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Cannot kneel down on my right knee cap.
I had a bad fall about a year ago where I landed full force onto my knee which resulted in swelling and bruising that went from my knee down to my foot. I had pain on certain movements from then on. When I would get up sometimes my knee felt like it gave out. Also since then I have not been able to kneel down without pain in the kneecap.
A recent MRI showed -
Findings: Sagittal and coronal proton density-weighted images were obtained in addition to coronal T2 with fat saturation and sagittal and axial proton density with fat saturation sequences. Comparison: Right knee radiograph of 2/24/17. There is a small right knee joint effusion. No Baker's cyst. There is no acute fracture, osseous contusion, or focal osteochondral lesion. No bone marrow signal abnormality. There is complex tear of the posterior horn of the medial meniscus extending into the body. No significant extrusion or evidence of detached fragment. There is diffuse thinning of articular cartilage at the weightbearing aspect of the medial compartment, without full-thickness defect. The lateral meniscus is normal in size, shape, and signal. There
is mild diffuse cartilage thinning throughout the weightbearing lateral compartment, without full-thickness defect. The anterior cruciate and posterior cruciate ligaments are intact. The medial collateral ligament, lateral collateral ligamentous complex, and popliteus tendon are within normal limits. The visualized quadriceps tendon and patellar tendon are intact and normal in signal. Patellar alignment is anatomic. There is grade 1 chondrosis with heterogeneity and low-grade fraying/fissuring along the medial patellar facet. Impression: 1. Complex tear of the posterior horn and body of the medial meniscus. 2. Tricompartmental chondrosis as described. No full-thickness cartilage defects.
Can these results be caused from this fall and be the cause of the kneecap pain? If so, what is the best treatment?
A recent MRI showed -
Findings: Sagittal and coronal proton density-weighted images were obtained in addition to coronal T2 with fat saturation and sagittal and axial proton density with fat saturation sequences. Comparison: Right knee radiograph of 2/24/17. There is a small right knee joint effusion. No Baker's cyst. There is no acute fracture, osseous contusion, or focal osteochondral lesion. No bone marrow signal abnormality. There is complex tear of the posterior horn of the medial meniscus extending into the body. No significant extrusion or evidence of detached fragment. There is diffuse thinning of articular cartilage at the weightbearing aspect of the medial compartment, without full-thickness defect. The lateral meniscus is normal in size, shape, and signal. There
is mild diffuse cartilage thinning throughout the weightbearing lateral compartment, without full-thickness defect. The anterior cruciate and posterior cruciate ligaments are intact. The medial collateral ligament, lateral collateral ligamentous complex, and popliteus tendon are within normal limits. The visualized quadriceps tendon and patellar tendon are intact and normal in signal. Patellar alignment is anatomic. There is grade 1 chondrosis with heterogeneity and low-grade fraying/fissuring along the medial patellar facet. Impression: 1. Complex tear of the posterior horn and body of the medial meniscus. 2. Tricompartmental chondrosis as described. No full-thickness cartilage defects.
Can these results be caused from this fall and be the cause of the kneecap pain? If so, what is the best treatment?
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