Friday, August 19, 2011
Xrays & MRI
These are some of the images I have.
#1 is the list of stuff they put into the hip when they did the fluoroscope injection before the MRI.
#2 is an image of the needle inside or right before going into the hip joint. OUCH.
#3 is just a pic of my right hip which shows deterioration on the pelvic bone where there should be a point above the femur. Also it shows a shallow socket and the femoral head is outside the socket. There is also a smoothness to the femoral head which differs from the left side which is not smooth. June 2010
#4 May 2011. This one shows both hips and you can compare each of them together. You can also see the difference a year made to the right hip. The deterioration on the pelvic bone above the femur head is much more present.
#5 is an image of an MRI scan. I have this on a disk and am able to scroll the scan to find the best pic. Its pretty cool to use though once you know what to look for. The arrows are where i am guessing the labral tear is, or places anyway if there are more than one.
#6, same thing.
So I contacted my primary yesterday and asked her to look into the results of my MRI because I was not sure when or how I would be getting any info about this. The surgeon that requested this MRI is half-retired and honestly I do not really want to see him again. I think he is a lazy doctor and he will not be doing my surgery. So She got back to me and informed me that 1: Yes I do have dysplasia, DUH. LOL and 2: I have a labral tear of the cartilage, or soft tissue, that lines the joint. The white part around the femoral head in the pics is the labrum. From what I have read online on many sights, it can be damaged fairly easily and people with dysplasia often have this going on too. Basically from I gathered at http://www.mayoclinic.com, A hip labral tear involves the ring of soft elastic tissue, called the labrum, that follows the outside rim of the socket of your hip joint. The labrum acts like a socket to hold the ball at the top of your thighbone (femur) in place. Symptoms include hip pain or a "catching" sensation in your hip joint. Initial treatment may include pain relievers and physical therapy. Using arthroscopic techniques, surgeons can remove loose fragments from within the joint and trim or repair the hip labral tear.
This "catching" and "clicking" sensation are things I feel every day and they are becoming more often and more painful. Pain killers do nothing for it unless I take so much which I do not like doing. Also I don't believe PT is helpful because honestly the LAST thing I want to do is move it and stress it when it hurts so bad. The catching and impingement feeling is very painful for me and often times if I step wrong I almost fall down because I feel there is no support for my step. Here is what mayoclinic.com said about the surgery: If you have a hip labral tear and experience hip pain for more than four to 12 weeks despite physical therapy, or if you have mechanical symptoms of your hip locking, your doctor may recommend arthroscopic surgery — in which a fiber-optic camera and surgical tools are inserted via small incisions in your skin.
Depending on the cause and extent of the tear, the surgeon may cut out and remove the torn piece of labrum or repair the torn tissue by sewing it back together.
I happened across another youtube video (why do I keep "happening" across these things and then KEEP watching?) on a labral tear fix. The doctor is showing a real-time, inside the joint, video and giving commentary on a late 40's woman. The first part was of the tool kind of shaving and sucking out the excess labrum and then the next part which I did not end up watching was starting to drive an anchor (a screw of sorts) into the labrum to keep in place. I stopped there.
I can't wait to see the surgeon Dr. Downer next week and see what he has to say. I am hoping his attitude is more hopeful and helpful than the last guy. I mean really, I know my weight has a big impact on everything but seriously, there are people bigger than I am who have gotten this fixed so just HELP ME :)
Ok off for now :D
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