Better day

[cornerofmadness]

I am no longer nauseous and the pain is bearable. I'll be having reconstructive surgery in @ two weeks. So that means I have to go back to the home. So I wasn't happy with the home and the case worker is like really? That's the best one in Columbus. I tell her why. She gives me medicare's actual website for looking into this which shows staffing, health inspector reports and care reports from residents. Damned if she wasn't right. The one I was in IS the best rated. Even the other 5 star ones had LOW health inspector ratings. Also the sheer amount of 1 and 2 starred places terrified me. So I said okay if I can stand with just one person helping then yes I'll go back to that place. With the ex-fixator off it shouldn't be so bad. That said I'll probably be here til monday unless a miracle happens.

Today's nurse (very good) works in two hospitals and also collaborated the transport issues.


They did not stitch up the holes in my legs. We're just going to let them fill in. Seriously going to tattoo over that top one. My leg definitely hurts. It's a fucked up mess.

Study Result
Impression
1. Complete rupture of the anterior cruciate ligament.
2. Partial tearing of the femoral attachment of the posterior cruciate ligament.
3. Likely partial tearing of the lateral patellar retinaculum.
4. Edema surrounds the lateral collateral ligament complex compatible with sequela of sprain. While the ligaments remain intact, there is an avulsion fracture of the attachment of the fibular collateral ligament and biceps femoris tendons on the fibular head.
5. Mildly displaced fracture of the anterior most aspect of the medial tibia at the attachment of the anterior horn medial meniscus.
6. Impaction fracture of the lateral trochlea.
7. Small to moderate knee effusion.
8. Diffuse soft tissue and intramuscular edema.




Workstation ID: RAD7-MCRA-02

Narrative
EXAMINATION:
MRI OF THE RIGHT KNEE WITHOUT CONTRAST

3/17/2021

TECHNIQUE:
Multiplanar multisequence MRI of the right knee was performed without the administration of intravenous contrast.

COMPARISON:
Right knee radiograph February 28, 2021

HISTORY:
ORDERING SYSTEM PROVIDED HISTORY: pre operative planning for ligamentous injury;

TECHNOLOGIST PROVIDED HISTORY:
Injury/Trauma
Acuity: Acute
Reason for Exam: pre operative planning for ligamentous injury
Type of Encounter: Initial
Mechanism of Injury: fall

FINDINGS:
MENISCI: Intrasubstance signal within the anterior horn lateral meniscus without discrete extension to the articular surface to meet criteria for strict tear. Findings may reflect meniscal contusion in the setting of trauma. The medial meniscus remains intact. Please note the anterior horn medial meniscus extends to a partially displaced avulsion fragment of the anterior tibia (images 8 through 13 series 13).

CRUCIATE LIGAMENTS: The anterior cruciate ligament is completely ruptured. The posterior cruciate ligament is partially torn at its femoral attachment.

EXTENSOR MECHANISM: The extensor mechanism remains grossly intact. Edema along the medial and lateral patellar retinaculum with likely partial tearing of the lateral patellar retinaculum.

LATERAL COLLATERAL LIGAMENT COMPLEX: The popliteus tendon, biceps femoris tendon, fibular collateral ligament and iliotibial band are intact. Edema surrounding the lateral collateral ligament complex most consistent with sequela of subacute sprain. Avulsion fragment at the fibular head at the attachment of the fibular collateral ligament and biceps femoris tendons.

MEDIAL COLLATERAL LIGAMENT COMPLEX: The medial collateral ligament remains intact.

KNEE JOINT: Small to moderate knee effusion. Diffuse full-thickness cartilage loss along the medial and lateral patellar facet without significant underlying marrow signal change and areas of full-thickness cartilage loss along the trochlea with mild underlying marrow signal change present. Findings most compatible with grade 3 and 4 chondromalacia. The cartilage is grossly preserved within the medial and lateral compartments of the knee.

BONE MARROW: Avulsion fracture of the fibular head. Acute and mildly displaced fracture of the anterior most tibia at the medial tibial plateau (image 10 through 13 series 13). Lateral trochlea (images 9 and 10 series 13). Marrow signal is heterogeneous.

SOFT TISSUES: Diffuse subcutaneous and intramuscular edema about the knee. No organized fluid collection identified.

Work is being very worky today and I am not pleased.

I've got another screaming neighbor Whee.

I did get up and eat lunch in a chair today. I'm proud of myself. Got weaker thru the day. Am worried about that because if I need 2 people to move me I'm screwed but it's much easier to get my butt out of bed. I use the gait belt to lasso my foot and move it along that way.