The efficacy of magnetic resonance imaging in acute multi-ligament injuries

Halinen, Jyrki; Koivikko, Mika P.; Lindahl, Jan; Hirvensalo, Eero

doi:10.1007/s00264-008-0689-6

Cited by 51 publications

(51 citation statements)

References 18 publications

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“…[20] Table 2 summarizes the bone bruise prevalence and location in all but three studies that reported bone bruise prevalence in specifically the lateral and/or medial compartments of the tibia and femur. [21–23] The three studies were not included in Table 2 because they only reported bone bruise prevalence within the anterior, posterior, and/or middle aspects of the lateral and medial compartments of the tibia and femur. The studies were included in Table 3 and their bone bruise data was compared to other studies that also analyzed bone bruise prevalence within the specific anterior, middle, and/or posterior aspects of the lateral and medial compartments.…”

Section: Resultsmentioning

confidence: 99%

Prevalence and Location of Bone Bruises Associated with Anterior Cruciate Ligament Injury and Implications for Mechanism of Injury: A Systematic Review

et al. 2013

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Background Bone bruising is commonly observed on magnetic resonance imaging (MRI) after non-contact anterior cruciate ligament (ACL) injury. Objectives The primary objective of this study was to determine if the location and prevalence of tibial and femoral bone bruises after ACL injury can be explained by specific injury mechanism(s). The secondary objective was to determine whether the bone bruise literature supports sex-specific injury mechanism(s). We hypothesized that most studies would report bone bruising in the lateral femoral condyle (LFC) and on the posterior lateral tibial plateau (LTP). Methods MEDLINE, PubMed, and SCOPUS were searched for studies that reported bone bruise prevalence and location in ACL-injured subjects. Sex differences in bone bruise patterns were assessed. Time from injury to imaging was assessed to account for confounding effects on bone bruise size and location. Results Thirty-eight studies met the inclusion/exclusion criteria. Anterior-posterior location of bone bruises within the tibiofemoral compartment was assessed in eleven studies. Only five of these studies reported bone bruise locations on both the tibia and the femur. The most common bone bruise combination in all five studies was on the LFC and the posterior LTP. Sex differences were only assessed in three studies, and only one reported significantly greater prevalence of LTP bruising in females. Conclusion Bone bruise patterns in the current literature support a valgus-driven ACL injury mechanism. However, more studies should report the specific locations of tibial and femoral bone bruises. There is insufficient evidence in the literature to determine whether there are sex-specific bone bruise patterns in ACL-injured subjects.

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Section: Resultsmentioning

confidence: 99%

Prevalence and Location of Bone Bruises Associated with Anterior Cruciate Ligament Injury and Implications for Mechanism of Injury: A Systematic Review

et al. 2013

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“…[67] In a study which performed in our country, the authors found highest sensitivity, specificity, and accuracy in MRI for LM injuries. [2] In another study performed by Halinen et al ., they showed that the sensitivity was higher in MM injuries and specificity was higher in LM injuries.…”

Section: Discussionmentioning

confidence: 99%

“…[2] In another study performed by Halinen et al ., they showed that the sensitivity was higher in MM injuries and specificity was higher in LM injuries. [7]…”

Section: Discussionmentioning

confidence: 99%

Where does magnetic resonance imaging stand in the diagnosis of knee injuries?

et al. 2016

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Background:The aim of this study was to determine the diagnostic value of magnetic resonance imaging (MRI) in the diagnosis of knee injuries.Materials and Methods:Ninety-eight consecutive patients were enrolled in the study. In all patients, MRI and arthroscopy were performed and the results were compared.Results:MRI was most sensitive in the detection of medial meniscus injuries, and the highest specificity and negative predictive value (NPV) were found in the detection of posterior cruciate ligament injuries.Conclusion:MRI is a valuable tool, and according to its high NPV, normal MRI can prevent unnecessary arthroscopic interventions.

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“…On the other hand, Halinen et al, 2008 (19) referred to the Causes of false MRI interpretations as many, including technical and anatomy-related causes. Some errors in the MRI interpretation may be related to problems in the use of arthroscopic findings as the standard of reference, including lack of imaging of some tears under the surface of the posterior horn, reliance on probing or compression to diagnose tears, and differences in descriptive terminology for disease of or damage to the meniscus .…”

Section: Discussionmentioning

confidence: 99%

The Role of Magnetic Resonance Musculoskeletal Imaging in Evaluation of Sports Injuries of the Knee Joint

Khalil

Resnick

Zeid

et al. 2017

Zagazig University Medical Journal

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Aim: to evaluate the role of magnetic resonance imaging in the assessment of sport injuries of the knee joint as an integral part of the musculoskeletal system. Methods: This study was done as a combined study between the Radiology Department of Zagazig University and the Radiology Department of University of California San Diego. It was conducted on 50 patients who were referred to the Radiology Department of the University of California San Diego. The patients were examined after sustaining different sports injuries of the knee joint. All the 50 patients were subjected to full history taking and Magnetic Resonance Imaging on the knee joint. The Magnetic Resonance Imaging results of 33 of these patients were compared with the results of knee arthroscopy. Results: The study included 50 patients complaining of sports related knee pain. The age of the patients ranged from 15 to 55 years with a mean age of 29.68 years. Most of the patients were males (38 patients), while 12 patients were females. The leading sports for knee injuries in this study were soccer, American football and running. The most common knee lesions were anterior cruciate ligament lesions (19 patients) and meniscal lesions (18 patients). In comparison with knee arthroscopy, magnetic resonance imaging revealed an overall 93.9 % sensitivity and 66.6 % specificity. Conclusion: Although arthroscopy has been considered the gold standard in knee sports injuries evaluation, MRI remains a reliable non-invasive modality that can reduce the use of diagnostic arthroscopy for evaluation of ligamentous, meniscal, bony and cartilaginous lesions.

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The efficacy of magnetic resonance imaging in acute multi-ligament injuries

Cited by 51 publications

References 18 publications

Prevalence and Location of Bone Bruises Associated with Anterior Cruciate Ligament Injury and Implications for Mechanism of Injury: A Systematic Review

Prevalence and Location of Bone Bruises Associated with Anterior Cruciate Ligament Injury and Implications for Mechanism of Injury: A Systematic Review

Where does magnetic resonance imaging stand in the diagnosis of knee injuries?

The Role of Magnetic Resonance Musculoskeletal Imaging in Evaluation of Sports Injuries of the Knee Joint

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