Dr. Suman Saurabh
Orthopedician and Traumatology
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
Hello doctor,
A very minimal joint effusion and subcutaneous edema are seen in the anteromedial aspect near the tibia condyle. STIR sequence suggests severe dense marrow contusion injury associated with subchondral hairline fractures limited to the medial tibial condyle. I have been on full-leg plaster for the past month. I was walking with the help of a walker, putting zero pressure on the affected leg.
I need suggestions for this injury.
Hi,
Welcome to icliniq.com.
I am sorry to hear about your injury and hope to help you. As per your MRI report (attachments removed to protect the patient's identity), you have a fracture of the proximal tibia, which is undisplaced. Continue the above-knee cast for two more weeks, and then it will be removed, and a fresh X-ray will be done to see the status of the fracture, and further management will be done afterward.
The Probable causes
Treatment plan
Patient's Query
Hello doctor,
Thank you so much.
Hi,
Welcome back to icliniq.com.
You are most welcome.
Patient's Query
Hello doctor,
This injury happened during my 5K run on the treadmill with normal jogging speed and taking a 30-second break after each 1 to 2 minutes continuous run. Does this indicate that my bones are weak? Do you think I should go for a bone density test?
Hello,
Welcome back to icliniq.com.
You do not need to undergo a bone density test now. It has certain indications like old age, chronic diseases like rheumatoid arthritis, etc. The amount of injury you would have sustained would be very less as it got diagnosed on MRI. Do you have an X-ray of the injured knee too? If you have the initial X-ray, you must upload it two weeks later, along with a recent X-ray. I will show you why you do not need a bone density scan. Do not think about getting a bone density test done.
Thanks and regards.
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Orthopedician and Traumatology
Orthopedician and Traumatology
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