Discussion
Christopher et al , 2008 stated that the knee is the largest joint in the body and is a relatively unstable and intricate joint with numerous tendinous, ligamentous, and meniscal attachments, which makes it particularly vulnerable to complex injuries after trauma. ( 85 ) Until the last decade, diagnostic arthroscopy was the only possible way to clarify a doubtful diagnosis. Unfortunately, it is an invasive and expensive procedure, and its overuse has produced unnecessary comp-lications, such as infection, neurovascular lesions and damaged intra-articular materials. ( 86 ) It is preferably performed only for treatment purposes, provided that alternative non invasive diagnostic modalities such as MRI are available. ( 87 )
Clinical examination may be difficult in acute injury and is inconclusive in cases with injuries of multiple ligaments/menisci. ( 73 ) Injuries to the knee resulting from acute trauma can occasionally limit full extension of the knee, due to swelling, and muscle spasm. ( 87 )
Currently MRI is gaining popularity as a diagnostic tool in knee injuries due to increasing sports injuries and road traffic accidents. The single most common indication of performing a knee MRI is to diagnose internal derangements in an injured knee. ( 73 )
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
Knee injury is one of the most common injuries in sports activities or events. Failure to detect it would jeopardize the athletes’ future. Knee image processing is studied for the development of an aided system to identify knee injury. However, medical experts analyze the MRI images using their naked eyes. This increases the possibilities for false analysis. To overcome the problem, this study aims to develop an intelligent system, which involves image processing system to assist the medical experts in making decisions to decide on the types of ACL knee injury. The end results in the identification of ACL injury is in the form of a classification based on crucial tear (CT), partial tear (PT), and normal classes. The analysis of results based
Sport injuries have come to the forefront with the worldwide coverage of all sports. Of these injuries, the most common is knee injuries. A large portion of knee injuries are Medial Collateral Ligament (MCL) stains and tears.
Imaging tests will be done to check whether there is damage to blood vessels or nerves around your knee. This may include a test that involves injecting a special dye into your blood vessels and looking at the dye through a CT scan (angiogram). An MRI or Doppler ultrasound could also be done.
The foremost cruciate ligament (ACL) gives security and quality to the knee by averting front interpretation of the tibia under the femur and inordinate pivot through the knee it essentially keeps the knee from turning the distance around. The ACL is harmed amid running ball games, skiing, or bouncing game, so this is discovered more in more youthful grown-ups. It is frequently joined by damage to the average security ligament (MCL) and the average meniscus and that is known as a blown knee when you tear every one of the three. These mix wounds are connected with a higher commonness of radiographic osteoarthritis at 10-15 years, yet these patients demonstrate no distinctions in capacity contrasted with those with an detached ACL damage. The patient with an ACL break usually report a sudden sharp torment and precariousness amid rotating or a fast alter of course, or on effect, for example, a fall or handle. They additionally have heard or felt a thump as the joint separates or a snap of the muscle. On the off chance that there is intra articular muscle harm, the patient will report swelling (because of haemarthrosis). They might likewise give lost extent or development because of the torment and a sentiment unsteadiness on the weight bearing knee. The GP will watch, inspect the knee, screen and upgrade on swelling and emission. The foremost drawer tests the adaptability of the front ligament, Lachman test and the turn shift test are most normally used to test the strength of the knee joint. The level of crack or vicinity of different wounds can be affirmed by X-ray. Different ways while inspecting the patient in the event that they give atypically or abnormal amounts of torment are bone wound, microfractures, post-corner harm and tibial level breaks. All patients with suspected ACL wounds ought to see a physiotherapist inside of the initial two
Figure (14): Anteromedial view of the left knee, showing the injury grading scale established by the American Medical Association Standard Nomenclature of Athletic Injuries. Isolated grade-I injuries present with localized tenderness and no laxity. Isolated grade-II injuries present with a broader area of tenderness and partially torn medial collateral and posterior oblique fibers. Isolated grade-III injuries present with complete disruption, and there is laxity with an applied valgus stress. ( 70 )
Upon further evaluation, the athlete may state that they have sharp, stabbing pain that occurs with turning, twisting, and squatting. When one presents these symptoms to a physician, the physician will then perform the impingement test. If this test recreates their hip pain, it indicates that it is positive and the physician may require imaging tests to help determine if they have FAI. The most common imaging tests performed are x-rays, CT scans, and MRI scans. X-rays are primarily to see if any arthritis is present within the joint, whereas CT and MRI scans can see the shapes and structures within the
The knee is a complex joint. There are many different injuries that can occur during sports. The most predominant type of injuries to the knee is those done to the Meniscus and the ligaments. There are two areas of ligaments that are commonly affected; the cruciate ligaments and the Collateral ligaments. Within the Cruciate ligaments there are posterior and anterior injuries, and within the Collateral ligaments there are medial and lateral injuries. It is very important that these injuries be taken seriously in athletics due to the seriousness of their affects to the knee.
Anterior cruciate ligament (ACL) -injury is arguably the most common serious knee injury related to sports participation. Approximately 5000 individuals suffer an ACL injury in Sweden every year (Lohmander 2007). Individuals with a history of injury to their anterior cruciate ligament or menisci were shown to develop knee OA 10 to 20 years post injury (Lohmander, 2007).
If a knee is hit from the outside, especially while the foot is planted, it will be forced into genu valgus. This puts several structures at risk, namely the ACL, MCL and joint capsule. These structures specifically prevent valgus forces and are expected to be damaged when subjected to excessive genu valgus. The nature of the force can also damage the bones because valgus will cause the lateral condyles of the femur and tibia to be compressed while the medial condyles will be distracted. This can result in bruising of the bone or damage to articular cartilage of the compressed side. In addition, the menisci can be involved depending on the direction of the force, especially if rotation occurs. The lateral meniscus can be damaged without rotation if it is compressed between the condyles or with rotation by getting torqued between the condyles. The medial meniscus is at a lesser risk of being damaged due to compression because the medial condyles are being distracted from one another. However, because it has attachments to both the ACL and MCL, if one or both of those are damaged, the medial meniscus is at risk. Therefore, a 20 year-old male rugby player who was side tackled may very well present with a torn ACL, MCL, and medial
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
One of the most common injuries that can occur in a person’s life is an injury to the meniscus. The meniscus is a vital part of cartilage located between the bones of the knee. It helps with stability, mobility and also cushions the knee. There are several menisci within the knee and this along with the variety of motions and impacts that can occur to one’s knee are what cause the likelihood of injury to increase dramatically. The various types of tears require different kinds of rehabilitation. Some of these tears may require surgery. By understanding the injury and different types of treatment options, an injured person will have a better chance at a full recovery.
The knee is a hinge joint which gives the legs mobility. The muscles and ligaments of this joint allows flexion and extension of the leg. “Because the knee supports the majority of the body weight, it is at risk of overuse and traumatic injuries” (France). The knee is composed of 3 major bones; the femur, tibia, and the fibula. The femur is the biggest bone in the human body, the inferior end flares out into two rounded landmarks called femoral condyles. Their name comes from the side of the body they are on, which is where we get Lateral Femoral Condyle and Media Femoral Condyle. Superiorly to these condlyes are the medial and lateral femoral epicondyles. The bones inferior to the femur are the Tibia and Fibula. The superior end of the Tibia flares out into slightly concave structures called the Tibial Plateaus. A crescent wedge shape of cartilage sits in each plateau. These are the Medial Meniscus and the Lateral Meniscus. This cartilage acts as a shock absorber and distributes forces. “The menisci are bathed by the synovial fluid of the knee” (France). The meniscus is what separates the each side of the Tibia and Femur and the transverse ligament connects each menisci. There is a circular bone on the
Torn soft tissue- knee has numerous ligaments and special moon shaped cartilages called menisci. Injuries to these structures also leads to significant pain and many times wobbly knee and also locked knees.
Most people have had a minor knee problem at one time or another. Most of the time our body movements do not cause problems, but it's not surprising that symptoms develop from every day wear and tear, overuse, or injury. Knee problems and injuries most often occur during sports or recreational activities, work-related tasks, or home projects.
Thus conventional MR sequences are of paramount importance in detection and delineation of extent of intra-articular and soft tissue involvement.