Semin Musculoskelet Radiol 2025; 29(05): 747-756
DOI: 10.1055/s-0045-1802976
Review Article

Common Mistakes in Imaging: Ligament Injuries of the Knee in Athletes

Authors

  • Linda Probyn

    1   Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada
  • Dyan Flores

    2   Department of Medical Imaging, University of Ottawa, Ottawa, Ontario, Canada
  • Mini Pathri

    3   Department of Radiology, University of California, San Diego, San Diego, California
  • Christopher Beaulieu

    4   Department of Radiology, Stanford University, Stanford, California
  • Mark Cresswell

    5   Department of Medical Imaging, University of British Columbia, Vancouver, British Columbia, Canada
  • Angela Atinga

    1   Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada
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Abstract

Assessment of internal derangement is a common indication for imaging of the injured knee in athletes. The first line of imaging is conventional radiography, but magnetic resonance imaging is often required. Radiographic features of ligament injury can be subtle, even when the soft tissue injury is devastating, resulting in instability that may require surgery. Magnetic resonance imaging to assess for ligament injury has several potential pitfalls that can lead to interpretation errors. This article describes common errors when imaging knee ligament injuries in the athlete and discusses strategies to reduce inaccuracies in imaging technique and interpretation. Mistakes on magnetic resonance imaging and radiographs typically arise from the timing of imaging (early/acute versus delayed/chronic), technical factors, potential mimics of pathology, and the inherent limitations of radiography.



Publikationsverlauf

Artikel online veröffentlicht:
07. Oktober 2025

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