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MRT-Diagnostik von Meniskusläsionen

Magnetic resonance imaging diagnostics of meniscus lesions

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Die MRT des Kniegelenks bei Verdacht auf Erkrankungen des Meniskus gehört mittlerweile zum klinischen Standard. Die Untersuchung sichert die Diagnose und liefert dem Operateur zusätzliche Informationen über die Kniebinnensituation. Lage, Größe und Struktur des Meniskusrisses sind darstellbar. Ferner ist ein begleitendes Knochenödem als Zeichen einer aktivierten Arthrose oder einer lokalen Ernährungsstörung des Knochens erkennbar, wodurch das arthroskopische Vorgehen und die Nachbehandlung beeinflusst werden. Operateur und auch Patient werden bzgl. der Entscheidung/Indikation zum operativen Eingriff sowie der ätiologischen Zuordnung von Beschwerden vor und nach dem Eingriff entlastet.

Abstract

Magnetic resonance imaging (MRI) of the knee joint is now a routine tool in the diagnostic assessment of patients with suspected meniscus pathology. MRI confirms the diagnosis and provides additional information on internal joint structures. Position, shape, and size of the meniscal tear are visualized. Furthermore, bone marrow edema as a sign of mechanical stress or perfusion defects is detectable, which can influence the arthroscopic procedure and post-operative treatment. Patient and surgeon are supported in decision-making and performance of the surgical procedure as well as in the etiologic assignment of symptoms.

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  1. Radiologisches Zentrum, Ev. Jung-Stilling-Krankenhaus, Wichernstraße, 57074, Siegen, Deutschland

    H.-M. Klein

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Klein, HM. MRT-Diagnostik von Meniskusläsionen. Arthroskopie 21, 229–234 (2008). https://doi.org/10.1007/s00142-008-0471-1

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