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Synovium and Capsule

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Book cover MRI of the Knee

Abstract

The articular capsule of the knee consists of a thick outer layer, the fibrous capsule, and a thinner inner layer, the synovial membrane or the synovium.

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References

  1. Steinberg PJ, Hodde KC. The morphology of synovial lining of various structures in several species as observed with scanning electron microscopy. Scanning Microsc. 1990;4(4):987–1019; discussion 1019–20.

    CAS  PubMed  Google Scholar 

  2. Fenn S, Datir A, Saifuddin A. Synovial recesses of the knee: MR imaging review of anatomical and pathological features. Skeletal Radiol. 2009;38(4):317–28.

    Article  CAS  PubMed  Google Scholar 

  3. Beaman FD, Peterson JJ. MR imaging of cysts, ganglia, and bursae about the knee. Radiol Clin North Am. 2007;45(6):969–82, vi.

    Article  PubMed  Google Scholar 

  4. Garcia-Valtuille R, et al. Anatomy and MR imaging appearances of synovial plicae of the knee. Radiographics. 2002;22(4):775–84.

    Article  PubMed  Google Scholar 

  5. Doppman JL. Baker’s cyst and the normal gastrocnemio-semimembranosus bursa. Am J Roentgenol Radium Ther Nucl Med. 1965;94:646–52.

    CAS  PubMed  Google Scholar 

  6. Resnick D, et al. Proximal tibiofibular joint: anatomic-pathologic-radiographic correlation. AJR Am J Roentgenol. 1978;131(1):133–8.

    Article  CAS  PubMed  Google Scholar 

  7. Guerra Jr J, et al. Pictorial essay: gastrocnemio-semimembranosus bursal region of the knee. AJR Am J Roentgenol. 1981;136(3):593–6.

    Article  PubMed  Google Scholar 

  8. Johnson RL, De Smet AA. MR visualization of the popliteomeniscal fascicles. Skeletal Radiol. 1999;28(10):561–6.

    Article  CAS  PubMed  Google Scholar 

  9. Munshi M, et al. MR imaging, MR arthrography, and specimen correlation of the posterolateral corner of the knee: an anatomic study. AJR Am J Roentgenol. 2003;180(4):1095–101.

    Article  PubMed  Google Scholar 

  10. Perdikakis E, Skiadas V. MRI characteristics of cysts and “cyst-like” lesions in and around the knee: what the radiologist needs to know. Insights Imaging. 2013;4(3):257–72.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Boles CA, Martin DF. Synovial plicae in the knee. AJR Am J Roentgenol. 2001;177(1):221–7.

    Article  CAS  PubMed  Google Scholar 

  12. Chung CB, Boucher R, Resnick D. MR imaging of synovial disorders of the knee. Semin Musculoskelet Radiol. 2009;13(4):303–25.

    Article  PubMed  Google Scholar 

  13. Schweitzer ME, et al. Knee effusion: normal distribution of fluid. AJR Am J Roentgenol. 1992;159(2):361–3.

    Article  CAS  PubMed  Google Scholar 

  14. Hall FM. Radiographic diagnosis and accuracy in knee joint effusions. Radiology. 1975;115(1):49–54.

    Article  CAS  PubMed  Google Scholar 

  15. McCarthy D. Synovial fluid. In: McCarthy O, editor. Arthritis and allied conditions. 11th ed. Philadelphia: Lea & Febiger; 1989. p. 70–1.

    Google Scholar 

  16. Martin DJ, et al. Recurrent hemarthrosis associated with gout. Clin Orthop Relat Res. 1992;277:262–5.

    PubMed  Google Scholar 

  17. Blyth T, et al. Subsynovial vascular abnormality causing recurrent hemarthrosis in an 84-year-old man. J Rheumatol. 1995;22(3):552–3.

    CAS  PubMed  Google Scholar 

  18. Ryu KN, et al. Evolving stages of lipohemarthrosis of the knee. Sequential magnetic resonance imaging findings in cadavers with clinical correlation. Invest Radiol. 1997;32(1):7–11.

    Article  CAS  PubMed  Google Scholar 

  19. Gylys-Morin VM, et al. Knee in early juvenile rheumatoid arthritis: MR imaging findings. Radiology. 2001;220(3):696–706.

    Article  CAS  PubMed  Google Scholar 

  20. Hill CL, et al. Knee effusions, popliteal cysts, and synovial thickening: association with knee pain in osteoarthritis. J Rheumatol. 2001;28(6):1330–7.

    CAS  PubMed  Google Scholar 

  21. Saddik D, McNally EG, Richardson M. MRI of Hoffa’s fat pad. Skeletal Radiol. 2004;33(8):433–44.

    Article  CAS  PubMed  Google Scholar 

  22. Crema MD, et al. Peripatellar synovitis: comparison between non-contrast-enhanced and contrast-enhanced MRI and association with pain. The MOST study. Osteoarthritis Cartilage. 2013;21(3):413–8.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  23. Sugimoto H, et al. Early-stage rheumatoid arthritis: diagnostic accuracy of MR imaging. Radiology. 1996;198(1):185–92.

    Article  CAS  PubMed  Google Scholar 

  24. Frick MA, Wenger DE, Adkins M. MR imaging of synovial disorders of the knee: an update. Radiol Clin North Am. 2007;45(6):1017–31, vii.

    Article  PubMed  Google Scholar 

  25. Narvaez JA, et al. MR imaging assessment of clinical problems in rheumatoid arthritis. Eur Radiol. 2002;12(7):1819–28.

    Article  PubMed  Google Scholar 

  26. Jaganathan S, et al. Spectrum of synovial pathologies: a pictorial assay. Curr Probl Diagn Radiol. 2012;41(1):30–42.

    Article  PubMed  Google Scholar 

  27. Huang TL, et al. Intra-articular rheumatoid nodule of the knee joint associated with recurrent subluxation of the patella. A case report. J Bone Joint Surg Am. 1979;61(3):438–40.

    CAS  PubMed  Google Scholar 

  28. McGonagle D, Gibbon W, Emery P. Classification of inflammatory arthritis by enthesitis. Lancet. 1998;352(9134):1137–40.

    Article  CAS  PubMed  Google Scholar 

  29. Crema MD, et al. Magnetic resonance imaging assessment of subchondral bone and soft tissues in knee osteoarthritis. Rheum Dis Clin North Am. 2009;35(3):557–77.

    Article  PubMed  Google Scholar 

  30. Roemer FW, et al. The association of meniscal damage with joint effusion in persons without radiographic osteoarthritis: the Framingham and MOST osteoarthritis studies. Osteoarthritis Cartilage. 2009;17(6):748–53.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  31. Hill CL, et al. Synovitis detected on magnetic resonance imaging and its relation to pain and cartilage loss in knee osteoarthritis. Ann Rheum Dis. 2007;66(12):1599–603.

    Article  PubMed Central  PubMed  Google Scholar 

  32. Erdman WA, et al. Osteomyelitis: characteristics and pitfalls of diagnosis with MR imaging. Radiology. 1991;180(2):533–9.

    Article  CAS  PubMed  Google Scholar 

  33. Graif M, et al. The septic versus nonseptic inflamed joint: MRI characteristics. Skeletal Radiol. 1999;28(11):616–20.

    Article  CAS  PubMed  Google Scholar 

  34. Stein H, Duthie RB. The pathogenesis of chronic haemophilic arthropathy. J Bone Joint Surg Br. 1981;63B(4):601–9.

    CAS  PubMed  Google Scholar 

  35. Luck JV Jr, Kasper CK. Surgical management of advanced hemophilic arthropathy. An overview of 20 years’ experience. Clin Orthop Relat Res. 1989;(242): 60–82. http://www.ncbi.nlm.nih.gov/pubmed/2650951.

  36. Rand T, et al. Magnetic resonance imaging in hemophilic children: value of gradient echo and contrast-enhanced imaging. Magn Reson Imaging. 1999;17(2):199–205.

    Article  CAS  PubMed  Google Scholar 

  37. Devaney K, Vinh TN, Sweet DE. Synovial hemangioma: a report of 20 cases with differential diagnostic considerations. Hum Pathol. 1993;24(7):737–45.

    Article  CAS  PubMed  Google Scholar 

  38. Monu JU, Pope Jr TL. Gout: a clinical and radiologic review. Radiol Clin North Am. 2004;42(1):169–84.

    Article  PubMed  Google Scholar 

  39. Bongartz T, et al. Dual-energy CT for the diagnosis of gout: an accuracy and diagnosis yield study. Ann Rheum Dis doi:10.1136/annrheumdis-2013-205095

    Google Scholar 

  40. Ahn JK, et al. Idiopathic calcium pyrophosphate dihydrate (CPPD) crystal deposition disease in a young male patient: a case report. J Korean Med Sci. 2003;18(6):917–20.

    Article  PubMed Central  PubMed  Google Scholar 

  41. Hayes CW, et al. Calcific tendinitis in unusual sites associated with cortical bone erosion. AJR Am J Roentgenol. 1987;149(5):967–70.

    Article  CAS  PubMed  Google Scholar 

  42. Stuttle FL. The no-name and no-fame bursa. Clin Orthop. 1959;15:197–9.

    CAS  PubMed  Google Scholar 

  43. Kerlan RK, Glousman RE. Tibial collateral ligament bursitis. Am J Sports Med. 1988;16(4):344–6.

    Article  CAS  PubMed  Google Scholar 

  44. Janzen DL, et al. Cystic lesions around the knee joint: MR imaging findings. AJR Am J Roentgenol. 1994;163(1):155–61.

    Article  CAS  PubMed  Google Scholar 

  45. Forbes JR, Helms CA, Janzen DL. Acute pes anserine bursitis: MR imaging. Radiology. 1995;194(2):525–7.

    Article  CAS  PubMed  Google Scholar 

  46. Rothstein CP, et al. Semimembranosus-tibial collateral ligament bursitis: MR imaging findings. AJR Am J Roentgenol. 1996;166(4):875–7.

    Article  CAS  PubMed  Google Scholar 

  47. LaPrade RF, Hamilton CD. The fibular collateral ligament-biceps femoris bursa. An anatomic study. Am J Sports Med. 1997;25(4):439–43.

    Article  CAS  PubMed  Google Scholar 

  48. LaPrade RF. The anatomy of the deep infrapatellar bursa of the knee. Am J Sports Med. 1998;26(1):129–32.

    CAS  PubMed  Google Scholar 

  49. De Maeseneer M, et al. MR imaging of the medial collateral ligament bursa: findings in patients and anatomic data derived from cadavers. AJR Am J Roentgenol. 2001;177(4):911–7.

    Article  PubMed  Google Scholar 

  50. Steiner E, et al. Ganglia and cysts around joints. Radiol Clin North Am. 1996;34(2):395–425, xi–xii.

    CAS  PubMed  Google Scholar 

  51. Fielding JR, Franklin PD, Kustan J. Popliteal cysts: a reassessment using magnetic resonance imaging. Skeletal Radiol. 1991;20(6):433–5.

    Article  CAS  PubMed  Google Scholar 

  52. Miller TT, et al. MR imaging of Baker cysts: association with internal derangement, effusion, and degenerative arthropathy. Radiology. 1996;201(1):247–50.

    Article  CAS  PubMed  Google Scholar 

  53. Marti-Bonmati L, et al. MR imaging of Baker cysts –prevalence and relation to internal derangements of the knee. MAGMA. 2000;10(3):205–10.

    CAS  PubMed  Google Scholar 

  54. Labropoulos N, Shifrin DA, Paxinos O. New insights into the development of popliteal cysts. Br J Surg. 2004;91(10):1313–8.

    Article  CAS  PubMed  Google Scholar 

  55. Robertson CM, Robertson RF, Strazerri JC. Proximal dissection of a popliteal cyst with sciatic nerve compression. Orthopedics. 2003;26(12):1231–2.

    PubMed  Google Scholar 

  56. McCarthy CL, McNally EG. The MRI appearance of cystic lesions around the knee. Skeletal Radiol. 2004;33(4):187–209.

    Article  PubMed  Google Scholar 

  57. Burk Jr DL, et al. Meniscal and ganglion cysts of the knee: MR evaluation. AJR Am J Roentgenol. 1988;150(2):331–6.

    Article  PubMed  Google Scholar 

  58. McLaren DB, Buckwalter KA, Vahey TN. The prevalence and significance of cyst-like changes at the cruciate ligament attachments in the knee. Skeletal Radiol. 1992;21(6):365–9.

    Article  CAS  PubMed  Google Scholar 

  59. Nokes SR, Koonce TW, Montanez J. Ganglion cysts of the cruciate ligaments of the knee: recognition on MR images and CT-guided aspiration. AJR Am J Roentgenol. 1994;162(6):1503.

    Article  CAS  PubMed  Google Scholar 

  60. Kang CN, et al. Intra-articular ganglion cysts of the knee. Arthroscopy. 1999;15(4):373–8.

    Article  CAS  PubMed  Google Scholar 

  61. Sumen Y, et al. Ganglion cysts of the cruciate ligaments detected by MRI. Int Orthop. 1999;23(1):58–60.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  62. Bergin D, et al. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. AJR Am J Roentgenol. 2004;182(5):​1283–7.

    Article  PubMed  Google Scholar 

  63. Kim MG, et al. Intra-articular ganglion cysts of the knee: clinical and MR imaging features. Eur Radiol. 2001;11(5):834–40.

    Article  CAS  PubMed  Google Scholar 

  64. McCarthy EF, et al. Periosteal ganglion: a cause of cortical bone erosion. Skeletal Radiol. 1983;10(4):243–6.

    Article  CAS  PubMed  Google Scholar 

  65. Abdelwahab IF, et al. Periosteal ganglia: CT and MR imaging features. Radiology. 1993;188(1):245–8.

    Article  CAS  PubMed  Google Scholar 

  66. Schindler OS. ‘The Sneaky Plica’ revisited: morphology, pathophysiology and treatment of synovial plicae of the knee. Knee Surg Sports Traumatol Arthrosc. 2014;22(2):247–62.

    Article  PubMed  Google Scholar 

  67. Apple JS, et al. Synovial plicae of the knee. Skeletal Radiol. 1982;7(4):251–4.

    Article  CAS  PubMed  Google Scholar 

  68. Trout TE, Bock H, Resnick D. Suprapatellar plicae of the knee presenting as a soft-tissue mass. Report of five patients. Clin Imaging. 1996;20(1):55–9.

    Article  CAS  PubMed  Google Scholar 

  69. Villacin AB, Brigham LN, Bullough PG. Primary and secondary synovial chondrometaplasia: histopathologic and clinicoradiologic differences. Hum Pathol. 1979;10(4):439–51.

    Article  CAS  PubMed  Google Scholar 

  70. Apte SS, Athanasou NA. An immunohistological study of cartilage and synovium in primary synovial chondromatosis. J Pathol. 1992;166(3):277–81.

    Article  CAS  PubMed  Google Scholar 

  71. Sviland L, Malcolm AJ. Synovial chondromatosis presenting as painless soft tissue mass–a report of 19 cases. Histopathology. 1995;27(3):275–9.

    Article  CAS  PubMed  Google Scholar 

  72. Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases. J Bone Joint Surg Am. 1977;59(6):792–801.

    CAS  PubMed  Google Scholar 

  73. McKenzie G, Raby N, Ritchie D. A pictorial review of primary synovial osteochondromatosis. Eur Radiol. 2008;18(11):2662–9.

    Article  PubMed  Google Scholar 

  74. O’Connell JX. Pathology of the synovium. Am J Clin Pathol. 2000;114(5):773–84.

    Article  PubMed  Google Scholar 

  75. Murphey MD, et al. Pigmented villonodular synovitis: radiologic-pathologic correlation. Radiographics. 2008;28(5):1493–518.

    Article  PubMed  Google Scholar 

  76. Hughes TH, et al. Pigmented villonodular synovitis: MRI characteristics. Skeletal Radiol. 1995;24(1):​7–12.

    Article  CAS  PubMed  Google Scholar 

  77. Nau T, et al. Giant-cell tumor of the synovial membrane: localized nodular synovitis in the knee joint. Arthroscopy. 2000;16(8):E22.

    Article  CAS  PubMed  Google Scholar 

  78. Yoo JH, Yang BK, Park JM. Localized nodular synovitis of the knee presenting as anterior knee pain: a case report. Knee. 2007;14(5):398–401.

    Article  PubMed  Google Scholar 

  79. Sheldon PJ, Forrester DM, Learch TJ. Imaging of intraarticular masses. Radiographics. 2005;25(1):105–19.

    Article  PubMed  Google Scholar 

  80. McKinney CD, Mills SE, Fechner RE. Intraarticular synovial sarcoma. Am J Surg Pathol. 1992;16(10):1017–20.

    Article  CAS  PubMed  Google Scholar 

  81. Kransdorf MJ. Malignant soft-tissue tumors in a large referral population: distribution of diagnoses by age, sex, and location. AJR Am J Roentgenol. 1995;164(1):129–34.

    Article  CAS  PubMed  Google Scholar 

  82. Bui-Mansfield LT, O’Brien SD. Magnetic resonance appearance of intra-articular synovial sarcoma: case reports and review of the literature. J Comput Assist Tomogr. 2008;32(4):640–4.

    Article  PubMed  Google Scholar 

  83. Ayoub KS, et al. Synovial sarcoma arising in association with a popliteal cyst. Skeletal Radiol. 2000;29(12):713–6.

    Article  CAS  PubMed  Google Scholar 

  84. Namba Y, et al. Intraarticular synovial sarcoma confirmed by SYT-SSX fusion transcript. Clin Orthop Relat Res. 2002;395:221–6.

    Article  PubMed  Google Scholar 

  85. Jones BC, Sundaram M, Kransdorf MJ. Synovial sarcoma: MR imaging findings in 34 patients. AJR Am J Roentgenol. 1993;161(4):827–30.

    Article  CAS  PubMed  Google Scholar 

  86. Cadman NL, Soule EH, Kelly PJ. Synovial sarcoma; an analysis of 34 tumors. Cancer. 1965;18:613–27.

    Article  CAS  PubMed  Google Scholar 

  87. Taconis WK, van der Heul RO, Taminiau AM.Synovial chondrosarcoma: report of a case and review of the literature. Skeletal Radiol. 1997;26(11):682–5.

    Article  CAS  PubMed  Google Scholar 

  88. Thompson KS, et al. Synovial metastasis: diagnosis by fine-needle aspiration cytologic investigation. Diagn Cytopathol. 1996;15(4):334–7.

    Article  CAS  PubMed  Google Scholar 

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Bolog, N.V., Andreisek, G., Ulbrich, E.J. (2015). Synovium and Capsule. In: MRI of the Knee. Springer, Cham. https://doi.org/10.1007/978-3-319-08165-6_8

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