Each type of tear can be clearly visible through the use of an MRI scan.
An MRI is short for magnetic resonance imaging and it uses a magnetic field and radio waves to create very detailed images of the tissues within the body. “Conventional MRI has demonstrated inconsistent diagnostic performance in detecting SLL, LTL, and TFCC tears. The low sensitivity for SLL (40–75 %) and LTL (50–75 %) tears is largely due to their small structure. The accuracy of MR imaging for TFCC tears is higher, at about 71–100 %.” (10) Although they would like to have less invasive techniques like the MRI, they need to get more accurate results like they do from the arthroscopy, before they rely on the MRI only. With such a small area that they want an image of for the TFCC injury, they must really refine the sections of images that they make so they can get a clearer picture. As for using a radiograph as another form of diagnosis, they are not useful in a TFCC injury and they will only help determine if there is osteoarthritis. This is usually a go to for any other injury to see if any big damage has happened, however, it will not be helpful in this
The purpose of this study was to demonstrate the diagnostic value of MRI in diagnosing the presence or absence of the most common injuries of the knee; the meniscus tears, the cruciate ligament
examined the notch area and probed the anterior cruciate ligament. It was intact. We then examined the lateral compartment and probed the lateral meniscus. It was intact. We examined the medial compartment once again finally, looking for any remaining loose fragments. We then drained the knee and removed the hardware. The skin incisions were left open, and sterile dressings were applied under a
This study was a randomized control trial in patients of 18 to 35 years of age, who presented to an emergency department with recent rational knee trauma to a previously uninjured knee within the last four weeks. Anterior cruciate ligament insufficiency was determined by clinical exam, and a score of five to nine on a tenner activity scale before the injury. 5 indicating participation in recreational sports and nine representing competitive sports. Possible participants were excluded if they had a full thickness rupture seen on magnetic resonance imaging, or if they have had a previous knee injury. (Frobell, Roos, Roos, Ranstan, & Lohmander, 2010)
This study was a randomized control trial in patients of 18 to 35 years of age, who presented to an emergency department with recent rational knee trauma to a previously uninjured knee within the last four weeks. Anterior cruciate ligament insufficiency was determined by clinical exam, and a score of five to nine on a tenner activity scale before the injury. 5 indicating participation in recreational sports and nine representing competitive sports. Possible participants were excluded if they had a full thickness rupture seen on magnetic resonance imaging, or if they have had a previous knee injury. (Frobell, Roos, Roos, Ranstan, & Lohmander, 2010)
The knee joint is one of the most commonly injured joint in day to day life and in many popular sports. A comprehensive modality is needed to diagnose all the pathologic conditions of the injured knee including that of the ligaments, fibrocartilages & articular cartilages. The information obtained from conventional skiagrams, ultrasound or computed tomography of the knee is limited. Since its introduction to musculoskeletal imaging in the early 1980s, MRI has revolutionized diagnostic imaging of the knee[1,2].
As a common procedure, arthroscopic meniscectomy is used to treat patients who have suffered from a meniscal tear. By doing so, the removal of torn meniscal fragments and trimming the meniscus back to a stable rim is completed in attempt to relieve pain and further knee complications (Sihvonen et al., 2013). In this case, it was tested if this procedure is in fact effective and beneficial in treating this specific injury.
MRI of the right knee dated 05/17/16 revealed that there is a truncated appearance of the lateral meniscus compatible with prior partial meniscectomy. There is no evidence of imbibition of intra-articular contrast into a re-tear. Advanced lateral compartment arthropathy is seen. There is a moderate medial compartment arthropathy. Minimal periligamentous edema is seen along the medial collateral ligament possibly a very low-grade 1 sprain. There is a 5 mm chondral defect at the median ridge of the patella, possibly an old chondral fracture. There is no bone marrow
The articular cartilage can be damaged by both traumatic and degenerative mechanisms. The most prevalent mechanism of traumatic meniscal tear occurs predominantly in athletes when a convoluting moment applies to the weight bearing knee in a semi-flexed position. This form of meniscal tear is commonly concurrent with an ACL injury. Meniscus tears without ACL injury are commonly the result of degeneration of the meniscus.
When the ACL tears, it cannot heal on its own and surgery is necessary for the knee to return to its normal function. It is common that other structures in the knee will be affected alongside an ACL injury such as the meniscus, other ligaments in the knee or the articular cartilage which would also need addressing during the surgical procedure (Parker, 2014).
Most ligament injuries can be diagnosed clinically by physical examination, and by comparing the structures of the injured and non-injured knee. This includes examination of swelling, bruising, areas of tenderness, deformity and effusion (knee joint fluid). The strength and stability of the ACL can be tested by the Lachman test, anterior drawer test and pivot-shift test. However, this can be very difficult in acute situations where there is lots of pain,
situated beside the tibia (fibula) and the kneecap (patella). The knee bones is connected to the leg
DOI: 2/10/2011. Patient is a 56-year-old male controller who sustained a knee injury when he hit his knee when he turned while sitting on a chair. Per operative reports, the patient is status post right knee diagnostic arthroscopy with chondroplasty and removal of scar tissue on 12/14/2012, right knee arthroscopy and trochlear microfracture, partial medial meniscectomy and plica excision on 02/28/2012, and right total knee arthroplasty on 11/30/15.
The request for the examination was from a GP, who was querying if their patient had any degenerative changes to the medial compartment of their right knee, as the patient was 38 years old; this was relatively young to be investigating degenerative disease. The patient had been suffering from chronic pain in their right knee when exercising, i.e. playing football and walking up stairs, and they had an anterior cruciate ligament (ACL) repair and meniscal surgery, on the same knee, 18 years prior. The mechanism of injury could have caused intra-articular pathogenic processes at the time it occurred, and combined with long-term changes could develop into osteoarthritis (OA) (Lohmander et al. (2007) p. 3). Lohmander et al. (2007 p.3) also says “Injuries to the ACL and menisci frequently occur… There is ample evidence that on long-term follow-up