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Arthritis and Rheumatism

MRI understanding



Can you expain what this means is laymens terms? Large area of bone marrow edema involving the medial tibial plateau extending into the tibial spine and lateral tibial plateau. Also a linear stress fracture at medial tibial plateau. Degenerative signal at in posterior horn of medial meniscus. Inferior margin of the posterior horn of the medial meniscus is slightly irregular but a very small horizontal signalis present at the medial meniscus suspicious for a small horizontal tear. 

In your opinion, can this be treated by non surgical means? I am a 53 year old male in good shape, not overweight.

Thank You


The MRI results can be simplified into two conclusions:

1. Osteoarthritis of the knee worse on the medial aspect

2. Meniscus tear of the knee (tear in cartilage of knee)

Both of these conditions may be treated by non-surgical means with regard to relief of pain symptoms. Treatment of the underlying condition is treatable only with total knee replacement for the osteoarthritis and with arthroscopic surgery for the meniscus tear.

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Response by:

Johnny  Su, MD Johnny Su, MD
Formerly, Assistant Professor of Medicine
School of Medicine
Case Western Reserve University