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Articular cartilage defect detectability in human knees with MR-arthrography

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  • Musculoskeletal Radiology
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Abstract

One hundred and thirteen knee joints were examined, of which 48 showed damage of the hyaline cartilage in one or more locations. For the evaluation of the magnetic resonance (MR) arthrographic images we used the macroscopic staging according to Outerbridge, the defect staging according to Bauer, as well as a new MR-arthrographic staging. The results of the evaluation were compared with the surgical findings in 61 knee joints. This revealed a sensitivity of 86%, a specificity of 100% and accuracy of 90%. All lesions that could not be classified on MR-arthrography were of stage-I chondromalacia.

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References

  1. Collins DH (1949) The pathology of articular and spinal diseases. Arnold, London

    Google Scholar 

  2. Waisbrod H, Treiman HN (1980) Intra-osseous venography in patellofemoral disorders. J Bone Joit Surg 62B: 454

    Google Scholar 

  3. Insall J, Shoji H, Mayer V (1974) High tibial osteotomy. J Bone Joit Surg 56A: 1397

    Google Scholar 

  4. Shoji H, Granda JL (1974) Acid hydrolases in the articular cartilage of the patella. Clin Orthop 99: 293–297

    Google Scholar 

  5. Paul B (1973) Über die Belastung des Binde- und Stützgewebes, speziell des Gelenkknorpels. Med Sport 13: 13–19

    Google Scholar 

  6. Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Joit Surg 46B: 179

    Google Scholar 

  7. Ficat RP, Philippe J, Hungerford DS (1979) Chondromalacia patellae: A system of classification. Clin Orthop 144: 55–62

    Google Scholar 

  8. Bandi W (1975) Verlagerung der Tuberositas tibiae bei Chondromalacia paelle und Femoropatellararthrose. Unfallheilkunde 27: 175–186

    Google Scholar 

  9. Wiles PH, Andrews PS, Devas MB (1956) Chondromalacia of the patella. J Bone Joit Surg 38B: 95

    Google Scholar 

  10. Otte P (1969) Die konservative Behandlung der Hüft- und Kniearthrose und ihre Gefahren. Dtsch Med J 20: 217–225

    Google Scholar 

  11. Zohlen E (1942) Chondropathia patellae. Über ihre Bedeutung und Wesen. Bruns Beitr Klin Chir 69: 174

    Google Scholar 

  12. Fründ H (1926) Traumatische Chondropathie der Patella, ein selbständiges Krankheitsbild. ZB1 Chir 53: 707

    Google Scholar 

  13. Gadian DG, Payne JA, Bryant DJ, Young IR, Carr DH, Bydder GM (1985) Gadolinium-DTPA as a contrast agent in MR imaging — theoretical projections and practical observations. J Comput Assist Tomogr 9: 242–251

    Google Scholar 

  14. Bethge JFJ (1962) Chondromalacia patellae. Dtsch Med Wschr 87: 636–643

    Google Scholar 

  15. Munzinger U, Dubs L, Buchmann R (1985) Das femoropatelläre Schmerzsyndrom. Konservative Behandlung und Resultate 7–10 Jahre nach Maquet-Operation. Orthopäde 14: 247–260

    Google Scholar 

  16. Ficat P, Hungerford DS (1977) Disorders of the patellofemoral joint. Masson, Paris

    Google Scholar 

  17. Engel A (1990) Magnetic resonance knee arthrography. Acta Orthop Scand Suppl 240, 61: 1–57

    Google Scholar 

  18. Bauer M, Jackson RW (1988) Chondral lesions of the femoral condyles: A system of arthroscopic classification. Arthroscopy 4: 97–102

    Google Scholar 

  19. Sims RE, Genant HK (1986) Magnetic resonance imaging of joint disease. Radiol Clin North Am 24: 179–188

    Google Scholar 

  20. Lehner KB, Rechl HP, Gmeinwieser JK, Heuck AF, Lukas HP, Kohl HP (1989) Structure, function, and degeneration of bovine hyaline cartilage: assessment with MR imaging in vitro. Radiology 170: 495–499

    Google Scholar 

  21. Gallimore GW jr, Harms SE (1986) Knee injuries: High resolution MR imaging. Radiology 160: 457–461

    Google Scholar 

  22. Bellon EM, Keith MW, Coleman PE, Shah ZR (1988) Magnetic resonance imaging of internal derangements of the knee. Radiographics 8: 95–118

    Google Scholar 

  23. Middleton WD, Macrander S, Lawson TL, Kneeland JB, Cates JD, Kellman GM, Carrera GF, Foley WD, Jesmanowicz A, Hyde JS (1987) High resolution surface coil magnetic resonance imaging of the joints: Anatomic correlation. Radiographics 7: 645–668

    Google Scholar 

  24. Tyrell RL, Gluckert K, Pathria M, Modic MT (1988) Fast three-dimensional MR imaging of the knee: comparison with arthroscopy. Radiology 166: 865–872

    Google Scholar 

  25. Hajek PC, Baker LL, Sartoris DJ, Neuman ChH, Resnick D (1987) MR arthrography: Anatomic-pathologic investigation. Radiology 163: 141–147

    Google Scholar 

  26. Naegele N, et al (1991) ECR '91 Abstracts. European Radiology 1: 58

    Google Scholar 

  27. Bloem JL, Reiser MF, Vanel D (1990) Magnetic Resonance Contrast Agents in the Evaluation of the Musculoskeletal System. Magn Reson Q 6: 136–163

    Google Scholar 

  28. Gylys-Morin VM, Hajek PC, Satoris DJ, et al (1987) Articular Cartilage Defects: Detectability in Cadaver Knees with MR. AJR 148: 1153–1157

    Google Scholar 

  29. Reiser MF, Bongartz G, Erlemann R, et al (1988) Magnetic Resonance on cartilaginous lesions of the knee joint with three-dimensional gradient-echo imaging. Skeletal Radiol 17: 465–471

    Google Scholar 

  30. Adam G, Bohndorf K, Prescher A, et al (1988) Der hyaline Gelenksknorpel in der MR-Tomographie des Kniegelenkes bei 1,5 T. Fortschr Röntgenstr 148: 648–651

    Google Scholar 

  31. Frahm J, Haase A, Matthaei D (1986) Rapid Three-Dimensional MR Imaging Using the FLASH Technique. J Comput Assist Tomogr 10: 363–368

    Google Scholar 

  32. Oppelt A, Graumann R, Barfuβ H, et al (1986) Eine neue schnelle Pulssequenz für die Kernspintomographie. Electromedica 54: 15–18

    Google Scholar 

  33. Cruess JV (1988) Joint imaging. Diagnostic Radiology, MR Imaging 175–179

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Correspondence to: A. Engel

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Engel, A., Kramer, J., Stiglbauer, R. et al. Articular cartilage defect detectability in human knees with MR-arthrography. Eur. Radiol. 3, 161–165 (1993). https://doi.org/10.1007/BF00169791

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