MRI description of knee medial collateral ligament abnormalities in the absence of trauma: edema related to osteoarthritis and medial meniscal tears
Abstract A retrospective case series regarding the knees of 12 adult patients with MRI abnormalities of the medial collateral ligament (MCL), but without clinical history of trauma to the MCL, were collected and compared with six knee MR images from patients with clinical traumatic injuries to their...
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Published in | Magnetic resonance imaging Vol. 25; no. 2; pp. 209 - 214 |
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Format | Journal Article |
Language | English |
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01.02.2007
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Abstract | Abstract A retrospective case series regarding the knees of 12 adult patients with MRI abnormalities of the medial collateral ligament (MCL), but without clinical history of trauma to the MCL, were collected and compared with six knee MR images from patients with clinical traumatic injuries to their MCLs. The MR images were studied for the extent of edema of the MCL, as well as other associated findings. Edema of the MCL on MRI could be found in three distinct categories of patients: (a) those with trauma to the MCL, which was an expected finding; (b) those without trauma but with medial compartment osteoarthritis; and (c) those without trauma but with degenerative medial meniscal tears. The clinical significance, if any, of the edema found in MCLs without trauma remains unclear. Atraumatic MCL edema may serve as a marker for medial knee compartment osteoarthritis or for a degenerative medial meniscal tear and should not be confused with traumatically induced MCL injuries, although this distinction can often be difficult to make based on MRI findings alone. |
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AbstractList | Abstract A retrospective case series regarding the knees of 12 adult patients with MRI abnormalities of the medial collateral ligament (MCL), but without clinical history of trauma to the MCL, were collected and compared with six knee MR images from patients with clinical traumatic injuries to their MCLs. The MR images were studied for the extent of edema of the MCL, as well as other associated findings. Edema of the MCL on MRI could be found in three distinct categories of patients: (a) those with trauma to the MCL, which was an expected finding; (b) those without trauma but with medial compartment osteoarthritis; and (c) those without trauma but with degenerative medial meniscal tears. The clinical significance, if any, of the edema found in MCLs without trauma remains unclear. Atraumatic MCL edema may serve as a marker for medial knee compartment osteoarthritis or for a degenerative medial meniscal tear and should not be confused with traumatically induced MCL injuries, although this distinction can often be difficult to make based on MRI findings alone. A retrospective case series regarding the knees of 12 adult patients with MRI abnormalities of the medial collateral ligament (MCL), but without clinical history of trauma to the MCL, were collected and compared with six knee MR images from patients with clinical traumatic injuries to their MCLs. The MR images were studied for the extent of edema of the MCL, as well as other associated findings. Edema of the MCL on MRI could be found in three distinct categories of patients: (a) those with trauma to the MCL, which was an expected finding; (b) those without trauma but with medial compartment osteoarthritis; and (c) those without trauma but with degenerative medial meniscal tears. The clinical significance, if any, of the edema found in MCLs without trauma remains unclear. Atraumatic MCL edema may serve as a marker for medial knee compartment osteoarthritis or for a degenerative medial meniscal tear and should not be confused with traumatically induced MCL injuries, although this distinction can often be difficult to make based on MRI findings alone. |
Author | Wen, Dennis Y Kane, Steven M Rall, Kenneth L Godbee, Mitchell T Propeck, Tim |
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Cites_doi | 10.2106/00004623-200100022-00011 10.1148/radiology.178.3.1994432 10.1007/BF00223082 10.1177/03635465030310021801 10.1148/radiology.194.3.7862987 10.2214/ajr.177.4.1770911 10.1016/0720-048X(95)00660-I 10.2106/00004623-197961010-00011 10.1007/s002560100418 10.2214/ajr.170.5.9574586 |
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Keywords | Knee MRI Meniscal tear Osteoarthritis Medial collateral ligament |
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A prospective double-blind patient study publication-title: Eur J Radiol doi: 10.1016/0720-048X(95)00660-I contributor: fullname: Rasenberg – volume: 61 start-page: 56 year: 1979 ident: 10.1016/j.mri.2006.09.014_bib9 article-title: The supporting structures and layers on the medial side of the knee: an anatomical analysis publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-197961010-00011 contributor: fullname: Warren – volume: 31 start-page: 14 year: 2002 ident: 10.1016/j.mri.2006.09.014_bib8 article-title: Atraumatic medial collateral ligament oedema in medial compartment knee osteoarthritis publication-title: Skeletal Radiol doi: 10.1007/s002560100418 contributor: fullname: Bergin – volume: 37 start-page: 261 issue: 4 year: 1996 ident: 10.1016/j.mri.2006.09.014_bib12 article-title: Magnetic resonance imaging of the knee: a pattern approach for evaluating bone marrow edema publication-title: Crit Rev Diagn Imaging contributor: fullname: Yu – volume: 44 start-page: 199 year: 1993 ident: 10.1016/j.mri.2006.09.014_bib1 article-title: Tears of the medial collateral ligament: magnetic resonance imaging findings and associated injuries publication-title: Can Assoc Radiol J contributor: fullname: Garvin – volume: 170 start-page: 1207 year: 1998 ident: 10.1016/j.mri.2006.09.014_bib5 article-title: MR imaging of knees having isolated and combined ligament injuries publication-title: AJR Am J Roentgenol doi: 10.2214/ajr.170.5.9574586 contributor: fullname: Rubin |
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Snippet | Abstract A retrospective case series regarding the knees of 12 adult patients with MRI abnormalities of the medial collateral ligament (MCL), but without... A retrospective case series regarding the knees of 12 adult patients with MRI abnormalities of the medial collateral ligament (MCL), but without clinical... |
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SubjectTerms | Adult Edema - etiology Edema - pathology Female Humans Knee Injuries - pathology Knee MRI Male Medial collateral ligament Medial Collateral Ligament, Knee - pathology Meniscal tear Menisci, Tibial - pathology Middle Aged Osteoarthritis Osteoarthritis, Knee - complications Osteoarthritis, Knee - pathology Radiology Retrospective Studies |
Title | MRI description of knee medial collateral ligament abnormalities in the absence of trauma: edema related to osteoarthritis and medial meniscal tears |
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