knee Arthiscopy

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Good day

just received mri report after having knee pain in both knees for a year which was bad during last months and now getting better after medications.But still need to take.Findings are,

1. Fliud signal intensity area is seen in body and posterior horn of mediAl meniscus of left knee joint on T2WFS, extending to its superior and inferior articular surface suggestive of grade 3b tear.

2. subtle fluid signal intesity area is seen in the body of medial meniscus of right knee joint on T2WFS , not extending to any of its articular surface suggestive of grade 2b tear/ mucoid degeneration.

3. mild joint effusion is seen in right knee joint apperaring hyper intense on STIR sequence extending into lateral bursa of knee joint.

At age 29, Doctor is advising for orthosopy surgry.

my concern is will they fix or remove cartlidge which I asked...but dr response was they will see at time of surgry..and if they told (other surgon) they will remove how can I compare prognosis of removing torn meniscus with no surgry at all...both lead to osteoarthritis? which is better decision.

Thanks All.

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  • Posted

    Osteoarthritis is also termed "wear and tear" arthritis. It is a natural part of aging....even though 29 is less than 30! chuckle...

    So, osteoarthritis should not be the deciding factor for surgery.

    The meniscus may be repairable. Remember that for all of the medical advances machinery afforda us, nothing replaces "seeing with one's own eyes." This is why you can not be given a definitive answer before surgery.

    Yes, it is disconcerting to go in to surgery feeling like you have given your surgeon carte blanc. Choose your surgeon wisely, and you will be able to trust his decision after he sees with his own eyes.

    Keep us apprised of things,

    kind regards


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  • Posted

    Same with me "I asked...but dr response was they will see at time of surgry.."

    - they can see much more through the instruments than what MRI shows, so I was not put back by that

    The analysis seems to be very thorough. My own experience was that the quantity of fluids was a direct indication of the severity (of inflammation caused by the tear). Then again there was no difficulty of observation as the band caused by the fluid was like my hand put over the outside of knee, diagonally. Even though the tear was on the other side of the knee?!

    Take meds, keep it under observation and don't rush the decision. I took from October to April to do that; still in June a clinician was saying that no need to operate (so had to go private, and the Consultant's opinion was "how come this has been kept like this for so is not going to get any better, but could get worse=> an op in late August and so far happy with the results).

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    • Posted

      Yes exactly, and the tear location was medial meniscus.

      Today I learnt that in the other foot (this goes off topic) they will saw one joint off the big toe, replace it with metal. Good news: takes the pain away.

      Bad news: 6 weeks in a cast, and you can't catch a flight in those weeks.

      Moral of the story: Don't play football with trainers, but invest in in proper football boots (too late now...)

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