THE CONTRIBUATION OF 1.5-TEALA MRI TO THE DIAGNOSIS OF KNEE CRUCIATE LIGAMENT LESION AT HAI PHONG INTERNATIONAL HOSPITAL

Hoàng Đức Hạ1,2,, Nguyễn Thị Thắm2, Vương Đức Nam1
1 Haiphong University of Medicine and Pharmacy
2 Hai Phong International General Hospital

Main Article Content

Abstract

Objectives: This study aims to describe the imaging characteristics and evaluate the value of magnetic resonance in diagnosing injury to the knee cruciate ligament due to trauma. Subjects and methods: descriptive method for a case series, including 105 patients with cruciate ligament injury undergoing MRI and knee arthroscopy from January 2021 to January 2022 at the Haiphong International Hospital. Results: Cruciate ligament injury of the knee was common at the age of 20-40 years, mainly in men, the frequency was not significantly different between the two knees, the anterior cruciate ligament (ACL) injury was common rather than the posterior cruciate ligament (PCL). Common signs of direct ACL injury were contusion - edema (accounting for 86.5%) with increased signal intensity on PD pulse 89.4%, knee effusion (accounting for 75.2%), bone marrow edema (accounting for: up 60%). The most common sites of ACL lesions were proximal (45.2%) and middle third (35.6%) and complete break (85.7%). The value of MRI in diagnosing ACL lesions had 99% sensitivity, 100% specificity, partial rupture had a sensitivity of 88.9%, and complete rupture of 95.8%. Conclusion: Magnetic Resonance Imaging was highly valuable in the diagnosis of knee cruciate ligament injury.

Article Details

References

1. Alex Ng WH, Griffith JF, Yee Hung EH, et al. (2011). Imaging of the anterior cruciate ligament. World J Orthop.;2(8):75-84.
2. Beischer, S., et al. (2018). Young athletes return too early to knee-strenuous sport, without acceptable knee function after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc;26(7):1966-1974.
3. Hassebrock JD, Gulbrandsen MT, Asprey WL, et al. (2020). Knee Ligament Anatomy and Biomechanics. Sports Med Arthrosc Rev. 2020 Sep;28(3):80-86.
4. Kaeding CC, Léger-St-Jean B, Magnussen RA (2017). Epidemiology and Diagnosis of Anterior Cruciate Ligament Injuries. Clin Sports Med. 2017 Jan;36(1):1-8.
5. Mansour R, Yoong P, McKean D, et al. (2014). The iliotibial band in acute knee trauma: patterns of injury on MR imaging. Skeletal Radiology volume 43: 1369–1375
6. Naraghi A, White LM (2014). MR Imaging of Cruciate Ligaments. Magn Reson Imaging Clin N Am.;22(4):557-80.
7. Owesen C, Sandven-Thrane S, Lind M, et al. (2017). Epidemiology of surgically treated posterior cruciate ligament injuries in Scandinavia. 25(8):2384-2391.
8. Sheila A Dugan (2005). Sports-related knee injuries in female athletes: what gives?. Am J Phys Med Rehabil.;84(2):122-30.