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Magnetic resonance imaging of knee trauma

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Abstract

This article reviews the magnetic resonance (MR) appearance of normal knee anatomy and the role of MRI in the evaluation of knee trauma. Images acquired in the sagittal plane are the most useful. A combination of T1- and T2-weighted spin echo pulse sequences is most commonly employed. A meniscal tear is identified by an intrameniscal signal which extends to the joint surface. MR and arthroscopic findings agree in more than 90% of patients. It is important to be familiar with the MRI appearance of normal anatomic variants that may be confused with meniscal tears: the transverse geniculate ligament, the hiatus of the popliteal tendon sheath, and the meniscofemoral ligaments. Tears in the anterior cruciate, posterior cruciate, and collateral ligaments are also depicted.

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References

  1. Andrish JT (1985) Ligamentous injuries of the knee. Orthop Clin North Am 16:273

    Google Scholar 

  2. Barton TM, Torg JS, Das M (1984) PCL insufficiency: a review of the literature. Sports Med 1:419

    Google Scholar 

  3. Burk DL Jr, Dalinka MK, Kanal E, Schiebler ML, Cohen EK, Prorok RJ, Gefter WB, Kressel HY (1988) Meniscal and ganglion cysts of the knee: MR evaluation. AJR 150:331

    Google Scholar 

  4. Dandy DJ, Pusey RJ (1982) The long term results of unrepaired tears of the PCL. J Bone Joint Surg [Br] 64:92

    Google Scholar 

  5. Fowler PJ (1980) The classification and early diagnosis of knee joint instability. Clin Orthop 147:15

    Google Scholar 

  6. Gallimore GW, Harms SE (1986) Knee injuries: high-resolution MR imaging. Radiology 160:467

    Google Scholar 

  7. Grana WA, Janssen T (1987) Lateral ligament injury of the knee. Orthopedics 10:1039

    Google Scholar 

  8. Grover JS, Bassett LW, Gross ML, Seeger LL, Finermann GAM (1990) MR imaging of the posterior cruciate ligament. Radiology 174:527

    Google Scholar 

  9. Heller L, Langman J, Schiebler ML, Cohen EK, Prorok RJ, Geffer WB, Kressel HY (1964) The meniscofemoral ligaments of the human knee. J Bone Joint Surg [Br] 46:307

    Google Scholar 

  10. Herman LJ, Beltran J (1988) Pitfalls in MR imaging of the knee. Radiology 167:775

    CAS  PubMed  Google Scholar 

  11. Lee KG, Henkelman M, Poon PY, Rubenstein J (1984) MR imaging of the normal knee. J Comput Assist Tomogr 8:1147

    Google Scholar 

  12. Lee JK, Yao L, Phelps CT, Wirth CR, Czajka J, Lozman J (1988) Anterior cruciate ligament tears: MR imaging compared with arthroscopy and clinical tests. Radiology 166:861

    Google Scholar 

  13. Mink JH, Deutsch AL (1989) Magnetic resonance imaging of the knee. Clin Orthop 244:290

    Google Scholar 

  14. Mink JH, Levy T, Crues JV III (1988) Tears of the anterior cruciate ligament and menisci of the knee: MR imaging evaluation. Radiology 167:769

    CAS  PubMed  Google Scholar 

  15. Munk PL, Helms CA, Genant HK, Holt RG (1989) Magnetic resonance imaging of the knee: current status, new directions. Skeletal Radiol 18:569

    Google Scholar 

  16. Pavlov H, Schneider R (1981) Extrameniscal abnormalities as diagnosed by knee arthrography. Radiol Clin North Am 19:287

    Google Scholar 

  17. Pick TP, Howden R (eds) (1977) Gray's Anatomy. Bounty Books, New York

    Google Scholar 

  18. Polly DW, Callaghan JJ, Sikes RA, McCabe JM, McMahon K, Savory CG (1988) The accuracy of selective magnetic resonance imaging compared with the findings of arthroscopy of the knee. J Bone Joint Surg [Am] 70:192

    Google Scholar 

  19. Reicher MA, Rauschning W, Gold RH, Bassett LW, Lufkin RB, Glen W Jr (1985) High resolution MR imaging of the knee joint: normal anatomy. AJR 145:895

    Google Scholar 

  20. Turner DA, Prodromos CC, Petasnick JP, Clark JW (1985) Acute injury of the ligaments of the knee: magnetic resonance evaluation. Radiology 166:865

    Google Scholar 

  21. Watanabe AT, Carter BC, Teitelbaum GP, Seeger LL, Bradley WG (1989) Normal variations in MR imaging of the knee: appearance and frequency. AJR 153:341

    CAS  PubMed  Google Scholar 

  22. Welsh RP (1980) Knee joint structure and function. Clin Orthop 147:7

    Google Scholar 

  23. Yao L, Lee JK (1988) Occult intraosseous fracture: detection with MR imaging. Radiology 167:749

    Google Scholar 

  24. Zarins B, Nemeth VA (1985) Acute knee injuries in athletes. Orthop Clin North Am 16:285

    Google Scholar 

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The following article is one in a series of review articles which represent expansions of papers presented at the annual meeting of the International Skeletal Society and were solicited by the editors

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Bassett, L.W., Grover, J.S. & Seeger, L.L. Magnetic resonance imaging of knee trauma. Skeletal Radiol. 19, 401–405 (1990). https://doi.org/10.1007/BF00241788

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