Clinical Management of Medial Patellar Plica Syndrome: Mini Review from Diagnosis to Treatment

2020 ◽  
Vol 16 (1) ◽  
pp. 9-11
Author(s):  
Hassan Zmerly ◽  
Ibrahim Akkawi ◽  
Roberto Citarella ◽  
Marwan E. Ghoch

: Synovial plicae are thickenings of the synovial knee membrane; they are very frequent and often asymptomatic. However, they can become symptomatic due to idiopathic or secondary causes, like trauma and inflammation of the synovial tissue. Currently, synovial plicae are classified as infrapatellar, mediopatellar and suprapatellar. The prevalence of the mediopatellar plica over the other forms of plicae varies between 18% and 60%. The most reported symptom of the mediopatellar plica is pain located medial to the patella above the joint line. Magnetic Resonance Imaging (MRI) is the most useful examination to highlight the presence of the plica, its measurement and exact location. The treatment is initially conservative, i.e. medical treatment and physiotherapy, however when these fail, the plica should be removed surgically via arthroscopy. : In the current paper, we aim to report our clinical experience in the management of medial patellar plica syndrome by describing the clinical presentation and diagnosis of this condition as well as its treatment.

2008 ◽  
Vol 65 (7) ◽  
pp. 1245-1249 ◽  
Author(s):  
Bonnie L. Rogers ◽  
Christopher G. Lowe ◽  
Esteban Fernández-Juricic ◽  
Lawrence R. Frank

The physical consequences of barotrauma on the economically important rockfish ( Sebastes ) were evaluated with a novel method using T2-weighted magnetic resonance imaging (MRI) in combination with image segmentation and analysis. For this pilot study, two fishes were captured on hook-and-line from 100 m, euthanized, and scanned in a 3 Tesla human MRI scanner. Analyses were made on each fish, one exhibiting swim bladder overinflation and exophthalmia and the other showing low to moderate swim bladder overinflation. Air space volumes in the body were quantified using image segmentation techniques that allow definition of individual anatomical regions in the three-dimensional MRIs. The individual exhibiting the most severe signs of barotrauma revealed the first observation of a gas-filled orbital space behind the eyes, which was not observable by gross dissection. Severe exophthalmia resulted in extreme stretching of the optic nerves, which was clearly validated with dissections and not seen in the other individual. Expanding gas from swim bladder overinflation must leak from the swim bladder, rupture the peritoneum, and enter the cranium. This MRI method of evaluating rockfish following rapid decompression is useful for quantifying the magnitude of internal barotrauma associated with decompression and complementing studies on the effects of capture and discard mortality of rockfishes.


2015 ◽  
Vol 9 (4) ◽  
pp. 424-427
Author(s):  
Alan Peres Valente ◽  
Paula da Cunha Pinho ◽  
Leandro Tavares Lucato

ABSTRACT Creutzfeldt-Jacob disease (CJD) is a rare condition caused by a pathogenic prion protein that evolves with rapidly progressive dementia and death. The clinical presentation may sometimes be misleading. Magnetic Resonance Imaging (MRI) aids diagnosis with patterns that can guide or confirm clinical hypotheses. Two cases of rapidly progressive dementia with ataxia, myoclonus and restricted diffusion on MRI in cortical/basal ganglia are presented to draw attention to CJD.


2018 ◽  
Vol 15 (02/03) ◽  
pp. 070-073
Author(s):  
Srikant Kumar Swain ◽  
Sureswar Mohanty ◽  
Adya Kinkar Panda

AbstractRare case of bilateral internuclear ophthalmoplegia (INO) following head injury in 25-year-old male is being reported. The site of the lesion in the mid-brain as detected in the magnetic resonance imaging (MRI) correlates well with the clinical presentation. The patient recovered on conservative treatment with a course of dexamethasone (for brainstem contusion).


2018 ◽  
Vol 108 (6) ◽  
pp. 472-477
Author(s):  
Nicholas Ciotola ◽  
William D. Spielfogel

Background: Magnetic resonance imaging (MRI) is both sensitive and specific in the diagnosis of osteomyelitis, and it is an important imaging modality in preoperative planning of resection of infected bone. In many cases, however, the extent of osseous infection is evident on plain radiographs, and little additional information is gained from the MRI. The goal of this study was to assess the accuracy of radiographs against MRIs in assessing the spread of suspected osteomyelitis from one phalanx to another or to a metatarsal. Methods: A medical record review was performed, and 14 patients with 16 toes confirmed to have osteomyelitis involving one or more phalanges were included in the study. An investigator blinded to the MRI findings interpreted the extent of osseous involvement based solely on the radiographic and clinical presentation. The accuracy of the radiographic interpretation was then calculated against the MRI findings. Results: In 14 of the 16 toes (87.5%), whether osteomyelitis had spread from one bone to another was determined based on the radiographic and clinical presentation. In one toe, the radiograph did not adequately depict osteomyelitis in adjacent infected bone. In one more toe, the radiograph depicted features of osteomyelitis in uninfected bone. Conclusions: In a large percentage of patients, the phalanges affected by osteomyelitis had visible findings on the radiograph, and operative planning could have been based on the radiograph alone.


2019 ◽  
Vol 04 (03) ◽  
pp. 153-157
Author(s):  
Jyotsna Rani ◽  
Narayanan Ramakrishna

AbstractCardiac magnetic resonance imaging (MRI) plays an important role in the evaluation of dilated cardiomyopathy, and is the gold-standard technique in identifying the various etiological factors and differentiating one from the other. It not only helps in identifying the cause but also aids in monitoring the treatment response. The present article reviews the different MRI techniques available, recent advancements, and limitations in technology in the evaluation of patients with dilated cardiomyopathy in the present-day scenario.


1987 ◽  
Vol 66 (5) ◽  
pp. 779-781 ◽  
Author(s):  
Giuseppe Scotti ◽  
Felice Filizzolo ◽  
Giuseppe Scialfa ◽  
Donatella Tampieri ◽  
Pietro Versari

✓ Magnetic resonance imaging (MRI) of the head and cervical spine unexpectedly revealed a cervical meningioma in a patient who had suffered repeated episodes of subarachnoid hemorrhage. The importance of MRI in the diagnosis of tumors in patients with unusual clinical presentation is stressed.


2019 ◽  
Vol 23 (04) ◽  
pp. 405-418 ◽  
Author(s):  
James F. Griffith ◽  
Radhesh Krishna Lalam

AbstractWhen it comes to examining the brachial plexus, ultrasound (US) and magnetic resonance imaging (MRI) are complementary investigations. US is well placed for screening most extraforaminal pathologies, whereas MRI is more sensitive and accurate for specific clinical indications. For example, MRI is probably the preferred technique for assessment of trauma because it enables a thorough evaluation of both the intraspinal and extraspinal elements, although US can depict extraforaminal neural injury with a high level of accuracy. Conversely, US is probably the preferred technique for examination of neurologic amyotrophy because a more extensive involvement beyond the brachial plexus is the norm, although MRI is more sensitive than US for evaluating muscle denervation associated with this entity. With this synergy in mind, this review highlights the tips for examining the brachial plexus with US and MRI.


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