Reason: s/p surgery and repair of fracture 10 years ago History: pain increased in past few month. ARTICULAR CARTILAGE AND BONE: Again seen is metallic susceptibility artifact within the proximal tibia reflecting removal of orthopedic hardware. Mild depression and deformity of the lateral tibial plateau compatible with healed fracture. Degenerative arthritic changes along the lateral tibial plateau have slightly progressed when compared to prior study with new subchondral cyst formation. We suspect increased loss of articular cartilage particularly along the anterior aspect of the lateral tibial plateau. There is also thinning of the articular cartilage along the lateral femoral condyle with several small intra-articular osteophytes that we suspect has also progressed when compared with prior study.Articular cartilage along the medial tibial femoral compartment appears relatively well preserved.Moderate degenerative changes of the articular cartilage of the patella, particularly centrally, where there is near full-thickness to full-thickness degeneration and subchondral cyst formation that has slightly progressed when compared to the prior study. Thinning of articular cartilage along the inferior aspect of the medial facet of the femoral trochlea appears similar to prior.MENISCI: There is mild deformity of the lateral meniscus associated with the healed tibial plateau fracture, but we see no discrete tear. We see no discrete tear of the medial meniscus.LIGAMENTS: The cruciate and collateral ligaments are intact. EXTENSOR MECHANISM: The extensor mechanism is intact.
Posttraumatic deformity of the lateral tibial plateau with slight progression of osteoarthritic changes as described above.