Re: Help me understand post-op report/ v. short!

[Guest guest]

Proximal = toward the torso

Distal = away from the torso

Peripatellar = on & around the patella

Medial infrapatellar plica (you didn't capitalize plica so I'm assuming you know

it's a fold or set of folds in the synovial membrane left over from your fetal

development -- I had one protruding into my knee & had it removed or whatever

they do to it) = a plica under the kneecap on the medial side

Medial = toward the vertical midline of the body

Patella pole = the kneecap, looked at from the front, is shaped like a triangle

(pretty much); the corners are the poles. The distal pole is the one that

points toward your feet.

Central medial facet = if you cut the kneecap in half from front to back, that

is also shaped more or less like a triangle. The V that points toward your

hindside rides in the trochlea, which is the groove between the condyles of your

femur (the condyles are the knobby ends of a bone, in this case the femur, so

they're the femoral condyles). The posterior V of the kneecap is supposed to

ride smoothly in the trochlea. Nature meant for there to be equal pressure on

the femoral condyles to each side of the trochlea. The flat places on the

kneecap are the facets (normal). The medial facet is toward the

between-the-knees area. I am not familiar with how the facets are set up but

this sounds like there's more than one facet on the medial margin (edge) of the

patella, and the central one would be the middle one.

Usually you find wear on the lateral facets. He's saying that there was some

kind of lesion (blister -- I'm not sure what he means by that) on a medial

facet, which implies that your kneecap may ride too medially OR it may twist

when you tighten your quads, pushing a medial facet more over onto the medial

femoral condyle than it should be, OR the plica could have done it. I also have

" chondromalacia " on one of my medial structures, and I think it was caused by

the plica rubbing there, because there's no doubt that my kneecap moves

laterally when I use my quads.

My OS also found a soft area on my kneecap. He said not to worry. I worry

anyway. However, he said it wasn't VERY soft.

Hope this helps. Hope I'm right about all the above.

Ann

Help me understand post-op report/ v.

short!

hi?

Does anyone know the Knee anatomy/physiology terms

very well or a good website? I've capitalized the body

parts i dont know.

Should I be scared over the prognosis or is that a

generic one?

all comments are welcome!

my post-op:

The patient had a DISTAL PERIPATELLAR synovitis and

inflammation of the MEDIAL INFRAPATELLER plica. The

plica was released and the patella was probed. The

DISTAL POLE of the patella was very soft, There was

one obvious blister at the CENTRAL MEDIAL FACET; this

was debrided to a stable base.

Prognosis is felt to be somewhat guarded because of

the diffuse softening of the MEDIAL patellar

cartilage. The patella was (he underlined this part)

perfectly aligned.

=====

__________________________________________________

[Guest guest]

thanks ann,

my knee caps looks slightly laterally tilted

according to other docs. Dr fulkerson said its was WAY

too minor to be realigned.

i stll dont get something

so what exactly does distal peripatellar mean then?

Anyone else have comments about my op report? im all

ears.

--- ruby2zdy@... wrote:

> Proximal = toward the torso

>

> Distal = away from the torso

>

> Peripatellar = on & around the patella

>

> Medial infrapatellar plica (you didn't capitalize

> plica so I'm assuming you know it's a fold or set of

> folds in the synovial membrane left over from your

> fetal development -- I had one protruding into my

> knee & had it removed or whatever they do to it) = a

> plica under the kneecap on the medial side

>

> Medial = toward the vertical midline of the body

>

> Patella pole = the kneecap, looked at from the

> front, is shaped like a triangle (pretty much); the

> corners are the poles. The distal pole is the one

> that points toward your feet.

>

> Central medial facet = if you cut the kneecap in

> half from front to back, that is also shaped more or

> less like a triangle. The V that points toward your

> hindside rides in the trochlea, which is the groove

> between the condyles of your femur (the condyles are

> the knobby ends of a bone, in this case the femur,

> so they're the femoral condyles). The posterior V

> of the kneecap is supposed to ride smoothly in the

> trochlea. Nature meant for there to be equal

> pressure on the femoral condyles to each side of the

> trochlea. The flat places on the kneecap are the

> facets (normal). The medial facet is toward the

> between-the-knees area. I am not familiar with how

> the facets are set up but this sounds like there's

> more than one facet on the medial margin (edge) of

> the patella, and the central one would be the middle

> one.

>

> Usually you find wear on the lateral facets. He's

> saying that there was some kind of lesion (blister

> -- I'm not sure what he means by that) on a medial

> facet, which implies that your kneecap may ride too

> medially OR it may twist when you tighten your

> quads, pushing a medial facet more over onto the

> medial femoral condyle than it should be, OR the

> plica could have done it. I also have

> " chondromalacia " on one of my medial structures, and

> I think it was caused by the plica rubbing there,

> because there's no doubt that my kneecap moves

> laterally when I use my quads.

>

> My OS also found a soft area on my kneecap. He said

> not to worry. I worry anyway. However, he said it

> wasn't VERY soft.

>

> Hope this helps. Hope I'm right about all the

> above.

>

> Ann

>

>

> Help me

> understand post-op report/ v. short!

>

>

> hi?

> Does anyone know the Knee anatomy/physiology terms

> very well or a good website? I've capitalized the

> body

> parts i dont know.

> Should I be scared over the prognosis or is that a

> generic one?

> all comments are welcome!

> my post-op:

> The patient had a DISTAL PERIPATELLAR synovitis

> and

> inflammation of the MEDIAL INFRAPATELLER plica.

> The

> plica was released and the patella was probed. The

> DISTAL POLE of the patella was very soft, There

> was

> one obvious blister at the CENTRAL MEDIAL FACET;

> this

> was debrided to a stable base.

>

> Prognosis is felt to be somewhat guarded because

> of

> the diffuse softening of the MEDIAL patellar

> cartilage. The patella was (he underlined this

> part)

> perfectly aligned.

>

> =====

>

>

> __________________________________________________

>

[Guest guest]

I think distal peripatellar would mean on or around the patella, at the far end

(nearest your feet). Do you have pain below the kneecap (distally to it, as

opposed to underneath), or is the kneecap tender if you press on it at the

distal pole? The patellar tendon runs over that area, so pain there could be

that or what he said. If he did a scope, then I'd go with his findings.

I just noticed I left something out in part of my discussion of central medial

facet. I should have said " If you cut the kneecap in half front to back along a

horizontal line " (duh).

Ann

Help me

> understand post-op report/ v. short!

>

>

> hi?

> Does anyone know the Knee anatomy/physiology terms

> very well or a good website? I've capitalized the

> body

> parts i dont know.

> Should I be scared over the prognosis or is that a

> generic one?

> all comments are welcome!

> my post-op:

> The patient had a DISTAL PERIPATELLAR synovitis

> and

> inflammation of the MEDIAL INFRAPATELLER plica.

> The

> plica was released and the patella was probed. The

> DISTAL POLE of the patella was very soft, There

> was

> one obvious blister at the CENTRAL MEDIAL FACET;

> this

> was debrided to a stable base.

>

> Prognosis is felt to be somewhat guarded because

> of

> the diffuse softening of the MEDIAL patellar

> cartilage. The patella was (he underlined this

> part)

> perfectly aligned.

>

> =====

>

>

> __________________________________________________

>

[Guest guest]

i have pain all around the circumference of my knee

cap. it is very sore underneath and below the cap.

--- ruby2zdy@... wrote:

> I think distal peripatellar would mean on or around

> the patella, at the far end (nearest your feet). Do

> you have pain below the kneecap (distally to it, as

> opposed to underneath), or is the kneecap tender if

> you press on it at the distal pole? The patellar

> tendon runs over that area, so pain there could be

> that or what he said. If he did a scope, then I'd

> go with his findings.

>

> I just noticed I left something out in part of my

> discussion of central medial facet. I should have

> said " If you cut the kneecap in half front to back

> along a horizontal line " (duh).

>

> Ann

> Help me

> > understand post-op report/ v. short!

> >

> >

> > hi?

> > Does anyone know the Knee anatomy/physiology

> terms

> > very well or a good website? I've capitalized

> the

> > body

> > parts i dont know.

> > Should I be scared over the prognosis or is

> that a

> > generic one?

> > all comments are welcome!

> > my post-op:

> > The patient had a DISTAL PERIPATELLAR

> synovitis

> > and

> > inflammation of the MEDIAL INFRAPATELLER

> plica.

> > The

> > plica was released and the patella was probed.

> The

> > DISTAL POLE of the patella was very soft,

> There

> > was

> > one obvious blister at the CENTRAL MEDIAL

> FACET;

> > this

> > was debrided to a stable base.

> >

> > Prognosis is felt to be somewhat guarded

> because

> > of

> > the diffuse softening of the MEDIAL patellar

> > cartilage. The patella was (he underlined this

> > part)

> > perfectly aligned.

> >

> > =====

> >

> >

> >

> __________________________________________________

> >