Correlation of Magnetic Resonance Imaging Findings with the Chronicity of an Anterior Cruciate Ligament Tear

Jong Pil Yoon; Chong Bum Chang; Jae Ho Yoo; Sung Ju Kim; Ja Young Choi; Jung-Ah Choi; Sang Cheol Seong; Tae Kyun Kim
February 2010
Journal of Bone & Joint Surgery, American Volume;Feb2010, Vol. 92-A Issue 2, p353
Academic Journal
Background: Although several findings on magnetic resonance imaging have been demonstrated after anterior cruciate ligament injury, sequential changes on magnetic resonance imaging have not been comprehensively studied. We undertook to correlate four specific findings on magnetic resonance imaging of an anterior cruciate ligament injury over time. Methods: One hundred and forty-five patients with a complete tear of the anterior cruciate ligament confirmed by arthroscopy were divided, according to the time from the injury to the acquisition of the magnetic resonance image, into four groups: acute (within six weeks), subacute (more than six weeks to three months), intermediate (more than three months to one year), and chronic (more than one year). Four findings (anterior cruciate ligament morphology, joint effusion, posterior cruciate ligament angle, and bone bruise) were evaluated for each study group. Results: Strong correlations were found between the magnetic resonance imaging findings and the chronicity of the anterior cruciate ligament tear. Anterior cruciate morphology showed sequential changes with time (p < 0.001). Joint effusion decreased with time, with a significant difference occurring between the acute and subacute groups at six weeks (p < 0.001). The posterior cruciate ligament angle decreased gradually over time (p < 0.001). Finally, the signal contrast of bone-bruising decreased with time, with a significant change occurring after three months (p = 0.049). Conclusions: Our study confirmed that these four magnetic resonance imaging variables are closely correlated with the chronicity of an anterior cruciate ligament tear, and estimation of the chronicity of the tear can be facilitated by an integrative interpretation of these findings.


Related Articles

  • Partial tears of the anterior cruciate ligament: diagnostic performance of Isotropic 3D-FSE-Cube MRI. Herman, S.; Lefevre, N.; Bohu, Y.; Naouri, J. F.; Klouche, S. // Muscles, Ligaments & Tendons Journal (MLTJ);2012 Supplement, p4 

    Introduction: diagnosing partial tears is difficult and is based on a combination of test results. The accuracy of conventional 2D-MRI in diagnosing partial tears is low. Isotropic three-dimensional Fast Spin-Echo (3D-FSE-Cube) MRI is a new sequence with infra-millimeter accuracy which allow to...

  • DIAGNOSTIC ASSESSMENT IN ANTERIOR CRUCIATE LIGAMENT (ACL) TEARS. Kostov, Hristijan; Arsovski, Oliver; Kostova, Elena; Nikolov, Vladimir // Prilozi;2014, Vol. 35 Issue 1, p209 

    The aim of this study was to compare findings from clinical examinations, MRI scans and arthroscopy in ACL injury of the knee in order to assess the diagnostic significance of both examination findings. This study was conducted to manage the reliability of clinical diagnosis in ACL tear...

  • Accuracy of MRI in the diagnosis of meniscal tears in patients with chronic ACL tears. Sharifah, M.; Lee, C.; Suraya, A.; Johan, A.; Syed, A.; Tan, S. // Knee Surgery, Sports Traumatology, Arthroscopy;Mar2015, Vol. 23 Issue 3, p826 

    Purpose: This study was conducted to evaluate the accuracy of magnetic resonance imaging (MRI) in diagnosing meniscal tears in patients with anterior cruciate ligament (ACL) tears and to determine the frequency of missed meniscal tears on MRI. Methods: This prospective comparative study was...

  • MRI diagnosis of ACL bundle tears: value of oblique axial imaging. Ng, Alex; Griffith, James; Hung, Esther; Law, Kan; Yung, Patrick // Skeletal Radiology;Feb2013, Vol. 42 Issue 2, p209 

    Objective: To investigate the diagnostic accuracy of oblique axial intermediate weighting MR imaging in detecting partial thickness anterior cruciate ligament (ACL) bundle tears. Materials and methods: The study protocol was approved by the institutional ethics committee. Sixty-one subjects (43...

  • Diagnostic accuracy of Magnetic Resonance Imaging in assessment of Meniscal and ACL tear: Correlation with arthroscopy. Yaqoob, Jamal; Alam, Muhammad Shahbaz; Khalid, Nadeem // Pakistan Journal of Medical Sciences;Mar/Apr2015, Vol. 31 Issue 2, p263 

    Objective: To determine the diagnostic accuracy of magnetic resonance imaging (MRI) in injuries related to anterior cruciate ligament and menisci and compare its effectiveness with that of arthroscopy. Methods: This retrospective cross-sectional study was conducted in the department of Radiology...

  • Relationship between bone bruise volume and the presence of meniscal tears in acute anterior cruciate ligament rupture. Illingworth, Kenneth; Hensler, Daniel; Casagranda, Bethany; Borrero, Camilo; Eck, Carola; Fu, Freddie // Knee Surgery, Sports Traumatology, Arthroscopy;Sep2014, Vol. 22 Issue 9, p2181 

    Purpose: To determine whether there is a relationship between the size of the bone bruise volume after an acute anterior cruciate ligament (ACL) rupture and the presence of meniscal tears in the medial and lateral compartment. Methods: Following Institutional Review Board approval, 50 patients...

  • Partial tears of the anterior cruciate ligament: diagnostic performance of isotropic three-dimensional fast spin echo (3D-FSE-Cube) MRI. Lefevre, N.; Naouri, J.; Bohu, Y.; Klouche, S.; Herman, S. // European Journal of Orthopaedic Surgery & Traumatology;Jan2014, Vol. 24 Issue 1, p85 

    Purpose: To compare the performance of 3D-FSE-Cube MRI to arthroscopy, the reference test for the diagnosis of partial anterior cruciate ligament (ACL) tears. Methods: A retrospective study was performed including all patients who underwent surgery for an ACL tear in our Sports Surgery Unit from...

  • Meniscal tears associated with anterior cruciate ligament injury. Hagino, Tetsuo; Ochiai, Satoshi; Senga, Shinya; Yamashita, Takashi; Wako, Masanori; Ando, Takashi; Haro, Hirotaka // Archives of Orthopaedic & Trauma Surgery;Dec2015, Vol. 135 Issue 12, p1701 

    Purpose: To investigate the frequency of meniscal tear and the location of tear associated with anterior cruciate ligament (ACL) injury. Subjects and Methods: We studied 549 patients (552 knees) who were diagnosed with ACL injury by arthroscopy at our center between...

  • How useful is MRI in diagnosing isolated bundle ACL injuries? Chang, Moon; Chang, Chong; Choi, Ja-Young; Won, Ho; Kim, Tae; Chang, Moon Jong; Chang, Chong Bum; Won, Ho Hyun; Kim, Tae Kyun // Clinical Orthopaedics & Related Research;Oct2013, Vol. 471 Issue 10, p3283 

    Background: Selective bundle anterior cruciate ligament (ACL) reconstruction and/or remnant ACL preservation may be reasonable options for some patients. However, the frequency of isolated anteromedial (AM) or posterolateral (PL) bundle injuries in patients undergoing ACL...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics