Characteristics of Displaceable and Nondisplaceable Meniscal Tears at Kinematic MR Imaging of the Knee

Boxheimer, Larissa; Lutz, A.M.; Zanetti, M.; Treiber, Karl; Labler, Ludwig; Marinček, Borut; Weishaupt, Dominik

doi:10.1148/radiol.2381041234

Cited by 43 publications

(43 citation statements)

References 26 publications

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“…In this study both sensitivity and specificity values of kinematic MRI had been found to be higher than conventional MRI examinations. In a study done by Boxheimer et al with 42 patients, deplaced meniscal tears had been better demonstrated with kinematic MRI while the knee was in flexion position (9).…”

Section: Discussionmentioning

confidence: 97%

“…The dynamic properties of normal menisci during knee joint movement have been evaluated in different studies (7,9). The menisci are mobile, and permit anteriorposterior and medial-lateral movements during flexion and extension of the knee (8).…”

Section: Discussionmentioning

confidence: 99%

“…These studies were performed with open MRI systems (0,5 T or less), and to the best of our knowledge, there isn't any study done with closed system MRI (1.5 T or more) while the knee is in flexion position. Besides, kinematic knee MRI studies are mostly done to evaluate patellofemoral joint discordance or to differentiate partial anterior cruciate ligament (ACL) rupture from total rupture, and rarely tried in meniscal lesions (7)(8)(9)(10)(11)(12)(13)(14)(15). The first kinematic MRI study to evaluate meniscal lesions and cruciate ligament lesions was done by Niitsu et al (10).…”

Section: Discussionmentioning

confidence: 99%

“…It is especially difficult to determine meniscocapsulary separation (MCS) by arthroscopy. Kinematic MRI studies have been performed in order to increase the diagnostic success of MRI (7)(8)(9)(10)(11)(12)(13)(14)(15). The evaluation of meniscal deplacement can be done by kinematic MRI in the presence of meniscal tears.…”

Section: Introductionmentioning

confidence: 99%

“…A distance of 5 mm or more between posterior horn of medial meniscus and the peripheral margin of tibial articular cartillage is accepted as a sign of MCS. From this point of view, Boxheimer et al (9) have reported in a kinematic MRI study that deplacements and fragments of meniscal tears are best visualised on examinations with knee in flexion position rather than in neutral position.…”

Section: Introductionmentioning

confidence: 99%

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The Value of Flexion MRI Acquisition in Detection of Meniscal Tears

et al. 2010

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Value of Flexion MRI Acquisition in Detection of Meniscal Tears

et al. 2010

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What Comes First? Multitissue Involvement Leading to Radiographic Osteoarthritis: Magnetic Resonance Imaging–Based Trajectory Analysis Over Four Years in the Osteoarthritis Initiative

Roemer

Kwoh

Hannon

et al. 2015

Arthritis & Rheumatology

158

127

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Background To assess whether presence of structural osteoarthritis features over up to 4 years prior incident radiographic (ROA) increases risk for ROA in a nested, case-control design. Methods 355 knees from the Osteoarthritis Initiative cohort that developed ROA before the 48-month visit were studied. They were matched one-to-one by gender, age and radiographic status with a control knee. MR images were read for bone marrow lesions (BMLs), cartilage, meniscus (including tears and extrusion), Hoffa- and effusion-synovitis. Conditional logistic regression was applied to assess risk of ROA in regard to presence of BMLs (≥2), cartilage lesions (≥1.1), meniscal damage (any) and extrusion (≥3 mm), Hoffa- and effusion-synovitis (any). Time points were defined as P0 = incident ROA visit; P-1 = visit prior reported incidence; P-2 = two visits prior etc. Results The presence of Hoffa-synovitis (OR 1.76, 95% CI [1.18,2.64]), effusion-synovitis (OR 1.81, 95% CI [1.18,2.78]), and medial meniscal damage (OR 1.83 95% CI [1.17,2.89]) at P-2 predicted ROA incidence. At P-1, all features but meniscal extrusion predicted ROA, with highest odds for medial BMLs (OR 6.50 95% CI [2.27,18.62]) and effusion-synovitis (OR 2.50 95% CI [1.76,3.54]). The findings at P-3 and P-4 did not reach statistical significance. Conclusion Presence of specific structural features of MRI-detected joint damage two years prior incident ROA increases the risk of incident ROA. However, one year prior ROA, the presence of almost any abnormal morphologic feature increases risk of ROA in the subsequent year.

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