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MR imaging evaluation of the postoperative meniscus

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Abstract

MR imaging has been widely evaluated in the assessment of patients with recurrent or residual symptoms following meniscal surgery. Importantly, the causes of such symptoms may relate to failure or complication of the surgical procedure, a possible recurrent or residual meniscal tear, or may be related to other causes of joint symptoms, including tears of the contralateral meniscus, or local hyaline cartilage, or marrow abnormalities subjacent to or distant to the meniscal surgical site. The complex diagnostic issues involved in the MR imaging evaluation of the postoperative meniscus were identified in early MR imaging studies. The knowledge of the normal MR imaging appearance of the knee after the more common repair procedures will allow radiologists to recognize complications associated with such procedures. In this article, we discuss the MR imaging evaluation of the knee after meniscal surgery.

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References

  1. Resnick D, Kang HS (1997) Disorders specific joints. Internal derangements of joints: emphasis on MR imaging. Saunders, Philadelphia, pp 555–786

    Google Scholar 

  2. Rubin D, Paletta G (2000) Currentconcepts and contro- versies in meniscalimaging. Magn Reson Imaging Clin N Am 8:243–270

    CAS  PubMed  Google Scholar 

  3. Deutsch AL, Mink JH (1993) The postoperative knee. In: Mink SH (ed) MRI of the knee, 2nd edn. Raven, New York, pp 237–293

    Google Scholar 

  4. Nurzynska D, Di Meglio F, Castaldo C, Latino F, Romano V, Miraglia R, Guerra G, Brunese L, Montagnani S (2012) Flatfoot in children: anatomy of decision making. Italian J Anat Embriol 117(2):98–106

    Google Scholar 

  5. Fatima G, Sharma VP, Das SK, Mahdi AA (2015) Oxidative stress and antioxidative parameters in patients with spinal cord injury: implications in the pathogenesis of disease. Spinal Cord 53(1):3–6

    Article  CAS  PubMed  Google Scholar 

  6. Gross KD, Felson DT, Niu J, Hunter DJ, Guermazi A, Roemer FW, Dufour AB, Gensure RH, Hannan MT (2011) Association of flat feet with knee pain and cartilage damage in older adults. Arthritis Care Res (Hoboken) 63(7):937–944

    Article  Google Scholar 

  7. Testa D, Guerra G, Marcuccio G, Landolfo PG, Motta G (2012) Oxidative stress in chronic otitis media with effusion. Acta Otolaryngol 132(8):834–837

    CAS  PubMed  Google Scholar 

  8. Paladini D, Di Spiezio Sardo A, Mandato VD, Guerra G, Bifulco G, Mauriello S, Nappi C (2007) Association of Cutis Laxa and genitale prolapse: a case report. Int Urogynecol J 18(11):1367–1370

    Article  Google Scholar 

  9. Dehghan F, Muniandy S, Yusof A, Salleh N (2014) Sex-steroid regulation of relaxin receptor isoforms (RXFP1 & RXFP2) expression in the patellar tendon and lateral collateral ligament of female WKY rats. Int J Med Sci 11(2):180–191

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Nappi C, Di Spiezio Sardo A, Guerra G, Di Carlo C, Bifulco G, Acunzo G, Sammartino A, Galli V (2004) Comparison of intranasal and transdermal estradiol on nasal mucosa in postmenopausal women. Menopause 11(4):447–455

    Article  PubMed  Google Scholar 

  11. Ierardi AM, Floridi C, Fontana F, Chini C, Giorlando F, Piacentino F, Brunese L, Pinotti G, BacuzziA Carrafiello G (2013) Microwave ablation of liver metastases to overcome the limitations of radiofrequency ablation [Ablazione con microonde di metastasi epatiche per superare i limiti della ablazione con radiofrequenza]. Radiol Med 118(6):949–961

    Article  PubMed  Google Scholar 

  12. Calisti A, Perrotta ML, Oriolo L, Ingianna D, Miele V (2008) The risk of associated urological abnormalities in children with pre and postnatal occasional diagnosis of solitary, small or ectopic kidney: Is a complete urological screening always necessary? World J Urol 26(3):281–284

    Article  PubMed  Google Scholar 

  13. Caranci F, Napoli M, Cirillo M, Briganti G, Brunese L, Briganti F (2012) Basilar artery hypoplasia. Neuroradiol J 25(6):739–743

    Article  CAS  PubMed  Google Scholar 

  14. De Filippo M, Corsi A, Evaristi L, Bertoldi C, Sverzellati N, Averna R, Crotti P, Bini G, Tamburrini O, Zompatori M, Rossi C (2011) Critical issues in radiology requests and reports. Radiol Med 116(1):152–162. doi:10.1007/s11547-010-0587-z (Epub 2010 Sep 17. English, Italian)

    Article  PubMed  Google Scholar 

  15. Regine G, Stasolla A, Miele V (2007) Multidetector computed tomography of the renal arteries in vascular emergencies. Eur J Radiol 64:83–91 (Epub 2007 Jul 27)

    Article  PubMed  Google Scholar 

  16. Scialpi M, Palumbo B, Pierotti L, Gravante S, Piunno A, Rebonato A, D’andrea A, Reginelli A, Piscioli I, Brunese L, Rotondo A (2014) Detection and characterization of focal liver lesions by split-bolus multidetector-row CT: diagnostic accuracy and radiation dose in oncologic patients. Anticancer Res 34(8):4335–4344

    PubMed  Google Scholar 

  17. Versaci F, Trivisonno A, Olivieri C, Caranci F, Brunese L, Prati F (2014) Late renal artery stenosis after renal denervation: is it the tip of the iceberg? Int J Cardiol 172(3):e507–e508

    Article  PubMed  Google Scholar 

  18. Scardapane A, Rubini G, Lorusso F, Fonio P, Suriano C, Giganti M, Stabile Ianora AA (2012) Role of multidetector CT in the evaluation of large bowel obstruction [Ruolo della TC multidetettore nelle occlusioni del grosso intestino]. Recenti Progress Med 103(11):489–492

    Google Scholar 

  19. Applegate GR, Flannigan BD, Tolin BS, Fox JM, Del Pizzo W (1993) MR diagnosis of recurrent tears in the knee: value of intraarticular contrast material. AJR Am J Roentgenol 161:821–825

    Article  CAS  PubMed  Google Scholar 

  20. White LM, Schweitzer ME, Weishaupt D et al (2000) Prospective evaluation of conventional MR imaging, indirect MR arthrography, and direct MR arthrography in the diagnosis of recurrent meniscal tears (abstr). Radiology 217:575

    Google Scholar 

  21. Farley TE, Howell SM, Love KF, Wolfe RD, Neumann CH (1991) Meniscal tears: MR and arthrographic findings after arthroscopic repair. Radiology 180:517–522

    Article  CAS  PubMed  Google Scholar 

  22. Brahme SK, Fox JM, Ferkel RD, Friedman MJ, Flannigan BD, Resnick DL (1991) Osteonecrosis of the kneeafterarthroscopicsurgery: diagnosis with MR imaging. Radiology 178:851–853

    Article  CAS  PubMed  Google Scholar 

  23. Aliprandi A, Di Pietto F, Minafra P, Zappia M, Pozza S, Sconfienza LM (2014) Femoro-acetabular impingement: What the general radiologist should know. Radiologia Medica 119(2):103–112

    Article  PubMed  Google Scholar 

  24. Negri G, Grassi S, Zappia M, Cappabianca S, Rambaldi PF, Mansi L (2006) A new hypothesis for the bone marrow edema pathogenesis during transient osteoporosis. J Orthop Traumatol 7(4):176–181

    Article  PubMed Central  Google Scholar 

  25. Zappia M, Cuomo G, Martino MT, Reginelli A, Brunese L (2016) The effect of foot position on Power Doppler Ultrasound grading of Achilles enthesitis. Rheumatol Int 36(6):871–874

    Article  PubMed  Google Scholar 

  26. Pinto F, Miele V, Piccolo CL, Trinci M, Galluzzo M, Ianniello S, Brunese L (2016) Diagnostic imaging of blunt abdominal trauma in pediatric patients. Radiol Med 121: 409–430. doi:10.1007/s11547-016-0637-2 (Epub 2016 Apr 13)

    Article  Google Scholar 

  27. Miele V, Piccolo CL, Sessa B, Trinci M, Galluzzo M (2016) Comparison between MRI and CEUS in the follow-up of patients with blunt abdominal trauma managed conservatively. Radiol Med 121:27–37. doi:10.1007/s11547-015-0578-1 (Epub 2016 Jan 8)

    Article  PubMed  Google Scholar 

  28. Manaster BJ, Remley K, Newman AP et al (1988) Knee ligament reconstruction: plain film analysis. AJR Am J Roentgenol 150:337–342

    Article  CAS  PubMed  Google Scholar 

  29. Howell SM, Clark JA (1992) Tibial tunnel placement in anterior cruciate ligament reconstruction and graft impingement. Clin Orthop 283:187–195

    Google Scholar 

  30. Recht MP, Parker RD, Irizarry JM (2000) Second time around: evaluating the postoperative anterior cruciate ligament. Magn Reson Imaging Clin N Am 8:285–297

    CAS  PubMed  Google Scholar 

  31. Maywood RM, Murphy BJ, Uribe JW et al (1993) Evaluation of arthroscopic anterior cruciate ligament reconstruction using magnetic resonance imaging. Am J Sports Med 21:523–527

    Article  CAS  PubMed  Google Scholar 

  32. Recht MP, Piraino DW, Applegate G et al (1996) Complications after anterior cruciate ligament reconstruction: radiographic and MR findings. AJR Am J Roentgenol 167:705–710

    Article  CAS  PubMed  Google Scholar 

  33. Howell SM, Berns GS, Farley TE (1991) Unimpinged and impinged anterior cruciate ligament grafts: MR signal intensity measurements. Radiology 179:639–643

    Article  CAS  PubMed  Google Scholar 

  34. Howell SM, Clark JA, Blasier RD (1991) Serial magnetic resonance imaging of hamstring anterior cruciate ligament autografts during the first year of implantation: a preliminary study. Am J Sports Med 19:42–47

    Article  CAS  PubMed  Google Scholar 

  35. Recht MP, Piraino DW, Cohen MAH et al (1995) Localized anterior arthro fibrosis (cyclopslesion) after reconstruction of the anterior cruciate ligament: MR imaging findings. AJR Am J Roentgenol 165:383–385

    Article  CAS  PubMed  Google Scholar 

  36. Curl WW, Krume J, Gordon ES et al (1997) Cartilage injuries: a review of 31,576 knee arthroscopies. Arthroscopy 13:456–460

    Article  CAS  PubMed  Google Scholar 

  37. Noyes FR, Stabler CC (1989) A system for grading articular cartilage lesions at arthroscopy. Am J Sports Med 17:505–513

    Article  CAS  PubMed  Google Scholar 

  38. Alparslan L, Winalski CS, Boutin RD, Minas T (2001) Postoperative magnetic resonance imaging of articular cartilage repair. Semin Musculoskelet Radiol 5:345–363

    Article  CAS  PubMed  Google Scholar 

  39. Gambardella RA, Glousman RE (1999) Autogenous osteochondral grafting: a multicenter review of clinical results. Presented at the 18th Annual Meeting of the Arthroscop Association of North America, Vancouver, Canada, April 15–18, 1999.

  40. Hangody L, Kish G, Karpati Z et al (1998) Mosaicplasty for the treatment of articular cartilage defects: ap- plication in clinical practice. Orthopaedics 21:751–756

    CAS  Google Scholar 

  41. Sanders TG, Mentzer KD, Miller MD et al (2001) Autogenous osteochondral “plug” transfer for the treatment of focal chondral defects: postoperative MR appearance with clinical correlation. Skeletal Radiol 30:570–578

    Article  CAS  PubMed  Google Scholar 

  42. Koh J, Bergfeld J, Petty D, et al. (2000) Osteochondral autografting of articular cartilage defects. Presented at the tenth annual research day, Cleveland Clinic Foundation Department of Orthopaedic Surgery, Cleveland, Ohio, June 9, 2000

  43. Brittberg M, Lindahl A, Nilsson A et al (1994) Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med 331:889–895

    Article  CAS  PubMed  Google Scholar 

  44. Minas T, Peterson L (2000) Autologous chondrocyte transplantation. OperTech Sports Med 8:144–157

    Google Scholar 

  45. Minas T, Peterson L (1999) Advanced techniques in autologous chondrocyte transplantation. Clin Sports Med 18:13–44

    Article  CAS  PubMed  Google Scholar 

  46. Winalski CS, Minas T (2000) Evaluation of chondral injuries by magnetic resonance imaging: repair assessment. OperTech Sports Med 8:108–119

    Google Scholar 

  47. Kurosawa H, Fukubayashi T, Nakajima H (1980) Load-bearing mode of the knee joint: Physical behavior of the knee joint with or without menisci. Clin Orthop 149:283–290

    Google Scholar 

  48. Newman AP, Daniels AU, Burks RT (1993) Principles and decision making in meniscal surgery. Arthroscopy 9:33–51

    Article  CAS  PubMed  Google Scholar 

  49. Renstrom P, Johnson RJ (1990) Anatomy and biomechanics of the menisci. Cli Sports Med 9:523–538

    CAS  Google Scholar 

  50. Rodeo SA, Warren RF (1996) Meniscal repair using the outside-to-inside technique. Clin Sports Med 15:469–481

    CAS  PubMed  Google Scholar 

  51. Stone RK (1999) Current and future directions for meniscus repair and replacement. Clin Orthop 367:273–280

    Article  Google Scholar 

  52. Summerlath K (1989) The importance of the meniscus in unstable knees. A Comparative study. Am J Sports Med 17:773–777

    Article  Google Scholar 

  53. Walker PS, Erkeamn MJ (1975) The role of the menisci in force transmission across the kenne. Clin Orthop 109:184–192

    Article  Google Scholar 

  54. Fairbank TJ (1948) Knee joint changes after meniscectomy. J Bone Joint Surg Br 30:664–670

    Google Scholar 

  55. Cox JS, Nye CE, Schaefer WW, Woodstein IJ (1975) The degenerative effects of partial and total resection of the medial meniscus in dog’s knees. Clin Orthop 109:178–183

    Article  Google Scholar 

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Russo, A., Capasso, R., Varelli, C. et al. MR imaging evaluation of the postoperative meniscus. Musculoskelet Surg 101 (Suppl 1), 37–42 (2017). https://doi.org/10.1007/s12306-017-0454-3

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