I'm obviously not looking for a diagnosis here but just some opinions on my MRI arthrogram report. I see my OS on Tuesday, but just wanted to see what experienced hip peeps think. My surgeon is evaluating for an labral retear.
There is a linear signal abnormality at the base of the superior anterior acetabulum consistent with a focal area of acetabular labral dissociation. The peripheral margin I suspect is intact in that I do not clearly see evidence of paralabral cyst. The patient has undergone osteoplasty of the bony proliferation at the anterior head and neck junction and I do not see any evidence of new significant bony proliferation at this site.
There is lateral to the region of the acetabular labral dissociation mild hyaline cartilage edema and irregularity within this superior anterior femoral head and acetabulum. The labrum out more laterally and superiorly as visualized on the coronal sequences appears intact.
There is a slightly irregular filling defect within the anterior joint space which I believe is attached to the synovium may represent some focal synovitits.
Focal acetabular labral dissociation with hyaline cartilage changes. Possible focal synovitis anteriorly.
seems like you have a labral tear aned some degree of cartilage damage (torn cartilage or certain thickness defect). typically there is accompanying sunchondral oedema/swelling/inflammation with in the joint. You probably have underlying FAI( femoro acetabular inpingemen), as many people on this forum talk about, which can be either pincer or cam or both types of impingement. this results in labral tearing and associated cartilage wear which may get worse over time, depending on your level of activity. good luck
It sounds like you have a detached labrum with some swelling and some cartilage irregularities. But I am no medical expert, so your guess is as good as mine. At least it shows something though! When do you see your surgeon? (if you haven't already). I'd be interested to see what your surgeon will do. Good luck.
That's what I'm reading into the report also. I don't want to deal with this again!! The big thing that is concerning to me is the cartilage changes because that is new. I see my surgeon tomorrow (Tuesday) and I'll report back what he has to say.
If it is any consolation, when I had my second scope, they found cartilage damage on the acetabulum. While they were inside the hip joint they removed the damaged cartilage. Maybe they will do a scope and can do the same. Good luck tomorrow!!!
how did the appointment go?????
Thanks for asking! I just got home. Well, as I suspected, I need to have surgery again. The surgeon seems to think that my labral repair didn't heal properly so he needs to go back in and see what's going on. He said that since the first repair didn't work, most likely he would remove the damaged part of the labrum. He say that my bone looks good, so no FAI. He'll look at the cartilage but doesn't seem to think there's anything serious going on there.
I think that this time I might go for a second opinion and my OS is the one that encouraged me to do so. He said that 1 in 10 labral repairs don't heal correctly, so lucky me is one of the 10%. He also said that as far as recovery, the best case scenario is that I'll be on crutches for 3 weeks.
So, my surgeon is referring me to Dr. Kim in Boston and they review records every Wednesday and then they call to schedule a consult.
Sorry you need more surgery Sidney, but at least there is no FAI or cartilage damage so that sounds promising long term.