■ Describe physiopathologic features and clinical manifestations of MM and associated relevant treatment considerations.■ Discuss updated diagnostic criteria and indications for MM, as well as advantages and limitations of different WB imaging modalities.■ Identify and interpret imaging findings of MM for diagnosis, follow-up, complications assessment, and treatment response evaluation.
The prepatellar quadriceps continuation is formed by fibers of the rectus femoris tendon and connects the quadriceps and patellar tendons. All tendons are attached through formation of a chondroapophyseal zone and are therefore transformed into a seam of fibrocartilage. Based on these anatomic features, separation of the prepatellar quadriceps continuation from the patella in the absence of more extensive abnormalities of the quadriceps mechanism is plausible.
Combined ankle and posterior subtalar MR arthrography enhances visualization of the ligaments attaching to the posterior and lateral talar processes, including the posterior, lateral, and medial talocalcaneal and fibulotalocalcaneal ligaments.
MR imaging enabled detailed analysis of the complex distal insertions of the TPT as well as a better understanding of those features of its insertion that can simulate a lesion.
The frequency of the communication between the proximal TFJ and knee via the subpopliteal recess related to a defect in the posterior ligament of the fibular head was found to be 27.5%. Evidence of an injury was present in 9% of anatomic specimens that had such communication. Injury to the posterior ligament of the fibular head and instability of the proximal TFJ may accompany a variety of knee injuries. Knowledge of the detailed anatomic appearance and MRI characteristics of the structures related to the proximal TFJ is key to identifying injuries to these structures.
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