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.
Similar content being viewed by others
References
Collins DH (1949) The pathology of articular and spinal diseases. Arnold, London
Waisbrod H, Treiman HN (1980) Intra-osseous venography in patellofemoral disorders. J Bone Joit Surg 62B: 454
Insall J, Shoji H, Mayer V (1974) High tibial osteotomy. J Bone Joit Surg 56A: 1397
Shoji H, Granda JL (1974) Acid hydrolases in the articular cartilage of the patella. Clin Orthop 99: 293–297
Paul B (1973) Über die Belastung des Binde- und Stützgewebes, speziell des Gelenkknorpels. Med Sport 13: 13–19
Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Joit Surg 46B: 179
Ficat RP, Philippe J, Hungerford DS (1979) Chondromalacia patellae: A system of classification. Clin Orthop 144: 55–62
Bandi W (1975) Verlagerung der Tuberositas tibiae bei Chondromalacia paelle und Femoropatellararthrose. Unfallheilkunde 27: 175–186
Wiles PH, Andrews PS, Devas MB (1956) Chondromalacia of the patella. J Bone Joit Surg 38B: 95
Otte P (1969) Die konservative Behandlung der Hüft- und Kniearthrose und ihre Gefahren. Dtsch Med J 20: 217–225
Zohlen E (1942) Chondropathia patellae. Über ihre Bedeutung und Wesen. Bruns Beitr Klin Chir 69: 174
Fründ H (1926) Traumatische Chondropathie der Patella, ein selbständiges Krankheitsbild. ZB1 Chir 53: 707
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
Bethge JFJ (1962) Chondromalacia patellae. Dtsch Med Wschr 87: 636–643
Munzinger U, Dubs L, Buchmann R (1985) Das femoropatelläre Schmerzsyndrom. Konservative Behandlung und Resultate 7–10 Jahre nach Maquet-Operation. Orthopäde 14: 247–260
Ficat P, Hungerford DS (1977) Disorders of the patellofemoral joint. Masson, Paris
Engel A (1990) Magnetic resonance knee arthrography. Acta Orthop Scand Suppl 240, 61: 1–57
Bauer M, Jackson RW (1988) Chondral lesions of the femoral condyles: A system of arthroscopic classification. Arthroscopy 4: 97–102
Sims RE, Genant HK (1986) Magnetic resonance imaging of joint disease. Radiol Clin North Am 24: 179–188
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
Gallimore GW jr, Harms SE (1986) Knee injuries: High resolution MR imaging. Radiology 160: 457–461
Bellon EM, Keith MW, Coleman PE, Shah ZR (1988) Magnetic resonance imaging of internal derangements of the knee. Radiographics 8: 95–118
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
Tyrell RL, Gluckert K, Pathria M, Modic MT (1988) Fast three-dimensional MR imaging of the knee: comparison with arthroscopy. Radiology 166: 865–872
Hajek PC, Baker LL, Sartoris DJ, Neuman ChH, Resnick D (1987) MR arthrography: Anatomic-pathologic investigation. Radiology 163: 141–147
Naegele N, et al (1991) ECR '91 Abstracts. European Radiology 1: 58
Bloem JL, Reiser MF, Vanel D (1990) Magnetic Resonance Contrast Agents in the Evaluation of the Musculoskeletal System. Magn Reson Q 6: 136–163
Gylys-Morin VM, Hajek PC, Satoris DJ, et al (1987) Articular Cartilage Defects: Detectability in Cadaver Knees with MR. AJR 148: 1153–1157
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
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
Frahm J, Haase A, Matthaei D (1986) Rapid Three-Dimensional MR Imaging Using the FLASH Technique. J Comput Assist Tomogr 10: 363–368
Oppelt A, Graumann R, Barfuβ H, et al (1986) Eine neue schnelle Pulssequenz für die Kernspintomographie. Electromedica 54: 15–18
Cruess JV (1988) Joint imaging. Diagnostic Radiology, MR Imaging 175–179
Author information
Authors and Affiliations
Additional information
Correspondence to: A. Engel
Rights and permissions
About this article
Cite this article
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
Issue Date:
DOI: https://doi.org/10.1007/BF00169791