Dr. Varun Chaudhry
Radiodiagnosis
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I require further clarification on my MRI (magnetic resonance imaging) report, specifically regarding the mention of ‘chondral fibrillation medial trochlear groove.’ I am seeking to understand the extent of damage to that particular cartilage area. Is it possible for it to recover to its original state? I have heard that cartilage repair is challenging. It is worth noting that I am a sprinter, and this marks my third MRI of the right knee in the last 9 months due to persistent pain. I am consulting with a highly specialized sports doctor and a sports physiotherapist. The knee produces a grinding sound, attributed to limited flexibility in my hamstrings and calf muscles. I would appreciate an assessment of the damage and insight into potential recovery. They have suggested a diagnostic arthroscopy if the pain does not significantly subside in the next two months.
Kindly help.
Hi.
Welcome to icliniq.
I am glad you chose icliniq for your medical-related queries.
I understand your concern and will try to help you with it.
After reviewing the reports (attachment removed to protect the patient’s identity), it appears to be an essentially normal scan. The mention of chondral fibrillation is a variant in imaging and does not always indicate abnormalities. However, if you are experiencing recurring pain, it could suggest early degenerative changes, though this is highly unlikely given your young age. If you have additional questions, feel free to ask.
Thank you for consulting me.
You can always come back and reach me at icliniq.com.
Patient's Query
Hi doctor,
Thank you for the reply.
Is cartilage damage permanent? Is there any way to repair it rather than trimming it?
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
It would only be possible for me to give radiology opinions. I am not sure about options regarding surgery but reading the report and considering your history it looks like a very early stage injury. Diagnostic arthroscopy, according to me, should be a last resort if all other conservative options fail.
Looking forward to your response in order to help you.
Thank you.
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Radiodiagnosis
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