons: There is a high grade partial
thickness ACL tear with complete tear of the anterolateral bundle which is
noted lying along the tibial eminence. The posteromedial segment apperar to
have a few intact fibers. The posterior cruciate ligament appears normal. The
medial and lateral collateral ligaments are intact, though there is
heterogeneous increased T2 signal between the peripheral margin of the medial
meniscus and MCL, consistent with meniscocapsular separation. The patellar
tendon is unremarkable.
Bony and Articular Structures: Mild trabecular edema is noted
along the peripheral medial margin of the medial tibial plateau. No hyaline
cartilage thinning or subchondral bony changes are evident. The later
compartment appears normal.
Patellofemoral Joint: The patella is in normal position with
respect to the intercondylar groove. The patellar cartilage and retinacula appear
normal. A small joint effusion is present. *Pray* that I can get through 6months without sports..... the last time I try to rehab my knee only lasted 5 weeks before going all out again.
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