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Knee mri

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jason10439
jason10439

My 13 yr old babygirl hurt her knee playing basketball. Hoping someone could tell me if this will probably require surgery.?

FINDINGS: There is a pattern of acute bone contusion and microtrabecular fracture within the

weightbearing lateral femoral condyle within the posterior lateral tibial plateau and within the

weightbearing medial femoral condyle. There is concavity and deepening of the lateral condylopatellar

sulcus at the site of the lateral femoral condyle contusion. This pattern of bone edema/contusion is

associated with ACL injuries. The anterior cruciate ligament appears torn. There is mild anterior

translation of the tibia relative to the femur within the lateral joint compartment, a secondary sign of ACL

instability. The posterior cruciate ligament is intact. The extensor mechanism of the knee is normal.

There is a moderate knee effusion. Patellofemoral alignment is maintained. The patellar retinaculum is

intact. There is a focal area of cartilage fissuring and injury within the lateral patellar facet, measuring 2

mm. There is focal underlying bone edema/contusion. The femoral trochlear cartilage is preserved. The

weightbearing medial and lateral compartment cartilage surfaces are edematous but preserved in

thickness.

The medial and lateral collateral ligament complexes are normal. There is mild intrameniscal signal within

the posterior horn of the medial meniscus with close approximation but no definite extension to the

surrounding articular surfaces.

IMPRESSION:

  1. Acute anterior cruciate ligament tear with associated bone contusion and microtrabecular fracture

    within the weightbearing lateral femoral condyle, posterior lateral tibial plateau, and weightbearing medial

    femoral condyle. There is concavity and compaction injury of the lateral condylopatellar sulcus within the

    lateral femoral condyle due to the injury.

  2. Contusion is present within the posterior horn of the medial meniscus; however, no meniscal tear with

    articular surface extension is appreciated.

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