Problem description: Condition description (time of onset, main symptoms, symptom changes, etc.): as seen in the physical examination report
Lumbar spine MR: The sagittal plane shows that the physiological curvature of the lumbar spine becomes straight, and the edges of some vertebral bodies are rough and pointed. T2Wl shows that the signal of multiple intervertebral discs is reduced, and the L2/3-L3/4 intervertebral disc phase is slightly bulging around the corresponding plane dura mater. The sac was slightly compressed, the posterior edge of the L4/5 and L5/S1 intervertebral discs was slightly herniated, the dural sac was compressed, the spinal canal and bilateral crypts were not stenosis, and the signal of the filiform cauda equina was normal.
Right knee joint MR: Bone hyperplasia of each component of the right knee joint, no narrowing of the joint space, less smooth articular surface, a small amount of fluid in the joint cavity, long strip T2 signals in the anterior and posterior corners of the lateral meniscus and involving the articular surface , There are spots and lines in the anterior and posterior horns of the medial meniscus with a slightly longer T2 signal, no abnormalities in the surrounding muscles, poor continuity of the anterior cruciate ligament, thickening with increased T2 signal, slightly higher signal on the upper part of the posterior cruciate ligament, medial and lateral collateral ligaments, The shape and signal of the patellar ligament were not abnormal.
impression
The anterior cruciate ligament injury of the right knee may be torn, and the posterior cruciate ligament degeneration injury, please combine it with clinical practice;
Right knee lateral meniscus injury (2-3 degrees), medial meniscus injury (1-2 degrees);
A small amount of fluid in the right knee joint;
Degenerative changes in the right knee joint;
L4/5, L5/S1 intervertebral discs are slightly herniated;
L2/3-L3/4 disc is slightly bulging;
Lumbar degeneration
Question date: 2021-04-23
Patient information:Age: 68 years old Gender: Female
Problem analysis: Hello, according to the inspection results, there are degenerative changes in the lumbar spine and knee joints. Prone to repeated arthritis, joint pain and sciatica.
Guide suggestion: Please explain whether there are symptoms such as backache, numbness and weakness of legs and feet, knee joint swelling and pain, etc., whether it affects normal standing, walking, squatting and standing, so that we can clearly judge the condition.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed examination