TREATMENT of tear of the anterior cruciate ligament & posterior horn of medial meniscus with mild joint effus?

Question

I M 19 LIVE IN DELHI ( INDIA)

I WANT TO KNOW WHAT SHOULD I DO

I M AFRAID THAT I WILL NOT ABLE TO WALK PROPERLY

I M NOT SATISFIED BY SOME DOCTORS I HAD SEEN

WANT TO KNOW WHICH IS THE BEST DOC WHICH WILL OPERATE ME

MY WHOLE MRI IS AS FOLLOWS

MRI OF LEFT KNEE

MRI of the left knee joint was performed by taking spin echo & IR images in sagittal, coronal & axial planes.

The study reveals non-visualisation of the femoral attachment of the anterior cruciate ligament and is seen to lie along the tibial plateau.

Posterior cruciate ligament appears normal in alignment & signal intensity.

Tear of the posterior horn of medical meniscus is seen involving the superior articular surface.

Anterior horn of medial meniscus & bilateral lateral meniscus show normal signal intensity pattern.

Visualised bones are normal in morphology, outline and marrow signal intensity

Medial & lateral collateral ligament appear normal.

Mild joint effusion is seen appearing hypointense on T 1 and hsyperintense on T 2 weighted images with small popliteal cyst.

PLZ HELP ME

DO ANSWER IF YOU R DOCTOR OR PATIENT OF SAME KNEE PROBLEM

Answer 1

I am not a doctor, but often type up reports for MRI examinations like yours for radiologists in a private hospital in London.  

Sorry to hear that you have a torn ligament, I should think that is really painful.   It looks as if there are no broken bones, but you have torn one of the ligaments that crosses over the front of the knee, and the meniscus which I think is some cartilage inside the knee.  This article explains the problem better than I can (see below).  Did you have a sports injury?

I think that surgery would help you, but obviously that might be expensive or difficult for you to get in India.  I hope you get some replies on here from  doctors too - I am just a medical secretary, but also a Christian who believes in the power of prayer, and will pray for healing for you.

Answer 2

I hope you are being seen by an orthopedic doctor.  These doctors are the best for treating your problem.  Right now your knee hurts like the very dickens, I know, similar problem on right knee.  However my ACL was totally detached and my meniscus was torn on the medial side.  The first thing my orthopedist did was send me to physical therapy, not so much to correct the problem as to develop more strength in the leg prior to surgery.  After surgery I had a machine (can't remember the name) that put my knee through the entire range of motion and I started that the day after surgery.  One week after surgery I was back in physical therapy.  Three times a week for 6 months. Now, nearly 3 years later I walk normally and have much less pain in my knee than I had prior to surgery.  I do wear a light knee brace when I go to the gym and when I fly.  The knee tends to swell under airline cabin pressure.  If you are not comfortable with your doctor find one you are comfortable with.  This is another of those times when you have to trust this person's knowledge and if you do not trust you will not follow his directions and may not get  the outcome you want.