Role of MRI in delineation of internal derangement of knee in trauma patients

  • Dr Gupta R Associate Professor, department of Radiodiagnosis, People’s College of Medical Science & Research Center, Bhanpur, Bhopal, MP, India
  • Dr Chandel NS Assistant Professor, department of Radiodiagnosis, People’s College of Medical Science & Research Center, Bhanpur, Bhopal, MP, India
  • Dr Vyas MM Assistant Professor, department of Radiodiagnosis, People’s College of Medical Science & Research Center, Bhanpur, Bhopal, MP, India
Keywords: Knee Traum, Internal Derangement of Knee

Abstract

Introduction: Knee joint is one of the most commonly injured joints, as an isolated injury or a frequent component in a multiple trauma patient. Knee joint injury is a significant cause of morbidity in young and active individuals especially amongst sports person, laborers, soldiers and military recruits. Multiple imaging modalities are currently being used to evaluate various pathological conditions of the knee including conventional radiography, CT scan, sonography , nuclear medicine and MR Imaging. Multi planar imaging and excellent soft tissue contrast has made the MRI an ideal modality for imaging of complex anatomy of knee joint in trauma patient.

Objective: To study the diagnostic accuracy & efficacy of MRI in evaluation of internal derangement of knee joint in trauma patient.

Material & Method: 44 cases with history of trauma were evaluated by Siemens magnetom vision plus 1.5 tesla MRI machine.

Results: Mean age of patient - 32.2 years. Count of male patients exceeded the count of female patients. ACL injury was observed in 81.8%, PCL injury in 6.8%, MCl in 11.3%, LCL in 2.3%, medial meniscal tear in 45.5%, joint effusion in 95%.

Conclusion: MRI emerged as a front line investigation for the assessment of internal derangement of knee joint in trauma patient.

Downloads

Download data is not yet available.

References

1. Peter L Williams, Roger Warwick : Arthrology; Gray’s anatomy 36th ed. 482.

2. Winters K, Tregonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. N Z Med J. 2005 Feb 11;118(1209):U1301.

3. Oei EH, Nikken JJ, Verstijnen AC, Ginai AZ, Myriam Hunink MG. MR imaging of the menisci and cruciate ligaments: a systematic review. Radiology. 2003 Mar;226(3):837-48. Epub 2003 Jan 15.

4. Singh JP, Garg L, Shrimali R, Setia V, Gupta V. MR Imaging of knee with arthroscopic correlation in twisting injuries. Indian J Radiol Imaging 2004;14: 33-40.

5. Majewski M, Susanne H, Klaus S. Epidemiology of athletic knee injuries: A 10-year study. Knee. 2006 Jun;13(3):184-8. Epub 2006 Apr 17.

6. Bispo, Rosalvo Zosimo, Cezar Teruyuki Kawano, and Alexandre Vieira Guedes. “Chronic Multiple Knee Ligament Injuries: Epidemiological Analysis of More Than One Hundred Cases.” Clinics (Sao Paulo, Brazil) 2008;63(1): 3–8.

7. Mink JH: The cruciate and collateral ligaments, in Mink JH, Reicher MA, Crues JV III, (eds): MRI of the Knee (ed 2). New York, NY, Raven, 1993, pp 141-188.

8. Singla.Saurav , and Nitin kansal. Sensitivity and Specificity Of MRI versus Arthroscopy in Internal Derangement of Knee. International journal of Scientific and Research Publications. 2013;3(4):1-4

9. Rodriguez W Jr, Vinson EN, Helms CA, Toth AP. MRI appearance of posterior cruciate ligament tears. AJR Am J Roentgenol. 2008 Oct;191(4):1031. doi: 10.2214/AJR.07.2921.

10. Mair SD, Schlegel TF, Gill TJ, Hawkins RJ, Steadman JR. Incidence and location of bone bruises after acute posterior cruciate ligament injury. Am J Sports Med. 2004 Oct-Nov;32(7):1681-7.

11. Sonin AH, Fitzgerald SW, Bresler ME, Kirsch MD, Hoff FL, Friedman H. MR imaging appearance of the extensor mechanism of the knee: functional anatomy and injury patterns. Radiographics. 1995 Mar;15(2):367-82.

12. Wright DH, De Smet AA, Norris M. Bucket-handle tears of the medial and lateral menisci of the knee: value of MR imaging in detecting displaced fragments. AJR Am J Roentgenol. 1995 Sep;165(3):621-5.

13. Berquist TH. Osseous and myotendinous injuries about the knee. Radiol Clin North Am. 2007 Nov;45(6):955-68.
CITATION
DOI: 10.17511/ijmrr.2015.i9.185
Published: 2015-10-31
How to Cite
1.
Gupta R, Chandel N, Vyas M. Role of MRI in delineation of internal derangement of knee in trauma patients. Int J Med Res Rev [Internet]. 2015Oct.31 [cited 2024May8];3(9):1002-7. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/358
Section
Original Article