Magnetic resonance imaging as a tool for evaluation of traumatic knee injuries

Mandelbaum, Bert R.; Finerman, Gerald A. M.; Reicher, Murray A.; Hartzman, S; Bassett, L W; Gold, Richard H.; Rauschning, Wolfgang; Dorey, Fred

doi:10.1177/036354658601400503

Cited by 115 publications

(54 citation statements)

References 15 publications

(3 reference statements)

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“…The presence of double PCL sign, double anterior horn sign, flipped meniscus sign, disproportional posterior horn sign were less common (41.66, 33, 25, and 27.7%, respectively) (Figs. 4,5,6,7,8). As it appears in Table 2, a few combinations of the above signs have been found in significant frequency.…”

Section: Resultsmentioning

confidence: 63%

Meniscal bucket handle tears: a retrospective study of arthroscopy and the relation to MRI

Ververidis

Verettas

Kazakos

et al. 2005

Knee Surg Sports Traumatol Arthrosc

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In this study, we aim to evaluate the arthroscopic findings of meniscal bucket handle tears and to correlate them with the proposed MR imaging signs of meniscal bucket handle tears suggested in the literature. Thirty-six patients who had a diagnosis of bucket handle tear in arthroscopy, in either medial or lateral meniscus, were included in our study (32 males and 4 females). Meniscal tears were evaluated in arthroscopy according to Dandy's classification. The MRIs were retrospectively analyzed regarding the following findings: absence of bow tie sign, presence of double posterior cruciate ligament (PCL) sign, double anterior horn sign, flipped meniscus sign, disproportional posterior horn sign, and fragment within the intercondylar region. Locked types I and II fragment of medial meniscus and half-length, whole-width and whole length-half-width fragment of lateral meniscus in arthroscopy were basically correlated with fragment within the intercondylar notch and absent bow tie signs in MRI. We did not find the double PCL sign in any of the patients with a lateral meniscal bucket handle tear. The most common signs in MR images of meniscal bucket handle tears were the fragment in the notch sign and the absent bow tie sign. They were observed with equal frequency of 88.8%. The presence of double PCL sign, double anterior horn sign, flipped meniscus sign, disproportional posterior horn sign were less common (41.66, 33, 25, and 27.7%, respectively). We conclude that the presence of at least two of the six MRI signs should be regarded as highly suggestive for bucket handle tears of menisci.

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Section: Resultsmentioning

confidence: 63%

Meniscal bucket handle tears: a retrospective study of arthroscopy and the relation to MRI

Ververidis

Verettas

Kazakos

et al. 2005

Knee Surg Sports Traumatol Arthrosc

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“…It can also be used to help on the diagnostic of patellar ligament ruptures and fractures in avulsion (12)(13)(14)(15)(16) . Particularly in this case, magnetic resonance was important for the diagnosis of joint cartilage injury.…”

Section: Discussionmentioning

confidence: 99%

Fratura na patela em crianças (fraturas do tipo "sleeve")

Labronici¹,

Fernandes

Góes

et al. 2005

Acta ortop. bras.

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SUMMARYThe authors describe a rare case of patellar fracture in an 11 year-old patient in whom an early diagnosis was not provided. The sleeve fracture -or ungloving fracture -diagnosis was reviewed for various aspects such as clinical diagnosis, imaging tests aid and most suitable treatment. They concluded that, although rare, this kind of fracture should always be remembered, and that the most suitable treatment is surgery.

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“…Magnetic resonance imaging was not available to us, which would have helped us [27] to assess the knees preoperatively with regard to the grade and severity of the injury also associated with meniscus damage.…”

Section: Discussionmentioning

confidence: 99%

Anterior Cruciate Ligament Reconstruction by Combined Intra-Articular (K. Lambert) and Extra-Articular Iliotibial Band Tenodesis (MacIntosh; Autologous Grafts)

Ibrahim¹

1999

Med Princ Pract

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Objective: To assess the results of anterior cruciate ligament reconstruction in a group of sports players. Methods: A total of 153 sports players were reviewed 70 months (range 39–84 months) after they had anterior cruciate ligaments reconstruction by autologous patellar tendon graft (K. Lambert intra-articular reconstruction) combined with extra-articular tenodesis using iliotibial band (MacIntosh tenodesis). Results: We found all the patients were able to return to their normal active life and 131 atheletes were able to return to full sports activities, while 21 patients were not able to go back to their sports or had to modify their sports activities. The knees were assessed using Lysholm knee score, Shino grading system and clinical examination for anterior drawer, Lachman and pivot shift signs. The mean Lysholm knee score was 94.9 (range 71–100) while Shino grading for 64 knees was very good, for 68 knees good, and 21 knees fair. None of the patients had poor results. Conclusions: Depending on the type and degree of functional instability, we recommend anterior cruciate ligament reconstruction by autologous tendon graft and in all cases, extra-articular procedures are required.

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Magnetic resonance imaging as a tool for evaluation of traumatic knee injuries

Cited by 115 publications

References 15 publications

Meniscal bucket handle tears: a retrospective study of arthroscopy and the relation to MRI

Meniscal bucket handle tears: a retrospective study of arthroscopy and the relation to MRI

Fratura na patela em crianças (fraturas do tipo "sleeve")

Anterior Cruciate Ligament Reconstruction by Combined Intra-Articular (K. Lambert) and Extra-Articular Iliotibial Band Tenodesis (MacIntosh; Autologous Grafts)

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