MRI of the Post‐Operative Meniscus and ACL Graft

Rolf W. Huegli1, Phillip F.J. Tirman2, Margie Garbarino3

1 Osteoporosis and Arthritis Research Group, University of California San Francisco, San Francisco, California, 2 National Orthopaedic Imaging Associates, Greenbrae, California, 3 California Pacific Medical Center, San Francisco, California
Publication Name:  Current Protocols in Magnetic Resonance Imaging
Unit Number:  Unit A23.2
DOI:  10.1002/0471142719.mia2302s10
Online Posting Date:  November, 2003
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Abstract

This chapter has no abstract.

     
 
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Table of Contents

  • Basic Protocol
  • Commentary
  • Literature Cited
  • Figures
  • Tables
     
 
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Materials

 Basic Protocol
 Materials
  • Normal saline (0.9% NaCl), sterile
  • Paramagnetic contrast agent: gadopentate dimeglumine
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Figures

  •  FigureFigure A23.2.1 Fast spin-echo T2-weighted image with fat saturation (localizer).
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  •  FigureFigure A23.2.2 Sagittal spin-echo T1-weighted image with fat saturation, with intra-articular gadolinium.
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  •  FigureFigure A23.2.3 Sagittal spin-echo T1-weighted image with fat saturation, with intravenous gadolinium.
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  •  FigureFigure A23.2.4 Coronal spin-echo T1-weighted image with fat saturation, with intra-articular gadolinium.
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  •  FigureFigure A23.2.5 Coronal spin-echo T1-weighted image with fat saturation, with intravenous gadolinium.
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  •  FigureFigure A23.2.6 Coronal fast spin echo T2-weighted image with fat saturation.
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Literature Cited

Literature Cited
    Applegate, G.R., Flannigan, B.D., Tolin, B.S., Fox, J.M., and Del Pizzo, W. 1993. MR diagnosis of recurrent tears in the knee: Value of intraarticular contrast material. AJR Am. J. Roentgenol. 161:821-825.
    Arnoczky, S.P., Cooper, T.G., Stadelmaier, D.M., and Hannafin, J.A. 1994. Magnetic resonance signals in healing menisci: An experimental study in dogs. Arthroscopy 10:552-557.
    Autz, G., Goodwin, C., and Singson, R.D. 1991. Magnetic resonance evaluation of anterior cruciate ligament repair using the patellar tendon double bone block technique. Skeletal Radiol. 20:585-588.
    Carmichael, I.W., MacLeod, A.M., and Travlos, J. 1997. MRI can prevent unnecessary arthroscopy. J. Bone Joint Surg. Br. 79:624-625.
    Cheung, Y., Magee, T.H., Rosenberg, Z.S., and Rose, D.J. 1992. MRI of anterior cruciate ligament reconstruction. J. Comput. Assist. Tomogr. 16:134-137.
    Howell, S.M., Berns, G.S., and Farley, T.E. 1991. Unimpinged and impinged anterior cruciate ligament grafts: MR signal intensity measurements. Radiology 179:639-643.
    Lee, J.K., Yao, L., Phelps, C.T., Wirth, C.R., Czajka, J., and Lozman, J. 1988. Anterior cruciate ligament tears: MR imaging compared with arthroscopy and clinical tests. Radiology 166:861-864.
    Maurer, E.J., Kaplan, P.A., Dussault, R.G., Diduch, D.R., Schuett, A., McCue, F.C., Hornsby, P.P., and Hillman, B.J. 1997. Acutely injured knee: Effect of MR imaging on diagnostic and therapeutic decisions. Radiology 204:799-805.
    Maywood, R.M., Murphy, B.J., Uribe, J.W., and Hechtman, K.S. 1993. Evaluation of arthroscopic anterior cruciate ligament reconstruction using magnetic resonance imaging. Am. J. Sports Med. 21:523-527.
    Mirowitz, S.A. 1994. Motion artifact as a pitfall in diagnosis of meniscal tear on gradient reoriented MRI of the knee. J. Comput. Assist. Tomogr. 18:279-282.
    Palmer, W.E. 1996. MR arthrography: Is it worthwhile?. Top. Magn. Reson. Imaging 8:24-43.
    Peterfy, C.G., Janzen, D.L., Tirman, P.F., van Dijke, C.F., Pollack, M., and Genant, H.K. 1994. “Magic-angle” phenomenon: A cause of increased signal in the normal lateral meniscus on short-TE MR images of the knee. AJR Am. J. Roentgenol. 163:149-154.
    Rak, K.M., Gillogly, S.D., Schaefer, R.A., Yakes, W.F., and Liljedahl, R.R. 1991. Anterior cruciate ligament reconstruction: Evaluation with MR imaging. Radiology 178:553-556.
    Sanchis-Alfonso, V., Martinez-Sanjuan, V., and Gastaldi-Orquin, E. 1993. The value of MRI in the evaluation of the ACL deficient knee and in the post-operative evaluation after ACL reconstruction [published erratum appears in Eur. J. Radiol. 16:255]. Eur. J. Radiol. 16:126-130.
    Sciulli, R.L., Boutin, R.D., Brown, R.R., Nguyen, K.D., Muhle, C., Lektrakul, N., Pathria, M.N., Pedowitz, R., and Resnick, D. 1999. Evaluation of the postoperative meniscus of the knee: A study comparing conventional arthrography, conventional MR imaging, MR arthrography with iodinated contrast material, and MR arthrography with gadolinium-based contrast material. Skeletal Radiol. 28:508-514.
    Shellock, F.G. 1996. Pocket Guide to MR Procedures and Metallic Objects. Lippincott-Raven, Philadelphia.
    Stockle, U., Hoffmann, R., Schwedke, J., Lubrich, J., Vogl, T., Sudkamp, N.P., and Haas, N. 1998. Anterior cruciate ligament reconstruction: The diagnostic value of MRI. Int. Orthop. 22:288-292.
    Yamato, M. and Yamagishi, T. 1992. MRI of patellar tendon anterior cruciate ligament autografts. J. Comput. Assist. Tomogr. 16:604-607.
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