scholarly journals Role of magnetic resonance in evaluation of anterior knee pain

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M Abdalraowf ◽  
E A Derwaish ◽  
A A Osman
Keyword(s):  
Knee Joint ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Trochlear Dysplasia ◽  
Complex Structure ◽  
The Body ◽  
Radiology Department ◽  
Mri Findings ◽  
Common Complaint ◽  
Anterior Knee

Abstract Background The knee joint is one of the most commonly injured joints in the body. Because of its complex structure, this joint is subjected to numerous pathologies and due to the recent increase in various sport activities, there has been a parallel increase in sport-induced internal derangements of the knee. Acute knee pain is the most common complaint of the knee joint, which can be secondary to a variety of etiologies. Aim of the Work To review several of the most common causes of AKP, with emphasis on their MRI findings with the goal of allowing more accurate diagnosis and grading of some of the most common pathologies, for understanding, better treatment and improvement of this common complaint. Patients and Methods This study was conducted on in Ain Shams university hospitals and other private centers on 32 patients with ages ranging between 10-60 years. All presented by anterior knee pain and were referred to radiology department for MRI examination after orthopedic consultation. Results The majority of patients are female (63%) and the symptom most commonly occurs in the second and third decades of life. Conclusion MRI is generally safe, accurate, and specific modality which has been proven to be the modality of choice in the diagnosis of different knee pathologies that cause anterior knee pain in different age groups. Also it has a high specification in detecting the grades and types of some of these diseases or factors predispose to them as patella alta and trochlear dysplasia.

scholarly journals Role of Magnetic Resonance Imaging in Evaluation Of Anterior Knee Pain

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
Y A Abbas ◽  
Y I Abdulkhalik ◽  
Y H Motlaq
Keyword(s):  
Knee Joint ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Complex Structure ◽  
The Body ◽  
University Hospital ◽  
Patellar Tendinopathy ◽  
Radiology Department ◽  
Male Predominance ◽  
Anterior Knee

Abstract Background The knee joint is one of the most commonly injured joints in the body. Because of its complex structure, this joint is subjected to numerous pathologies and due to the recent increase in various sport activities, there has been a parallel increase in sport-induced internal derangements of the knee. The main strength of knee MRI is the assessment of articular and Peri-articular diseases. The specific structures best suited for MRI assessment include tendons, muscles and ligaments, as well as peri-articular soft tissue masses. Objective The purpose of this study is to detect the accuracy of MR imaging as a diagnostic tool in the evaluation of different knee joint pathologies that cause anterior knee pain, with emphasis on some of their grades and types for better assessment. Methodology This study included 20 patients (6 female and 14 male). Their ages range between 10-60 years (average age 30 years). All presented by anterior knee pain and were referred to radiology department of Ain Shams University hospital or private centers for MRI examination after orthopedic consultation. Results 5% of the patients presented with anterior knee pain showed MRI evidence of patellar tendinopathy (66% below the age of 30 years and more in females). In all cases the hyperintense focal thickening was at the proximal third of the tendon, with the AP diameter of the patellar tendon greater than 8mm. In our results about 10% of the patients in the study sample, had MRI evidence of tear in the anterior horn of lateral knee meniscus with a female equal to male (50% females and 50% males). Cartilage injuries were detected in 5% of the study sample, showing male predominance (100% were male and 0% were female) with average age 32 years. All have a past history of trauma. Conclusion MRI is generally safe, accurate, and specific modality which has been proven to be the modality of choice in the diagnosis of different knee pathologies that cause anterior knee pain in different age groups. Also, it has a high specification in detecting the grades and types of some of these diseases.

Experimentally Induced Anterior Knee Pain Results In Altered Knee Joint Kinetics

2005 ◽  
Vol 37 (Supplement) ◽  
pp. S144
Author(s):  
Anthony G. Schache ◽  
Kay M. Crossley ◽  
Tim V. Wrigley
Keyword(s):  
Knee Joint ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Joint Kinetics ◽  
Anterior Knee ◽  
Experimentally Induced

scholarly journals Successful Treatment of Painful Synchondrosis of Bipartite Patella after Direct Trauma by Operative Fixation: A Series of Six Cases

2017 ◽  
Vol 11 (1) ◽  
pp. 390-396 ◽  
Author(s):  
Sarkhell Radha ◽  
Michael Shenouda ◽  
Sujith Konan ◽  
Jonathon Lavelle ◽  
Samuel Church
Keyword(s):  
Knee Pain ◽  
Anterior Knee Pain ◽  
Case Series ◽  
Symptomatic Treatment ◽  
Operative Management ◽  
The Body ◽  
Direct Trauma ◽  
Bipartite Patella ◽  
Operative Fixation ◽  
Anterior Knee

Introduction: The patella is the largest sesamoid bone in the body and may have one (77%) or multiple (23%) ossification centres. Patellar and patellofemoral joint abnormalities are a common cause of anterior knee pain but symptomatic bipartite patella is an uncommon problem. Case Series: We report a series of six cases of painful synchondrosis in bipartite patellae, all in keen athletes following a direct blow to the anterior aspect of the knee. A complete rupture of the synchondrosis with evidence of retropatellar chondral separation was seen on MRI scan in all cases. Successful surgical fixation was undertaken with complete resolution of symptoms in all patients at an average of three months post-operatively. Conclusion: Painful synchondrosis of a bipartite patella in young and active individuals following direct trauma is a relatively rare cause of anterior knee pain, but may be associated with significant morbidity. In cases refractory to non-operative management, successful symptomatic treatment can be achieved by operative fixation.

Anterior Knee Pain and Oedema-Like Changes of The Suprapatellar Fat Pad: Correlation of The Symptoms with MRI Findings

2021 ◽  
Vol 17 ◽  
Author(s):  
Yasemin Kucukciloglu ◽  
Ozum Tuncyurek
Keyword(s):  
Knee Pain ◽  
Anterior Knee Pain ◽  
Signal Intensity ◽  
Control Group ◽  
Fat Pad ◽  
Mri Findings ◽  
Relative Signal Intensity ◽  
Significant Difference ◽  
Anterior Knee ◽  
Fat Pads

Objective: To evaluate the role of oedema like changes of the suprapatellar fat pad in the development of anterior knee pain. Methods: Total 156 knee MRIs of 150 patients from December 2015 to July 2019 were retrospectively evaluated by a radiologist with 13 years of MRI experience for the configuration of the suprapatellar fat pads. Population was divided into two groups according to referring physicians’ notes for presence of anterior knee pain. The study group consisted of the patients with complaints of anterior knee pain. The control group consisted of patients without anterior knee pain. Maximum craniocaudal, anteroposterior and oblique diameters and relative signal intensity indexes of the suprapatellar fat pads were measured and compared between the groups. Configurations of the fat pads were recorded (triangular shaped vs convex posterior bordered suprapatellar fat pads), and measurements of the triangular shaped and convex posterior bordered suprapatellar fat pads were compared. Student t test was used for statistical analysis. Statistically significant differences and correlations were defined as p<0.05. Results: The diameters and relative signal intensity indexes of the fat pads showed no significant difference between the groups (p=0.588, 0.744, 0.874 and 0.201, respectively). Anteroposterior and oblique diameters and relative signal intensity indexes of the suprapatellar fat pads were correlated with convex posterior border (p=0.001, 0.003 and 0.000, respectively). Conclusion: Oedema-like changes of the suprapatellar fat pad seen at knee MRIs are correlated with the configuration of the fat pad, but are rarely associated with anterior knee pain.

MRI findings of young male soldiers with atraumatic anterior knee pain

2015 ◽  
Vol 26 (5) ◽  
pp. 572-578 ◽  
Author(s):  
S. Kang ◽  
J. Park ◽  
S.-B. Kang ◽  
C. B. Chang
Keyword(s):  
Knee Pain ◽  
Anterior Knee Pain ◽  
Young Male ◽  
Mri Findings ◽  
Anterior Knee

scholarly journals Bilateral Patella Cartilage Debridement and Exercise Rehabilitation for Chondromalacia and Plica Syndrome: A Case Report

2021 ◽  
Vol 11 (9) ◽  
pp. 4078
Author(s):  
Jihong Park ◽  
Jingoo Kim ◽  
Bongseong Ko
Keyword(s):  
Knee Joint ◽  
Functional Outcome ◽  
Outcome Measures ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Water Immersion ◽  
Sensory Level ◽  
Plica Syndrome ◽  
Functional Outcome Measures ◽  
Anterior Knee

A 41-year-old active (exercising >600 min per week) male without a surgical history complained of nine years of intermittent bilateral anterior knee pain after physical activity. He was diagnosed with bilateral chondromalacia (grade IV chondrosis) with plica syndrome, for which he underwent bilateral patella cartilage debridement with medial plica excision (additional removal of lateral retinaculum in the right knee). The patient then performed 12 weeks of an aggressive postoperative rehabilitation program. Each rehabilitation session consisted of disinhibitory modalities (sensory level of transcutaneous electrical stimulation and cryotherapy: focal knee joint cooling and cold-water immersion) and voluntary exercises (aerobic, resistance, and flexibility). During rehabilitation, pain perception, knee joint skin temperature and circumference, and functional outcome measures (Kujala anterior knee pain scale, International Knee Documentation Committee Score, and lower-extremity functional scale) were also recorded. While the patient’s pathology and surgical intervention were not extreme, progressions in the rehabilitation components and functional outcome measures in this clinical case could be used as a future reference for postoperative interventions. Additionally, surgery-induced inflammation seemed to last for four weeks.

What sports medicine practitioners should know about imaging for femoro-patellar pathologies

2020 ◽  
Vol 68 (1) ◽  
Keyword(s):  
Risk Factors ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
High Reliability ◽  
Trochlear Dysplasia ◽  
Trochlear Groove ◽  
Clinical Imaging ◽  
Adequate Treatment ◽  
Patellar Maltracking ◽  
Anterior Knee

Clinical imaging in patellofemoral disorders is fundamental for the understanding of the pathology, and to find the adequate treatment option. Anatomical risk factors such as trochlear dysplasia, patella alta, lateralized tibiale tubercle (measured by the tibiale tubercle trochlear groove distance), torsional or coronal lower limb alignment that are the origine of patellar maltracking or even patellar dislocation, can be assessed with high reliability on conventional radiographs combined with MR imaging. The conservative and surgical treatment will highly rely on these findings. The importance of clinical imaging in unspecific anterior knee pain is less clear. It is mostly performed to exclude structural injuries, however is rarely reliable to diagnose the painful structure. Critical appraisal of morphological risk factors is necessary especially in the treatment of anterior knee pain, since fortuitous pathological findings are frequent.

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