MRI Evaluation of Ligament Injuries of the Knee Joint

Jump To References Section

Authors

  • Sumit Baviskar
     Associate Professor, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India . ,IN
  • Nilesh Chaudhari
     Professor and Head, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India . ,IN
  • Ajit Patil
     Assistant Professor, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India . ,IN
  • Priti Komatwar
     Former PG Resident, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India . ,IN
  • Akshit Gangwal
     Former PG Resident, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India . ,IN
  • Ashu Dixit
     Former PG Resident, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India . ,IN
  • Sujay Saxena
     Former PG Resident, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India . ,IN

DOI:

https://doi.org/10.18311/mvpjms/2022/v9i1/297

Keywords:

ACL - Anterior Cruciate Ligament, LCL - Lateral Collateral Ligament, MCL- Medial Collateral Ligament, MRI - Magnetic Resonance Imaging, PCL- Posterior Cruciate Ligament, T – Tesla

Abstract

Background and Objective: Knee joint is the complex joint. It is much frequently injured joint due to trauma. The principle intra articular structures in the knee are the 2 cruciate ligaments, 2 menisci and the 2 collateral ligaments. The main objective is to study the MRI findings in ligament injuries of knee joint. Materials and Methods: MRI knee of 110 patients with suspected ligament injuries of knee joint was performed on 1.5-T MR system using flexible surface knee coil. Results: A total of 110 patients in a period of 2 years were collected and analysed comprising of either single ligament or combination of ligament tears. Anterior Cruciate Ligament (ACL) tear was most common and seen in 61 patients followed by Medial Collateral Ligament (MCL) in 31, Lateral Collateral Ligament (LCL) in 22 and Posterior Cruciate Ligament (PCL) in 16 patients. Majority of the patients belonged to age group 18-30 years with right knee involvement. Males dominated in this study constituting 63.64% of total population. Conclusion: MRI is non-invasive prime imaging modality with nonionizing radiation and multi planar capabilities. It accurately detects, localizes and characterizes various ligament injuries of the knee joint and help in arriving at accurate final diagnosis thereby guiding further management of the patient.

Downloads

Published

2022-07-01

Issue

Vol 9 , No .1 june 2022

Section

Original Research Article

 

References

Li DKB, Adams ME, McConkey JP. Magnetic Resonance Imaging of ligaments and menisci of the knee. Radiol Clin North Am. 1986; 24(2):209–27.

Dandy DJ. Arthroscopy and MRI for the knee. J Bone Joint Surg. 1997; 79:520. https://doi.org/10.1302/0301620X.79B4.0790520

Crues JV, Mink J, Levy TL, Lotysch M, Stoller DW. Meniscal tears of the knee: Accuracy of MR imaging. Radiology.1987Aug; 164(2):445–8. PMid: 3602385. https://doi.org/10.1148/radiology.164.2.3602385

Hong SH, Choi J-Y, Lee GK, Choi J-A, Chung HW, Kang HS. Grading of anterior cruciate ligament injury. Diagnostic efficacy of oblique coronal Magnetic Resonance Imaging of the knee. J Comput Assist Tomogr. 2003; 27(5):814–9. PMid: 14501376. https://doi.org/10.1097/00004728-20030900000022

Singh JP, Garg L, Shrimali R, Setia VG. MR Imaging of knee with arthroscopic correlation in twisting injuries. Indian Journal of Radiology and Imaging. Medknow Publications; 2004. p. 33.

Chaudhuri S, Joshi P, Goel M, No RH, Ramnagari A. Role of MRI in evaluation of traumatic knee injuries. Journal of Evolution of Medical and Dental Sciences. 2013 Feb 18; 2(7):765–72. https://doi.org/10.14260/jemds/336

Takahashi N, Niitsu M, Itai Y, Sato M, Kujiraoka Y, Ikeda K, Kanamori A. MR Imaging of posterior cruciate ligament injuries. Nihon Igaku Hoshasen Gakkai zasshi. Nippon actaradiologica. 2001 Jul; 61(8):421–6.

Sonin AH, Fitzgerald SW, Friedman H: MR Imaging of Posterior Cruciate Ligament; Normal, Abnormal and associated injury pattern. Radiographics. 1995; 15:551–61. PMid: 7624562. https://doi.org/10.1148/ radiographics.15.3.7624562

Grover JS, Bassett LW, Gross ML, Seeger LL, Finerman GA. Posterior Cruciate Ligament: MR Imaging. Radiology. 1990 Feb; 174(2):527–30. PMid: 2296661. https://doi.org/10.1148/radiology.174.2.2296661

Rasenberg EI, Lemmens JA, van Kampen A, Schoots F, Bloo HJ, Wagemakers HP, et al. Grading medial collateral ligament injury: Comparison of MR Imaging and instrumented valgus-varus laxity test-device. A prospective double-blind patient study. Eur J Radiol. 1995 Nov; 21(1):18–24. https://doi.org/10.1016/0720- 048X(95)00660-I

Schweitzer ME, Tran D, Deely DM, Hume EL. Medial Collateral Ligament injuries: Evaluation of multiple signs, prevalence and location of associated bone bruises and assessment with MR Imaging. Radiology. 1995 Mar 1; 194(3):825–9. PMid: 7862987. https://doi.org/10.1148/radiology.194.3.7862987.