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weird knee injury
Subcutaneous tissue atrophy after a steroid injection into the left pes anserinus bursa in on Sept 4, 2004
Skin, bone, tendons, vessels, hypopigmentation. No fat left. This is likely permanent.
the medial hamstring tendon insertions are clearly visible, as is the atrophy of the medial thigh and calf
there are still steroid crystals visible (but not so clear here) under the skin in the center of the hypopigmented area
medial and lateral inferior pole atrophy makes the patellar tendon look prominent
MRI axial left knee (1): thinning of the skin on the medial side and mild subcutaneous fluid
MRI axial left knee (2): Thin and incompetent medial patellofemoral ligament
MRI axial left knee (3): the start of multilobulated perimeniscal cysts
MRI axial left knee (4): the cysts grow & appear to be around the origin of the medial gastroc
MRI axial left knee (5)
MRI axial left knee (6)
long view: medial subcutaneous edema and atrophy. Great looking menisci.
Normal AP plain film of the left knee: no joint space narrowing, no spurs - good as new.
Normal weight-bearing plain film.
Normal lateral film
Normal sunrise view. Perfectly retained joint space. And the secret is.....Glucosamine!
POD #0 s/p removal of 10 steroid crystals
A little Versed and Fentanyl enabled me to sit up and watch the procedure.
POD #2. Healing.
POD #11. Sutures removed POD #8, steri's in place. PT continues....
2 weeks post-op
2 weeks post-op and getting back to normal
3 weeks post-op: note the running shoes! (but also the lingering medial thigh atrophy)
3 weeks post-op: I will try to run on the mountain tomorrow morning
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