The Assessment of the Role of Magnetic Resonance Imaging (MRI) in Knee Joint Injuries in Correlation with Arthroscopy
Authors/Creators
- 1. Senior Resident, Department of Orthopaedics, PGIMER, Bhubaneswar, Odisha, India
- 2. Senior Resident, Department of Orthopaedics, SCB Medical College and Hospital, Cuttack, Odisha, India
Description
Knee joint trauma is a significant cause of morbidity among individuals who are physically active and in their younger years. The attainment of a precise diagnosis pertaining to the injury holds paramount significance in facilitating prompt and conservative therapeutic interventions. Arthroscopy and magnetic resonance imaging (MRI) are the two predominant diagnostic modalities employed for the evaluation of knee joint pathology. Objective: The aim of this study is to evaluate the role of MRI in knee joint injuries in correlation with arthroscopy. Methods: A prospective study was conducted at the Department of Orthopaedics. A cohort of 100 patients (100 knees) was subjected to examination, comprising 84 males and 22 females, spanning an age range of 16 to 61 years. These individuals presented with diverse knee joint injuries. Results: The present study conducted a comparative analysis of two distinct methodologies for the treatment of knee injuries. The findings obtained from this investigation align with previous research, thereby reinforcing the validity and reliability of the conclusions drawn. The prevalence of anterior and medial meniscal injuries surpasses that of posterior and lateral counterparts. The utilization of magnetic resonance imaging (MRI) in elucidating the characteristics of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) injuries plays a pivotal role in aiding the orthopedic surgeon in determining the appropriate course of action, be it conservative management or definitive reconstruction through arthroscopy.
In conclusion, it is evident that individuals who have experienced knee trauma frequently present with meniscal and ligamentous injuries.In comparison to the posterior cruciate ligament (PCL) and lateral meniscus (LM), it is more commonly observed that the anterior cruciate ligament (ACL) and medial meniscus (MM) sustain tearing. ACL and medial collateral ligament (MCL) tears have been observed to be commonly associated with meniscus medial (MM) tears. Conversely, injuries to the lateral collateral ligament (LCL) have shown a strong correlation with meniscus lateral (LM) tears.
Abstract (English)
Knee joint trauma is a significant cause of morbidity among individuals who are physically active and in their younger years. The attainment of a precise diagnosis pertaining to the injury holds paramount significance in facilitating prompt and conservative therapeutic interventions. Arthroscopy and magnetic resonance imaging (MRI) are the two predominant diagnostic modalities employed for the evaluation of knee joint pathology. Objective: The aim of this study is to evaluate the role of MRI in knee joint injuries in correlation with arthroscopy. Methods: A prospective study was conducted at the Department of Orthopaedics. A cohort of 100 patients (100 knees) was subjected to examination, comprising 84 males and 22 females, spanning an age range of 16 to 61 years. These individuals presented with diverse knee joint injuries. Results: The present study conducted a comparative analysis of two distinct methodologies for the treatment of knee injuries. The findings obtained from this investigation align with previous research, thereby reinforcing the validity and reliability of the conclusions drawn. The prevalence of anterior and medial meniscal injuries surpasses that of posterior and lateral counterparts. The utilization of magnetic resonance imaging (MRI) in elucidating the characteristics of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) injuries plays a pivotal role in aiding the orthopedic surgeon in determining the appropriate course of action, be it conservative management or definitive reconstruction through arthroscopy.
In conclusion, it is evident that individuals who have experienced knee trauma frequently present with meniscal and ligamentous injuries.In comparison to the posterior cruciate ligament (PCL) and lateral meniscus (LM), it is more commonly observed that the anterior cruciate ligament (ACL) and medial meniscus (MM) sustain tearing. ACL and medial collateral ligament (MCL) tears have been observed to be commonly associated with meniscus medial (MM) tears. Conversely, injuries to the lateral collateral ligament (LCL) have shown a strong correlation with meniscus lateral (LM) tears.
Files
IJPCR,Vol15,Issue7,Article277.pdf
Files
(319.9 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:dcfa5ab0099a36614a7239a2b3eec648
|
319.9 kB | Preview Download |
Additional details
Dates
- Accepted
-
2023-07-28
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue7,Article277.pdf
- Development Status
- Active
References
- 1. Crues JV, Ryu R. MRI of the knee: part I. ApplRadiol 1989;18:18-23. 2. Berquist TH. MRI of the musculoskeletal system. 5th edn. Philadelphia: Lippincott Williams and Wilkins 2006:303-423. 3. Stoller DW, Li AE, Anderson LJ, et al. The knee. In: Stoller DW. Magnetic resonance imaging in orthopaedics and sports medicine. Vol. 1. 3rd edn. Philadelphia: Lippincott Williams and Wilkins 2007:305-731. 4. Barber-Westin SD, Noyes FR. Objective criteria for return to athletics after anterior cruciate ligament reconstruction and subsequent reinjury rates: a systematic review. Phys Sports Med. 2011;39(3):100–10. 5. Claus Muhle, Joong Mo Ahn, ConstanzeDieke. Diagnosis of ACL and meniscal injuries: MR imaging of knee flexion versus extension compared to arthroscopy. Springer Plus.2013;2:213. 6. Mandelbaum BR, Finerman GAM, Reicher MA. Magnetic resonance imaging as a tool for evaluation of traumatic knee injuries. Am J Sports Med. 1986; 14:361. 7. DeSmet AA, Tuite MJ, Norris MA. MR diagnosis of meniscal tears: analysis of causes of errors. AJR. 1994;163:1419–23. 8. El-Khoury GY, Kathol MH, Manning TA, Tomoda K, Mitomo M, Yamamoto T, et al. Magnetic resonance imaging in the diagnosis of knee injuries. EmergRadiol 1994; 1:150. 9. Harms SE, Flamig DP, Fisher CF, Fulmer JM. New method for fast MR imaging of the knee. Radiology 1989; 173:743-50. 10. Singh JP, Garg L, Shrimali R, Setia V, Gupta V. MR Imaging of knee with arthroscopic correlation in twisting injuries.Indian J Radiol Imaging 2004; 14:33-40. 11. Majewski M, Susanne H, Klaus S. Epidemiology of athletic knee injuries: a 10- year study. Knee 2006;13(3):184-188. 12. Berquist TH. Osseous and myotendinous injuries about the knee. Radiol Clin North Am 2007;45(6):955-968. 13. O'Donoghue DH. The unhappy triad: etiology, diagnosis and treatment. Am J Orthop1964;6:242– 247. 14. Gentili A, Seeger LL, Yao L, et al. Anterior cruciate ligament tear: indirect signs at MR imaging. Radiology 1994;193(3):835-840. 15. Rubin DA, Kettering JM, Towers JD, et al. MR imaging of knees having isolated and combined ligament injuries. American Journal of Roentgenology 1998;170(5):1207-1213. 16. Remer EM, Fitzgerald SW, Freidman H, et al. Anterior cruciate ligament injury: MR diagnosis and patterns of injury. Radio Graphics 1992;12(5):901-915. 17. Lee J, Papakonstantinov O, Brookenthal KR, et al.Arcuate sign of posterolateral knee injuries: anatomic radiographic, and MR imaging data related to patterns of injury. Skeletal Radiol 2003;32(11):619-627. 18. Ha, King C.P. Taryn P, Li, Christopher F. Beaulieu, Gabrielle Bergman, Ian Y. Ch'en, David J. Eller, Luke P. Cheung Robert J. Herfkens, Anterior Cruciate Ligament Injury: Fast Spin Echo MR Imaging with Arthroscopic Correlation in 217 Examinations AJR 1998:170:1215-1219 19. Yaqoob J, Alam MS, Khalid N. Diagnostic accuracy of Magnetic Resonance Imaging in assessment of Meniscal and ACL tear: Correlation with arthroscopy. Pak J Med Sci 2015;31(2):263-268. 20. Saurav Singla, Nitin Kansal. Sensitivity and specificity of MRI versus arthroscopy in internal derangement ofknee. International Journal of Scientific and Research Publications, Volume 3, Issue 4, April 2013. 21. Pasupuleti B, Kosti SK, Narra R, Jukuri N. MRI evaluation of painful knee. J of Evidence Based Med and Health Care 2015;2(7):888-97.22. Kelly EA. Berquist MRI of the musculoskeletal system : Knee (5th edn.) Lippincott, Williams and Wilkins: 2006;307- 21. 23. Gimhavanekar S, Suryavanshi K, Kaginalkar J, RoteKaginalkar V. Magnetic Resonance Imaging of Knee Joint: Diagnosis and Pitfalls Using Arthroscopy as Gold Standard. Int J Sci Stud. 2016;4(1):110-16. 24. Wright DH, De Smet AA, Norris M. Buckethandle tears of the medial and lateral menisci of the knee: value of MR imaging in detecting displaced fragments. AJR American Journal of Roentgenology. 1995;165 (3):621-25. 25. Sohail K, Ayesha H, Shireen K, Zahir S, Ambreen S, Rehana B. Role of MRI in painful knee. Ann Pak Inst Med Sci. 2015;11 (3):137- 41. 26. Mathis CE, Noonan K, Kayes K. "Bone bruises" of the knee: a review. The Iowa Orthopaedic Journal. 1998;18:112-17. 27. Arumugam V, Ganesan GR, Natarajan P. MRI Evaluation of Acute Internal Derangement of Knee. Open Journal of Radiology. 2015;5: 66- 71. 28. McCauley TR, Moses M, Kier R, Lynch JK, Barton JW, Jokl P. MR diagnosis of tears of anterior cruciate ligament of the knee: importance of ancillary findings. AJR. American Journal of roentgenology. 1994; 162(1):115-17. 29. Spindler KP, Schils JP, Bergfeld JA, Andrish JT, Weiker GG, Anderson TE, et al. prospective study of osseous, articular, and meniscal lesions in recent anterior cruciate ligament tears by magnetic resonance imaging and arthroscopy. The American Journal of Sports Medicine. 1993;21(4):551-57. 30. Taryn PT, Beaulieu CF, Bergman G, Ch'en IY, Eller DJ, Cheung LP, et al. Anterior cruciate ligament injury: Fast spinecho MR imaging with arthroscopic correlation in 217 examinations. Am J Roentgenol. 1998; 170: 1215-9.