I had ACL surgery done in Feb 2010. It was a cadaver graft on the right knee. Almost a year later and I still have pain in the Pes region of the knee and it's still weak as hell. The surgeon who did the surgery stopped taking my insurance and the last diagnosis he made was pes bursitis. In total, I had about 3 months of physical therapy but it was discontinued because it caused inflammation.
I got a new orthopedist and saw him a few weeks ago. He said ACL was intact, and by the looks of the X-rays everything looked OK. He said maybe the pain could be from the screw which hasn't fully mended into the bone. He said this can take up to 2 years.
He wrote a prescription for PT and sent me for an MRI and I got the results. Unfortunately, he won't tell me what it means over the phone and it'll be a week until I can see him. Fuckin' sucks. Till then, I'm very curious what exactly the MRI report means. If anyone can help decipher it, I'd really appreciate it:
Examination of the medial compartment demonstrates increased intrasubstance signal in the posterior horn compatible with degeneration. There is however a linear component contacting the inferior articular surface posteriorly compatible with a tear. The cartilage of the medial compartment is intact. There is no subchondral bone marrow edema. The posterior cruciate ligament is intact. The anterior cruciate ligament has been repaired with a graph. The femoral tunnel is intact.
There is a small amount of fluid within the anterior aspects of the tendon fibers, however, the fibers are largely intact, and there is no significant tear. The patient reports pain at the pes anserine region. The tibial interference screw does contact the cortex in this region and may protrude distal to the cortex. Correlation as to the syrnptomatology is suggested. The tunnel itself remains intact. The lateral meniscus is normal. The cartilage is nonnal in appearance in the lateral compartment.
The quadriceps tendon and patellar tendons are intact. The patellofemoral compartment is normal in appearance. There is no joint effusion. The medial collateral ligament and lateral collateral ligament complex arc norma1 in appearance. There is no acute fracture.
1) Status post ACL repair.
The tibial interference screw does contact and probably protrudes through the anterior medial tibial cortex.. Correlation as to symptomatology is suggested. There is no loculated fluid collection in this region.
There is a posterior hom medial meniscal tear.
- No evidence of arthrofibrosis.
- No joint effusion