Effects of Partial and Total Meniscectomy on Kinematics of the Knee: A Magnetic Resonance Imaging Study

2003 ◽  
Author(s):  
Jiang Yao ◽  
Jason C. Snibbe ◽  
Michael D. Maloney ◽  
Amy L. Lerner
Keyword(s):  
Anterior Cruciate Ligament ◽  
Magnetic Resonance ◽  
Medial Meniscus ◽  
Cruciate Ligament ◽  
Knee Kinematics ◽  
Imaging Study ◽  
Posterior Horn ◽  
Clear Understanding ◽  
Chronic Instability ◽  
Anterior Cruciate

Meniscal injuries frequently occur in combination with anterior cruciate ligament (ACL) tears. Tears in the menisci that occur acutely with ACL injury are located either medially or laterally, but in ACL deficient knees chronic instability most commonly leads to meniscal tears in the posterior horn of medial meniscus (Smith & Barrett, 2001). Levy et al. (1982) suggested that medial meniscus might act as a mechanical wedge preventing tibial anterior translation due to its firm attachment to the tibia at the posterior horn. Previous biomechanical studies infer the role of the meniscus through measurements of alternations in forces or knee motions (Shoemaker & Markolf, 1986; Allen, 2000), however no study has provided clear images of the motion or deformation of the meniscus itself. The objective of this study was to investigate the effects of anterior cruciate ligament resection, as well as partial and complete meniscectomies on knee kinematics in response to anterior loading. Application of loads during magnetic resonance (MR) imaging allows us to visualize the motion and deformation of the menisci, and therefore obtain a more clear understanding of its role in knee stability.

scholarly journals Clinical, Magnetic Resonance Imaging, and Arthroscopic Correlation in Anterior Cruciate Ligament and Meniscal Injuries of the Knee

2018 ◽  
Vol 24 (1) ◽  
pp. 52-56
Author(s):  
Patel Ishani ◽  
Chandru Vijay ◽  
Nekkanti Supreeth ◽  
Renukarya Ravishankar ◽  
Reddy Vishnu Vardhan ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Anterior Cruciate Ligament ◽  
Magnetic Resonance ◽  
Predictive Value ◽  
Medial Meniscus ◽  
Cruciate Ligament ◽  
Lateral Meniscus ◽  
Resonance Imaging ◽  
Clinical Magnetic Resonance Imaging ◽  
Anterior Cruciate

Background The aim of this study is to compare and correlate the clinical, magnetic resonance imaging (MRI), and arthroscopy findings in anterior cruciate ligament (ACL) and meniscal injuries of the knee. Methods This was a prospective study of 30 cases of ACL and meniscal injuries of the knee admitted between September 2014 and May 2016, who underwent clinical examination, MRI, and arthroscopy of the knee. Results In our study of 30 cases, there were 26 male and four female patients with age ranging from 18 years to 60 years, with most patients in between 21 years and 30 years. Clinical examination had sensitivity of 90.91%, specificity of 100%, and accuracy of 93.33% for ACL, sensitivity of 83.33%, specificity of 77.78%, and accuracy of 80% for medial meniscus, and sensitivity of 75%, specificity of 77.27%, and accuracy of 76.67% for lateral meniscus. MRI had sensitivity of 95.45%, specificity of 87.5%, and accuracy of 93.33% for ACL, sensitivity of 91.67%, specificity of 55.56%, and accuracy of 70% for medial meniscus, and sensitivity of 62.5%, specificity of 72.73%, and accuracy of 70% for lateral meniscus. Conclusion In conclusion, the present study supports that clinical diagnosis is of primary necessity, as the positive predictive value is high for all the lesions. MRI is an additional diagnosing tool for ligament and meniscal injuries of the knee. Routine use of MRI to confirm the diagnosis is not indicated, as the positive predictive value is low, but can be used to exclude pathology, as the negative predictive value is high for all the lesions.

The Role of Magnetic Resonance Imaging for Diagnosing Soft Tissue Lesions Associated with Anterior Cruciate Ligament Injuries

2018 ◽  
Vol 69 (9) ◽  
pp. 2498-2500
Author(s):  
Bogdan Sendrea ◽  
Antoine Edu ◽  
George Viscopoleanu
Keyword(s):  
Magnetic Resonance Imaging ◽  
Anterior Cruciate Ligament ◽  
Magnetic Resonance ◽  
Soft Tissue ◽  
Traumatic Event ◽  
Cruciate Ligament ◽  
Soft Tissue Injuries ◽  
Resonance Imaging ◽  
Soft Tissue Lesions ◽  
Anterior Cruciate

Magnetic resonance imaging has become the gold standard for soft tissue lesions evaluation especially after a traumatic event where there is need for diagnostic confirmation. The objective of the current paper was to evaluate the ability of magnetic resonance imaging in diagnosing soft tissue lesions in patients who underwent anterior cruciate ligament reconstruction compared with arthroscopic findings. Through the ability to diagnose soft tissue injuries, particularly meniscal lesions, magnetic resonance imaging should be considered as fundamental in guiding therapeutic management in patients with anterior cruciate ligament lesions.

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