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Case Studies | Radiology and Medical Imaging Sciences | India | Volume 13 Issue 10, October 2024 | Rating: 5.4 / 10
Role of MR Imaging in Evaluation of Knee Pain in Our Tertiary Care Center
Dr Sandeep
Abstract: Background: Knee pain is a common condition affecting patients across all age groups and can arise from various causes. MRI of the knee is a frequently used diagnostic tool for identifying and assessing both acute and chronic injuries involving internal structures of the knee. It plays a key role in diagnosing and managing meniscal, ligamentous, cartilaginous, and synovial abnormalities. This article provides an overview of current clinical practices for MRI interpretation in evaluating these common knee disorders. Aims: The primary aim of this observational study is to assess the effectiveness of MRI in diagnosing internal knee derangements in patients presenting with knee pain. The study focuses on identifying common injuries such as meniscal tears, ligament sprains, and cartilage abnormalities, and evaluates the role of MRI in guiding subsequent management and treatment decisions. Methods: Patients with knee pain referred for MRI were scanned using a Siemens Magnetom Sempra 1.5 Tesla system with dedicated knee coils. Standardized knee protocols, including sagittal, coronal, and axial sequences, were used to obtain images of the menisci, ligaments, tendons, and cartilage. Detailed MRI findings were documented, focusing on abnormalities such as meniscal tears, ligament injuries (ACL, PCL, MCL, LCL), and cartilage damage. Results: The MRI findings revealed a variety of internal knee derangements, with meniscal tears and ACL injuries being the most common. Several patients demonstrated degenerative changes consistent with osteoarthritis, while others exhibited trauma-related injuries such as ligament sprains and cartilage defects. MRI proved crucial in detecting these abnormalities, which were often not visible on initial X-rays. Conclusion: MRI is a highly valuable diagnostic tool for assessing internal knee derangements in patients with knee pain. It provides superior visualization of soft tissue structures compared to other imaging modalities, aiding in the accurate diagnosis and management of knee injuries. The findings of this study emphasize the importance of MRI in the diagnostic process and its role in improving patient outcomes.
Keywords: MRI, Menisci tear, ligament, ACL, PCL, MCL, LCL
Edition: Volume 13 Issue 10, October 2024,
Pages: 1150 - 1163