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MRI LIGAMENT INJURY
DR ANIL B PATIL
LAKEVIEW HOSPITAL
BELGAUM
MRI KNEE
WHAT MIND DOESNT KNOW EYES
CANNOT SEE
NORMAL ANATOMY
EXPECTED PATHOLOGY
ANATOMY CORONAL SAGITAL AND
HORIZONTAL
T1 AND T2
• IS MRI REQUIRED
• WHAT ADDITIONAL INFORMATION CAN I
GET
• WILL IT GUIDE ME
• CAN IT MISLEAD ME
NORMAL X RAY
• X RAY KNEE
• FRACTURES
• AVULSIONS ACL PCL MCL LCL
• DEPRESSED FRACTURES
• SUBLUXATIONS
• SOFT TISSUE SWELLING
• JOINT SPACE AND BONE QUALITY
MRI ANATOMY
• NORMAL MRI
• BONES
• LIGAMENTS EXTRA, INTRA
• MENISCI
• MUSCLES
• NEUROVASCULAR STRUCTURES
• ARTICULAR CARTILAGE
• BURSA ETC
• ACL
• ACL
• Primary signs of anterior cruciate ligament tear. Sagittal
intermediate-weighted images
• A: Typical appearance of ACL tear at the mid-substance
with fibres discontinuity of ACL . Residual stumps on femoral
and tibial sides are lax, thickened and increased in signal
intensity;
• B: Chronic ACL tear with absence of normal ACL fibres
compatible with complete resorption of fibres. PCL
• C: Acute high grade intrasubstance tear as characterized by
thickening and oedematous change of ACL fibres which
show increased signal intensity . The fibres are still in
continuity suggestive of partial ACL tear.
• PCL
• MEDIAL COLLATERAL LIGAMENT
MEDIAL
COLLATERAL
LIGAMENT
GRADE IV
POSTIROLATERAL CORNER
• LATERAL COLLATERAL LIGAMENT
FINAL QUICK
LOOK
KNOW THE ANATOMY WELL
ABNORMALITY SEEN SHOULD BE CO RELATED
CLINICALLY AND ALL VIEWS
APPLY FOR TREATMENT MODALITY
• THANK YOU

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Knee ligament injury mri scan

  • 1. MRI LIGAMENT INJURY DR ANIL B PATIL LAKEVIEW HOSPITAL BELGAUM
  • 2. MRI KNEE WHAT MIND DOESNT KNOW EYES CANNOT SEE NORMAL ANATOMY EXPECTED PATHOLOGY ANATOMY CORONAL SAGITAL AND HORIZONTAL T1 AND T2
  • 3. • IS MRI REQUIRED • WHAT ADDITIONAL INFORMATION CAN I GET • WILL IT GUIDE ME • CAN IT MISLEAD ME
  • 4. NORMAL X RAY • X RAY KNEE • FRACTURES • AVULSIONS ACL PCL MCL LCL • DEPRESSED FRACTURES • SUBLUXATIONS • SOFT TISSUE SWELLING • JOINT SPACE AND BONE QUALITY
  • 5.
  • 6. MRI ANATOMY • NORMAL MRI • BONES • LIGAMENTS EXTRA, INTRA • MENISCI • MUSCLES • NEUROVASCULAR STRUCTURES • ARTICULAR CARTILAGE • BURSA ETC
  • 8. • ACL • Primary signs of anterior cruciate ligament tear. Sagittal intermediate-weighted images • A: Typical appearance of ACL tear at the mid-substance with fibres discontinuity of ACL . Residual stumps on femoral and tibial sides are lax, thickened and increased in signal intensity; • B: Chronic ACL tear with absence of normal ACL fibres compatible with complete resorption of fibres. PCL • C: Acute high grade intrasubstance tear as characterized by thickening and oedematous change of ACL fibres which show increased signal intensity . The fibres are still in continuity suggestive of partial ACL tear.
  • 9.
  • 10.
  • 12.
  • 14.
  • 16. POSTIROLATERAL CORNER • LATERAL COLLATERAL LIGAMENT
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22. FINAL QUICK LOOK KNOW THE ANATOMY WELL ABNORMALITY SEEN SHOULD BE CO RELATED CLINICALLY AND ALL VIEWS APPLY FOR TREATMENT MODALITY