Pain. Question of ACL tear. MENISCI: The medial and lateral menisci are intact.ARTICULAR CARTILAGE AND BONE: There is near full thickness loss of articular cartilage of the superior aspect of the lateral facet of the patella with underlying subchondral edema. Additionally, there is heterogeneity of cartilage more inferiorly suggesting degeneration along with superficial delamination of cartilage along the medial facet. There is loss of articular cartilage of the posterior and inner aspect of the medial tibial plateau adjacent to the fracture as described below.There is a minimally displaced longitudinal fracture through the medial aspect of the medial femoral condyle. Additionally, there is another non-displaced, non-depressed fracture through the middle medial femoral condyle with intra-articular extension (image 24, series 301 and image 25, series 601). The underlying cartilage, however, is intact.There is comminuted, oblique fracture through the posterior tibial plateau that includes the tibial spine. The posterior cruciate ligament and posterior root of the lateral meniscus attach normally to the fracture fragment which is distracted approximately 4 mm. A transverse fracture through the proximal fibular diaphysis is partially imaged. There is bone marrow edema throughout the distal femur and proximal tibia. LIGAMENTS: The anterior and posterior cruciate ligaments are intact. The medial collateral ligament appears discontinuous at its attachment on the medial femoral condyle. The lateral collateral ligament is intact. EXTENSOR MECHANISM: No significant abnormality noted.ADDITIONAL
1. Multiple fractures through the medial femoral condyle, posterior tibial plateau, and proximal fibula as described above.2. Questionable MCL tear.3. Intact menisci and cruciate ligaments. 4. Chondromalacia as described above.