2,927 results match your criteria: "Knee Anterior Cruciate Ligament Injuries MRI"

Background: Joint effusion at 3 months after anterior cruciate ligament (ACL) reconstruction is a risk factor for ACL reinjury. However, factors associated with joint effusion at 3 months postoperatively and the effect of joint effusion on subsequent quadriceps muscle strength and graft remodeling remain unknown.

Purposes: To identify factors associated with joint effusion and investigate the association between joint effusion and quadriceps muscle strength and graft remodeling in the postoperative period.

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Introduction: Isolated patellar tendon (PT) or anterior cruciate ligament (ACL) ruptures are common injuries, yet the co-occurrence of both presents a rare challenge for clinicians. The objectives of the study are to document diagnostic and therapeutic approaches, outcomes, and complications of combined PT and ACL injuries and to develop an algorithm to guide clinicians in decision-making.

Methods: The systematic review und metanalysis was conducted according to the PRISMA guidelines.

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Introduction: Meniscal injuries often occur in association with anterior cruciate ligament (ACL) injury. Failure to detect meniscal tears in patients with ACL injuries can lead to more complex tears and make them more difficult to repair.

Objective: To determine the degree of correlation between magnetic resonance imaging (MRI) and knee arthroscopy in diagnosing meniscal injuries in patients with ACL tears.

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Meniscal Ramp Injury Diagnosis.

Rev Bras Ortop (Sao Paulo)

October 2024

Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil.

Article Synopsis
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 The present study endeavors to scrutinize the precision of magnetic resonance imaging as a diagnostic modality for detecting ligament disruption of the knee, with arthroscopy serving as the gold standard. The study delves into the sensitivity, specificity, positive predictive value, and negative predictive value of magnetic resonance imaging (MRI) results in a cohort of 200 patients against diagnostic arthroscopy.  Our institution conducted a comprehensive clinical examination of all patients with knee injuries, and those with affirmative findings suggestive of ligament disruption were subjected to an MRI scan.

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Background: The anterior cruciate ligament (ACL) is a vital structure in the knee responsible for preventing anterior translation; and countering rotational and valgus stress. The anteromedial and posterolateral bundles of the ACL, which are distinguished by their attachments at the tibia and femur, respectively, make up the ACL. The study is designed to evaluate the diagnostic parameters of lever sign in acute settings when compared against MRI as investigation of choice and compare them with the conventional tests.

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Knee ligament and meniscus injuries in children and teenagers.

Orthop Traumatol Surg Res

November 2024

Paediatric Surgery Department, Hôpital de Hautepierre, Avenue Molière, 67098 Strasbourg, France. Electronic address:

Knee ligament and meniscus injuries in children and teenagers are becoming more numerous because of increased sports participation but also better diagnosis. Meniscus injuries occur either in a normal meniscus or due to a congenital anomaly. The diagnosis is made clinically and confirmed by MRI.

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Background: The optimal treatment for anterior cruciate ligament (ACL) injuries with early-stage symptomless osteoarthritis (OA) remains unclear. This study aimed to compare the clinical outcomes of ACL reconstruction (ACLR) in patients with ACL injury in the presence and absence of early-stage symptomless OA.

Methods: Medical records of patients with early-stage symptomless OA who sustained ACL injury and underwent ACLR from January 2018 to December 2020 at a single institution were retrospectively reviewed.

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Article Synopsis
  • * A meta-analysis of five studies involving 191 patients found DECT to have a sensitivity of 88.1% and specificity of 82% for diagnosing ACL ruptures, showing strong accuracy, particularly for complete ruptures.
  • * The results indicate that DECT can be a reliable option for diagnosing ACL injuries in acute or subacute settings, supporting its use when MRI is not available or appropriate.
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Background: A retear after anterior cruciate ligament (ACL) reconstruction remains a common and devastating complication. Knee bone morphology is associated with the risk of ACL injuries, ACL retears, and osteoarthritis, and a combination of tools that derive bone shape from clinical imaging, such as magnetic resonance imaging (MRI) and statistical shape modeling, could identify patients at risk of developing these joint conditions.

Purpose: To identify bone shape features before primary ACL reconstruction in patients with an eventual retear compared to those with a known intact ACL graft.

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Introduction: ACL tears are the most common injuries in kabaddi, an inherently violent high pivoting and high-velocity direct contact sport. Combined ACL and MCL injuries and combined ACL and ALL injuries have been better understood but there is a lacuna of literature on these combined injuries in kabaddi players and no literature on combined AMRI and ALRI injuries. The present prospective cohort study aims to assess knee outcomes and return to sport for these injuries in elite kabaddi players.

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Purpose: To investigate the incidence of popliteomeniscal fascicles (PMF) tears in anterior cruciate ligament (ACL) rupture in professional soccer players, to describe arthroscopic and magnetic resonance imaging (MRI) findings and treatment of these lesions with clinical outcomes, and to evaluate the incidence of subsequent lateral meniscus tears and ACL reinjury.

Methods: ACL reconstructions on soccer players were retrospectively analyzed, and among them, a cohort of patients with PMFs tears was reviewed. The cohort was assessed with MRI examination, arthrometric testing, Lysholm score, and International Knee Documentation Committee score.

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Introduction: A meniscus tear ranks among the most common sports-related injuries, especially among athletes. Sudden, twisting movements, such as pivoting to catch a ball, usually in contact sports, and can tear the meniscus. Magnetic resonance imaging (MRI) technology is extensively utilized for identifying meniscal tears.

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Purpose: To relate bone shape with anterior cruciate ligament (ACL) graft maturation, as evaluated by quantitative magnetic resonance imaging.

Methods: We retrospectively evaluated patients aged 18 to 60 years who underwent ACL reconstruction with a hamstring autograft with doubled semitendinosus and gracilis at our institution between 2018 and 2020 with isolated ACL injuries. All patients had a minimum follow-up period of 2 years.

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Article Synopsis
  • The study examines the impact of Kaplan fibers (KFs) and anterolateral ligament injuries on knee stability during acute ACL injuries, particularly analyzing the pivot-shift test results in both adults and adolescents.
  • It included 540 patients with ACL tears and found that while adults’ high-grade pivot shifts were mainly linked to anterolateral ligament disruption, adolescents’ were significantly associated with KF injuries.
  • The findings suggest that KF injuries in adolescents serve as substantial indicators for increased knee instability post-ACL injury, contrasting with adults where other factors are more influential.
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Article Synopsis
  • The study investigates how effectively MRI can detect meniscal ramp lesions in the knee when positioned at 120° flexion versus near extension, noting that traditional MRI methods have low sensitivity for these types of injuries.* -
  • Researchers analyzed data from 154 patients undergoing ACL reconstruction and found that MRI in the flexed position had significantly higher sensitivity (91.9% vs. 69.4%) and specificity (94.6% vs. 77.2%) in identifying these lesions.* -
  • The findings suggest that performing MRI scans with the knee flexed improves diagnostic accuracy for ramp lesions, which is crucial for proper preoperative planning in ACL reconstructive surgery.*
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Risk factors for early onset patellofemoral osteoarthritis following anterior cruciate ligament reconstruction with hamstring tendon autograft.

J Orthop Surg Res

November 2024

Department of Orthopedics, Department of Sports Medicine and Arthroscopic Surgery, The First Affiliated Hospital of Anhui Medical University, No. 218 of Jixi Road, Hefei, 230022, China.

Article Synopsis
  • This study investigated the risk factors for early-onset patellofemoral osteoarthritis (PFOA) in patients who had anterior cruciate ligament reconstruction (ACLR) using a hamstring tendon autograft within two years post-surgery.
  • Researchers analyzed MRI data and clinical parameters from 177 patients aged 18 to 40 and a control group, finding that nearly 38% of the ACLR patients developed PFOA.
  • Key risk factors for developing early-onset PFOA included age at surgery, timing of surgery relative to injury, and various anatomical measurements like patellar tilt angle and static anterior tibial translation.
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Objective: To compare the accuracy of arthroscopy with MRI in diagnosing ramp lesions associated with anterior cruciate ligament (ACL) injuries.

Design: Prospective observational study. Material and We included 100 patients with complete ACL tear.

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Background: The literature does not clearly convey the relationship between eminential morphometry and non-contact anterior cruciate ligament (ACL) ruptures. This study attempts to reveal whether there is a relationship between non-contact ACL ruptures and eminential morphometry.

Methods: Knee magnetic resonance images (MRIs) taken for the various indications between January 2022 and June 2023 were retrospectively scanned.

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Background: Anterior cruciate ligament (ACL) reconstruction (ACLR) can be successful in restoring knee stability. However, secondary ACL injury, either through graft failure or contralateral injury, is a known complication and can significantly impact the ability of a patient to return successfully to previous activities.

Purpose: To develop and internally validate an interpretable machine learning model to quantify the risk of graft failure and contralateral ACL injury in a longitudinal cohort treated with ACLR.

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Article Synopsis
  • The study aimed to evaluate changes in knee stability after ACL reconstruction by measuring graft angles and positioning through MRI.
  • Researchers reviewed 50 cases, analyzing clinical outcomes and various angles related to tibial translation and rotation on both the operated and unoperated knees.
  • Results showed that while graft angles couldn't fully return to normal post-surgery, significant medial/lateral movement was observed on the surgical side, indicating that certain measured angles might serve as useful indicators for assessing knee stability.
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Article Synopsis
  • The study reports the first successful in-vivo use of a new low-field MRI scanner that can rotate, applying the magic angle effect to better visualize collagen structures in knee ligaments and the meniscus.
  • The researchers developed a transverse field open magnet MRI system and conducted tests on healthy volunteers, focusing on the anterior cruciate ligament (ACL) and meniscus, capturing detailed images of collagen fibers.
  • The results demonstrated that this new method produced high-quality, in-vivo images comparable to traditional MRI used on excised specimens, indicating the potential for better imaging of joint injuries and diseases in a more accessible way.
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Objectives: Despite showing encouraging outcomes, the precision of deep learning (DL) models using different convolutional neural networks (CNNs) for diagnosis remains under investigation. This systematic review aims to summarise the status of DL MRI models developed for assisting the diagnosis of a variety of knee abnormalities.

Materials And Methods: Five databases were systematically searched, employing predefined terms such as 'Knee AND 3D AND MRI AND DL'.

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Preservation of the MMPH and Status of the Notch Configurations Are Important Factors for Successful Revision ACL Reconstruction.

Clin J Sport Med

November 2024

Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, South Korea .

Objective: The aim of this study was to identify the differences in anatomical factors between the patients who underwent revision and primary anterior cruciate ligament reconstructions (ACLR) and compare the outcomes between the 2 surgeries.

Design: Retrospective cohort study.

Setting: Single institution tertiary academic center between 2014 and 2020.

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