Medial meniscus: Complex tear of the posterior horn and body.Lateral collateral ligament complex: . Bones and articular cartilage: Moderate to severe articular cartilage thinning in the medial tibiofemoral compartment with patchy areas of cartilage denud

[Orlando Carranza]

45 year old male. Active, plays soccer,  No alcohol intake, fair diet, office job, married with family. Left knee injury from years of playing soccer. MRI shows initial arthritis on inner  knee portion. meniscus is also torn middle section. Medial meniscal tear. Articular cartilage thinning more severe in the medial tibiofemoral compartment and trochlea.
CLINICAL HISTORY: Internal derangement left knee

TECHNIQUE: Sagittal proton density, proton-density fat saturated, T2 (or T2 fat-saturated), coronal T1, STIR (or proton-density fat saturated) and axial T2 images.

FINDINGS:

Cruciate ligaments: Intact.

Patellar and quadriceps tendons: Intact.

Medial meniscus: Complex tear of the posterior horn and body.

Lateral meniscus: Intact.

Medial collateral ligament: Intact.

Lateral collateral ligament complex: .

Bones and articular cartilage: Moderate to severe articular cartilage thinning in the medial tibiofemoral compartment with patchy areas of cartilage denudation in subchondral edema in the mid to anterior weightbearing portion..

Moderate to severe patchy cartilage thinning in the medial trochlea..

Moderate joint effusion.

 

treating for three weeks with very slow improvement if any with BPC157, TB500, GHK-Cu, KPV, and PRP injections 3xs a week.

[Ryan Williams]

Peptides seem reasonable to facilitate repair.

How was the PRP injected? US and/or fluoroscopic guidance? Intra-articular, peri-meniscal or both? Effusion aspirated before PRP injection? What was the amount of blood drawn for the PRP? If not noticeable/significant improvement after 6-12 weeks, could consider A2M and/or BMA/BMAC.

Three weeks would still be early to see an improvement. Would also recommend incorporating RED/NIR photobiomodulation, at home 10 min sessions twice per day and could also consider shockwave depending on availability. Would also recommend physical therapy for rehab.

Could consider further holistic eval. with lab work to ensure no confounding cause of pain and effusion.

[Author]

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