MRI of the Knee: What Do We Miss?

Simpfendorfer, Claus; Polster, Joshua M.

doi:10.1007/s40134-014-0043-2

Cited by 8 publications

(7 citation statements)

References 93 publications

(83 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 32 And despite MRI having high sensitivity (88%) and specificity (94%) in diagnosing meniscal tears, there is room to misdiagnose. 33 Also, the relationship between meniscal injury and MBA is not clearly defined and was not evaluated in this study. Meniscal tears are heterogeneous, and it is likely that certain types of meniscal tears, such as meniscal root tears, may impact MBA, while others may not.…”

Section: Discussionmentioning

confidence: 96%

Meniscal Bone Angle Is a Strong Predictor of Anterior Cruciate Ligament Injury

Alves¹,

Alves²,

Barros³

et al. 2022

Arthroscopy, Sports Medicine, and Rehabilitation

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 96%

Meniscal Bone Angle Is a Strong Predictor of Anterior Cruciate Ligament Injury

Alves¹,

Alves²,

Barros³

et al. 2022

Arthroscopy, Sports Medicine, and Rehabilitation

View full text Add to dashboard Cite

“…Nowadays, identifying ACL partial tear is of utmost importance in the management of ACL tears as it improves the outcome of ACL reconstruction. However, the diagnosis of partial ACL tears is diagnostically challenging owing to the striated appearance of a normal ACL which is aggravated with the use of fluid-sensitive sequences mimicking the appearance of partial ACL [11,12].…”

Section: Discussionmentioning

confidence: 99%

Concurrent use of oblique sagittal and oblique coronal MRI: does it enhance the specificity and the accuracy of diagnosing complete and partial ACL tears?

Soliman

2020

Egypt J Radiol Nucl Med

View full text Add to dashboard Cite

Background: The aim of the study was to evaluate the diagnostic efficacy of utilization of oblique sagittal and oblique coronal MRI techniques separately and concurrently in improving the diagnosis of anterior cruciate ligament (ACL) complete and partial tears. Between December 2017 and November 2018, 71 patients, with suspected ACL injury, were examined by MRI using four diagnostic approaches: standard routine images only (approach A), standard and oblique coronal images (approach B), standard and oblique sagittal images (approach C), and standard images with both oblique coronal and sagittal images (approach D). Two experienced musculoskeletal radiologists evaluated the MRI images separately and in a random order using the four methods, and findings were compared with arthroscopy results as a gold standard. Results: The diagnostic accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for approach A in diagnosis of partial ACL tear was significantly lower than that for approaches B, C, and D (p value < 0.05). The PPV and NPV for approaches B (82% and 85%) and C (83% and 87%) in diagnosis of partial ACL tear which were significantly lower than that for approach D (94% and 95%). The four approaches revealed no significant difference in diagnosis of complete ACL tear (p value > 0.05). Approach D demonstrated highest interobserver agreement (94% in complete and 88% in partial ACL tears) in comparison to B (79% in complete and 66% in partial) and C (85% in complete and 71% in partial) when combining oblique sagittal and oblique coronal images in identifying both complete and partial ACL tears Conclusion: The addition of oblique sagittal and coronal images improved diagnostic accuracy of detection of complete and partial ACL tears. The concurrent use of sagittal and coronal oblique images enhanced the diagnostic efficacy of diagnosis of partial ACL tears only.

show abstract

“…However, certain injury findings in the knee can be potentially missed on MRI [ 4 ]. Also, low-grade injuries of MCL can be overestimated on MRI due to a similar presentation in other conditions, such as a medial meniscal tear, medial cellulitis, medial meniscal cyst, MCL bursitis, and medial osteoarthritis [ 1 , 4 - 5 ]. Similarly, low-grade injury to the deep band of MCL can sometimes be underreported [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Also, low-grade injuries of MCL can be overestimated on MRI due to a similar presentation in other conditions, such as a medial meniscal tear, medial cellulitis, medial meniscal cyst, MCL bursitis, and medial osteoarthritis [ 1 , 4 - 5 ]. Similarly, low-grade injury to the deep band of MCL can sometimes be underreported [ 4 ]. However, it is very rare for a tear of the superficial band of MCL to be missed on MRI.…”

Section: Discussionmentioning

confidence: 99%

Grade III Distal Medial Collateral Ligament Tear Missed by Magnetic Resonance Imaging: A Report of Two Cases

Tiwari

Marak²,

Muellner

et al. 2018

Cureus

View full text Add to dashboard Cite

Medial collateral ligament (MCL) injuries are the most common knee ligament injuries. Magnetic resonance imaging (MRI) is the investigation of choice for detecting such injuries. We report two cases of acute grade 3 MCL tears in young adults in which the injury was suspected clinically and was later confirmed by surgical exploration. However, the MRI failed to pick up the exact nature of injury. This report signifies the importance of an appropriate clinical examination for MCL injuries and stresses that decision-making for treatment should be based on the clinical examination rather than the MRI.

show abstract

MRI of the Knee: What Do We Miss?

Cited by 8 publications

References 93 publications

Meniscal Bone Angle Is a Strong Predictor of Anterior Cruciate Ligament Injury

Meniscal Bone Angle Is a Strong Predictor of Anterior Cruciate Ligament Injury

Concurrent use of oblique sagittal and oblique coronal MRI: does it enhance the specificity and the accuracy of diagnosing complete and partial ACL tears?

Grade III Distal Medial Collateral Ligament Tear Missed by Magnetic Resonance Imaging: A Report of Two Cases

Contact Info

Product

Resources

About