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Conditions and Diseases > Orthopedics Forum > How serious is knee injury ? What's the prognosis ?
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Q: How serious is knee injury ? What's the prognosis ?
asked by: DoctorQuestion on May 21st, 2007
I got the MRI results and have gone to see the doctor, however I'm rather confused about what I've done and how serious any of it is. If you could give me your thoughts on my MRI results, that would be great. Thanks!


1. Incomplete vertical fracture of the patella and a reciprocal bone marrow contusion of the trochlea. Impaction fracture of the posterior non-weigh bearing surface of the lateral femoral condyle.
2. Tear of the anterior horn of the lateral meniscus extending to the root, involving the inferior surface. Status of post partial medial meniscectomy without residual or recurrent tear.
3. Mild diffuse interstitial tear of the anterior cruciate ligament.
4. Moderate sprain of the medial patellofemoral ligament associated with a grade 1 strain of the vastus medialis obliquus muscle.
5. Small joint effusion.


Also, even when my knee is in the brace, it has a very audible crack about 20 or so times a day. The cracks are slightly painful. No one can figure out why, and I'm worrie


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Dr. Nikola Gjuzelov , MD
replied on May 29th, 2007
Orthopedics: Hip, Knee, & Shoulder Injuries Answer A2805
You wrote: "List of other diseases, conditions, or injuries and their treatment: I have asthma which is currently being treated with a rescue inhaler, another inhaler, and an oral medication. Before I fell down the stairs (2 weeks ago), I had had surgery on my knee almost a year before after having persistent patella tendinitis. My surgeon also found a piece of torn meniscus, and fixed something that was wrong with my plica. The surgery went fine, however I developed a nerve-pain syndrome, and until I fell down the a couple weeks ago, was the only thing wrong with my knee besides muscle dystrophy from not being able to use my knee.

Diagnosis that has been suggested: sprained my ACL and MCL. strained my vastus medialis obliquus muscle. incomplete fracture of patella, and "impaction fracture" of the posterior non-weight bearing surface of the lateral femoral condyle. torn lateral meniscus.

Current medical treatment: I'm in a hinged knee immobilizer brace, with range of motion allowed only 0-30 degrees. Also, I've been told to walk on the injured leg like "walking on eggs.""

Your injuries are severe but could be worse. It is hard to say anything about the prognosis. A prognosis after such injuries depends upon the existence of possible complications such as infections or bleeding and rehabilitation period (physical therapy). You can consult an orthopedist for an expert opinion.




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