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Acl tear missed on MRI
My initial Mri taken on injury date showed only ACL TEar, doctor advised 3 week rest. After 4 weeks second mri taken which shows mcl tear, grade 4 chondomalacia patella, focal marrow edema also. Is it possible to miss other injuries in inital MRI or are these new injuries?
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This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you  in detail. -Control  Hypertension, Diabetes or  metabolic disorder, if there is any.  -Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days. --. Caldikind plus  (Mankind) 1 tab OD x 10 days. -(You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Let the part not be exposed to cold. --. Sleep on a hard bed with soft bedding. --. Keep no pillow under the head. --. Avoid painful acts & activities. -- .Do mild exercises for the affected part.- back & lower limbs. --.(Take help of physiotherapist or you can visit my you tube channel Dr NC Gupta 'Yoga Simplified' &  'me and my yoga'  IT IS FREE. --Do not ignore, let it not become beginning of a major problem. --Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. --Wish you a quick recovery & good health. --I hope, I have solved your problem to your satisfaction.   Dr N C Gupta MS (ortho) DMC 3624
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Yes it is possible. Reasons: 1.Diffuse swelling post acute injury. 2. Blood (Hematoma) collection These will alter the radiological signals and hence lead to erroneous reports.
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Treatment to be decided on the current MRI and clinical examination.
Health Tips
Consult your local Orthopaedician/Arthroscopic Surgeon.
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Yes, following acute injury there will be blood and fluid within the joint which might lead to radiological discrepancy most of the time. Repeat MRI of the settled knee/ once the swelling is subsided will be more accurate to diagnose the internal derangement of the knee.
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Get a thorough examination by a consultant to discuss what is the next best possible step to be done.
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Yes can be missed if there is significant swelling. You can now opt for surgery or Platelet rich plasma therapy if not opting for Surgery.
Next Steps
Can consult with a pain management specialist.
Health Tips
Avoid sitting cross legged and on floor. Avoid climbing unnecessary stairs.
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Finding maybe missed in initial assessment or could be new injuries
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Can be missed if there is significant swelling
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Initially due to soft tissue odema, all findings might not have seen. That's y we wait for 3-5 days , for swelling to subside and get mri done
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.