Sunday, 27 December 2015 16:48

12575

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Date : 00.00.00

Name of the Patient : Abc Xyz Llmn / M / 19 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

Alleged H/O fall 9 months back.
Now C/O left knee (giving way) since then.
Past H/O aspiration of fluid from the left knee joint.

EXAMINATION :

M.R.I of the left knee joint was performed using the following parameters :

4 mm thick T1 Weighted, proton and GRASS sagittal images.

4 mm thick T1 Weighted coronal images.

4 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

Menisci :

The anterior and posterior horns of the lateral and medial menisci reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior and posterior cruciate ligaments show normal contour and signal characteristics.

Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.


Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

There is evidence of lateral subluxation of the patella beyond the lateral margin of the lateral femoral condyle. Slight lateral tilt of the patella is also noted. Buckling of the lateral patellar retinaculum is noted while the medial patellar retinaculum appears slightly stretched. Marginal osteophytosis is noted around the patella. The articular cartilage overlying the patella is however unremarkable. Minimal fluid is noted in the patello-femoral joint.

The articular cartilage overlying the tibia and femur is also unremarkable.

IMPRESSION :

Laterally subluxed patella with the knee joint in extension may suggest a maltracking patella.


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