Radiologie up2date 2003; 3(3): 229-251
DOI: 10.1055/s-2003-42562
Pulmonale und kardiovaskuläre Radiologie
Pulmonale undkardiovaskuläre Radiologie
© Georg Thieme Verlag Stuttgart · New York

MRT des Kniegelenkes

MRI of the knee jointKlaus  Strobel1 , Jürg  Hodler2
  • 1Röntgeninstitut Kantonsspital Luzern
  • 2Abteilung Radiologie, Orthopädische Universitätsklinik Balgrist, Zürich
Further Information

Publication History

Publication Date:
30 September 2003 (online)

Zusammenfassung

Dieser Beitrag demonstriert, weshalb die MRT nach der konventionellen Radiologie zur wichtigsten bildgebenden Methode in der Abklärung von Kniebeschwerden geworden ist. Nach der Darstellung der Untersuchungstechnik folgt die Diskussion der wichtigsten Pathologien und deren Erscheinungsbild in der MRT, inkl. der relevanten MRT-Anatomie. Zur Vermeidung von Fehldiagnosen werden häufige Normvarianten und „Pitfalls” erklärt. Den postoperativen MRT-Befunden ist ein eigenes Kapitel gewidmet.

Abstract

This contribution demonstrates why MRI has become the most effective imaging method for clarifying knee disorders after conventional radiography. A presentation of the examination protocols is followed by a discussion of the most important pathologies and their manifestations in MRI including relevant MRI anatomy. Normal variants and pitfalls are described to avoid misdiagnoses. A special chapter is dedicated to postsurgical MRI findings.

Literatur

  • 1 Allgayer B, Gewalt Y, Flock K. et al . The diagnostic accuracy of MRT in cruciate ligament injuries.  Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. 1991;  155 159-164
  • 2 Bachmann G, Heinrichs C, Jurgensen I, Rominger M, Scheiter A, Rau W S. Comparison of different MRT techniques in the diagnosis of degenerative cartilage diseases. In vitro study of 50 joint specimens of the knee at T1.5.  Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. 1997;  166 429-436
  • 3 Brandser E A, Riley M A, Berbaum K S, el-Khoury G Y, Bennett D L. MR imaging of anterior cruciate ligament injury: independent value of primary and secondary signs.  AJR Am J Roentgenol. 1996;  167 121-126
  • 4 Brossmann J, Preidler K W, Daenen B. et al . Imaging of osseous and cartilaginous intraarticular bodies in the knee: comparison of MR imaging and MR arthrography with CT and CT arthrography in cadavers.  Radiology. 1996;  200 509-517
  • 5 Campbell S E, Sanders T G, Morrison W B. MR imaging of meniscal cysts: incidence, location, and clinical significance.  AJR Am J Roentgenol. 2001;  177 409-413
  • 6 Chung C B, Skaf A, Roger B, Campos J, Stump X, Resnick D. Patellar tendon-lateral femoral condyle friction syndrome: MR imaging in 42 patients.  Skeletal Radiol. 2001;  30 694-697
  • 7 De Smet A A, Fisher D R, Graf B K, Lange R H. Osteochondritis dissecans of the knee: value of MR imaging in determining lesion stability and the presence of articular cartilage defects.  AJR Am J Roentgenol. 1990;  155 549-553
  • 8 Dillon E H, Pope C F, Jokl P, Lynch K. The clinical significance of stage 2 meniscal abnormalities on magnetic resonance knee images.  Magn Reson Imaging. 1990;  8 411-415
  • 9 Disler D G, McCauley T R, Kelman C G. et al . Fat-suppressed three-dimensional spoiled gradient-echo MR imaging of hyaline cartilage defects in the knee: comparison with standard MR imaging and arthroscopy.  AJR Am J Roentgenol. 1996;  167 127-132
  • 10 Garcia-Valtuille R, Abascal F, Cerezal L. et al . Anatomy and MR imaging appearances of synovial plicae of the knee.  Radiographics. 2002;  22 775-784
  • 11 Gross M L, Grover J S, Bassett L W, Seeger L L, Finerman G A. Magnetic resonance imaging of the posterior cruciate ligament. Clinical use to improve diagnostic accuracy.  Am J Sports Med. 1992;  20 732-737
  • 12 Haims A H, Medvecky M J, Pavlovich R, Jr. , Katz L D. MR Imaging of the Anatomy of and Injuries to the Lateral and Posterolateral Aspects of the Knee.  AJR Am J Roentgenol. 2003;  180 647-653
  • 13 Jee W H, McCauley T R, Kim J M. et al . Meniscal tear configurations: categorization with MR imaging.  AJR Am J Roentgenol. 2003;  180 93-97
  • 14 Juhng S K, Lee J K, Choi S S, Yoon K H, Roh B S, Won J J. MR evaluation of the „arcuate” sign of posterolateral knee instability.  AJR Am J Roentgenol. 2002;  178 583-588
  • 15 Konig H, Sieper J, Wolf K J. Rheumatoid arthritis: evaluation of hypervascular and fibrous pannus with dynamic MR imaging enhanced with Gd-DTPA.  Radiology. 1990;  176 473-477
  • 16 Kramer J, Stiglbauer R, Engel A, Prayer L, Imhof H. MR contrast arthrography (MRA) in osteochondrosis dissecans.  J Comput Assist Tomogr. 1992;  16 254-260
  • 17 Magee T H, Hinson G W. MRI of meniscal bucket-handle tears.  Skeletal Radiol. 1998;  27 495-499
  • 18 McNally E G, Nasser K N, Dawson S, Goh L A. Role of magnetic resonance imaging in the clinical management of the acutely locked knee.  Skeletal Radiol. 2002;  31 570-573
  • 19 Muhle C, Ahn J M, Yeh L. et al . Iliotibial band friction syndrome: MR imaging findings in 16 patients and MR arthrographic study of six cadaveric knees.  Radiology. 1999;  212 103-110
  • 20 Munshi M, Pretterklieber M L, Kwak S, Antonio G E, Trudell D J, Resnick D. MR imaging, MR arthrography, and specimen correlation of the posterolateral corner of the knee: an anatomic study.  AJR Am J Roentgenol. 2003;  180 1095-1101
  • 21 Newberg A H, Munn C S, Robbins A H. Complications of arthrography.  Radiology. 1985;  155 605-606
  • 22 Pfirrmann C W, Zanetti M, Romero J, Hodler J. Femoral trochlear dysplasia: MR findings.  Radiology. 2000;  216 858-864
  • 23 Rangger C, Klestil T, Kathrein A, Inderster A, Hamid L. Influence of magnetic resonance imaging on indications for arthroscopy of the knee.  Clin Orthop. 1996;  ? 133-142
  • 24 Recht M, White L M, Winalski C S, Miniaci A, Minas T, Parker R D. MR imaging of cartilage repair procedures.  Skeletal Radiol. 2003;  32 185-200
  • 25 Recht M P, Piraino D W, Cohen M A, Parker R D, Bergfeld J A. Localized anterior arthrofibrosis (cyclops lesion) after reconstruction of the anterior cruciate ligament: MR imaging findings.  AJR Am J Roentgenol. 1995;  165 383-385
  • 26 Reiser M, Vahlensieck M. Kniegelenk. In: Reiser M (ed) MRT des Bewegungsapparates. 2. Auflage. Stuttgart; Thieme 2002
  • 27 Schweitzer M E, Mitchell D G, Ehrlich S M. The patellar tendon: thickening, internal signal buckling, and other MR variants.  Skeletal Radiol. 1993;  22 411-416
  • 28 Schweitzer M E, Tran D, Deely D M, Hume E L. Medial collateral ligament injuries: evaluation of multiple signs, prevalence and location of associated bone bruises, and assessment with MR imaging.  Radiology. 1995;  194 825-829
  • 29 Silverman J M, Mink J H, Deutsch A L. Discoid menisci of the knee: MR imaging appearance.  Radiology. 1989;  173 351-354
  • 30 Tschirch F TC, Schmid M R, Pfirrmann C WA, Romero J, Hodler J, Zanetti M. Prevalence and Size of Meniscal Cysts, Ganglion Cysts, Synovial Popliteal Cysts, and Fluid-filled Bursae in Asymtpmatic Knees. AJR Am J Roentgenol 2003
  • 31 Umans H, Wimpfheimer O, Haramati N, Applbaum Y H, Adler M, Bosco J. Diagnosis of partial tears of the anterior cruciate ligament of the knee: value of MR imaging.  AJR Am J Roentgenol. 1995;  165 893-897
  • 32 Virolainen H, Visuri T, Kuusela T. Acute dislocation of the patella: MR findings.  Radiology. 1993;  189 243-246
  • 33 White L M, Schweitzer M E, Weishaupt D, Kramer J, Davis A, Marks P H. Diagnosis of recurrent meniscal tears: prospective evaluation of conventional MR imaging, indirect MR arthrography, and direct MR arthrography.  Radiology. 2002;  222 421-429
  • 34 Wilson A J, Murphy W A, Hardy D C, Totty W G. Transient osteoporosis: transient bone marrow edema?.  Radiology. 1988;  167 757-760
  • 35 Zanetti M, Pfirrmann C W, Schmid M R, Romero J, Seifert B, Hodler J. Abnormalities Seen on MR Imaging of 100 Symptomatic and 100 Contralateral Asymptomatic Knees. AJR Am J Roentgenol in press
  • 36 Zanetti M. Unpublished data 2003

Korrespondenzadresse

Dr. Klaus Strobel

Kantonsspital Luzern
Röntgeninstitut

Postfach

CH-6000 Luzern 16

Phone: +41 412051111

Email: klaustro@bluewin.ch

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