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Q: Chipped knee bone
asked by: DoctorQuestion on June 20th, 2009
I was just wondering if you could examine this x-ray of my right knee and give me back any feedback on what you think. The spot in question, the one I have yet to recieve any answer for is located on the inner tibia. The spot that looks as if the bone is chipped away. The other spot is located just beneath that chip, the grey-black spot underneath. Upon looking at it, it looks like a hole. Please, I know that you cannot give a proper diagnosis, but if you can, please, any feedback would be appreciated.
Thank you for your time reading this,
Chris


http://This link has been removed/posts/Orthopedics/Right-Knee-X-ray /show/975052
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Dr. Goce Aleksovski , MD
replied on July 3rd, 2009
Orthopedics Answer A6896
The bone does look like the periosteum is not continuous, but a more experienced expert (an orthopedist perhaps) might be able to provide more precise information about the present condition. My opinion is that a specialist would give provide you with a better answer.




DISCLAIMER: "Ask a Doctor" questions are answered by certified physicians and other medical professionals who volunteer their time on eHealth Forum. For more information about experts participating in the "Ask a Doctor" Network, please visit our medical experts page. You may also visit our Orthopedics , for moderated patient to patient support and information.

The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician. Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.
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Guycc1973
replied on July 4th, 2009
New User
Well I might as well post this here. This is the results of the MRI Scan that was a follow up of the X-ray. Here it goes:
FINDINGS: There is an old fracture of the proximal medial tibia. There is some abnormal extension of the cortical bone medially, which is most likely related to the prior fracture. No impressive features. Some intermediate T2 signal present centerally in the posterior horn of the medial meniscus, but no entension to the articular surface is seen. The lateral meniscus is unremarkable. There is a subcentimeter area of signal abnormality in the distal ACL, which is most likely volume averaging or artifact although could also be a small cyst. The cruciate ligaments, collateral ligaments, and quadriceps mechanism are intact. No focal cartilaginous defect is identified. Some very subtle signal alteration in the lateral patella facet cartilage. Slight increased joint fluid tracking laterally.
IMPRESSION:
1. Healed fracture of the proximal medial tibia.
2. Intrasubstance degeneration posterior horn medial meniscus. No eveidence of meniscal tear.
3. Slight increased joint fluid tracking laterally.

There is is, if anyone wants to point out anything about it, feel free.
Thanks,
Chris
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Dr. Goce Aleksovski , MD
replied on September 3rd, 2009
In the photo that you have provided, it appears that the periosteum is not continuous, but a more experienced expert (an orthopedist, perhaps) might be able to tell you more precisely what is happening in the present condition.


DISCLAIMER: "Ask a Doctor" questions are answered by certified physicians and other medical professionals who volunteer their time on eHealth Forum. For more information about experts participating in the "Ask a Doctor" Network, please visit our medical experts page. You may also visit our Orthopedics , for moderated patient to patient support and information.

The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician. Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.
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