International E-publication: Publish Projects, Dissertation, Theses, Books, Souvenir, Conference Proceeding with ISBN.  International E-Bulletin: Information/News regarding: Academics and Research

The Role of Magnetic Resonance Imaging in the Knee Joint Injuries

Author Affiliations

  • 1 Department of Radiology Techniques, Health and Medical Technology Baghdad, IRAQ

Int. Res. J. Medical Sci., Volume 1, Issue (5), Pages 1-7, June,28 (2013)


Many surgeons tend to believe that MRI is an accurate, non invasive diagnostic method, enough to lead to decisions for conservative treatment and save a patient from unnecessary arthroscopy. We conducted a retrospective study to investigate the accuracy of the MRI of the knee for the detection of injuries of the meniscus, cruciate ligaments and articular cartilage, in comparison with the preoperative clinical examination and intraoperative findings. during the period from September 2009 to April 2010 Fifty patients (50 knees) were examined, 39 patients males and 11 patients females their ages ranging from (19-79) years, presented with various knee joint problems, and were referred from Orthopedic and Rheumatology Departments in AL-Shaheed Gassy AL-Hariri Hospital and Nero Surgical Hospital, after physical and clinical examination were diagnosed with meniscal or cruciate injury and underwent definitive treatment. The diagnostic performance of the initial clinical examination was also calculated for the meniscal and cruciate ligament injuries. MRI is a very good imaging modality since it is non invasive, free of ionizing radiation, direct multiplanar and can identify most of the knee pathologies.


  1. Fischer SP, Fox JM, Del Pizzo W, Friedman MJ, Snyder SJ, Ferkel RD: Accuracy of diagnoses from magnetic resonance imaging of the knee, A multi-center analysis of one thousand and fourteen patients, J. Bone Joint Surg Am, 73(1) 2-10 (1991)
  2. Sherman O.H., Fox J.M., Snyder S.J., Del Pizzo W., Friedman M.J., Ferkel R.D., Lawley M.J., Arthroscopy--"no-problem surgery", An analysis of complications in two thousand six hundred and forty cases, J Bone Joint Surg Am, 68(2), 256-265 (1986)
  3. Lee J.K., Yao L., Phelps C.T., Wirth C.R., Czajka J. and Lozman J., Anterior cruciate ligament tears: MR imaging compared with arthroscopy and clinical tests, Radiology, 166(3), 861-864 (1988)
  4. Gelb H.J., Glasgow S.G., Sapega A.A. and Torg J.S., Magnetic resonance imaging of knee disorders, Clinical value and cost-effectiveness in a sports medicine practice, Am J Sports Med., 24(1), 99-103 (1996)
  5. Benjaminse A, Gokeler A, van der Schans CP. Clinical diagnosis of an anterior cruciate ligament rupture: a meta-analysis, J Orthop Sports Phys Ther., 36, 267288 (2006)
  6. Richer MA, Hartzman S, Bassett L.W et al. MR imaging of the knee part I.T. raumatic disorders, Radiology, 162, 547-551 (1987)
  7. Uppal A., Disler D.G. and Short W.B. et al., Internal derangements of the knee: Rates in patients referred by physicians who are not orthopedic surgeon, Radiology, 207, 633-636 (1998)
  8. Yulish B.S., Motaney J. and Good fellow D.B., et al. chondromalacia patellae: assessment with MR imaging, Radiology, 164, 763-766 (1987)
  9. Rose P.M., Demlow T.A. and Szumowski J., et al. chonderomalacia patellae: fat suppression MR imaging, Radiology, 193, 437-440 (1994)
  10. Mink J.H., Levy T. and Crues J.V., tears of the anterior cruciate ligament and menisci of the knee: MR imaging evaluation, Radiology, 167, 767-774 (1988)
  11. Lee J.K., Yao L. and Phelps C.T. et al., Anterior cruciate ligament tears, Radiology, 166, 861-864 (1988)
  12. Stoller D.W., Martin C. and Crues J.V. et al., Meniscal tears: Pathological correlation with MR imaging, Radiology, 163, 731-735 (1987)
  13. Kaplan P.A., Nelson N.L., Garvin K.L., et al., MR of the knee: The significance of high signal in the meniscus that does not clearly extend to the surface, AJR, 156, 333-336 (1991)
  14. Cheurg L.P., LI KCP and Hollett M.D., Meniscal tears of the knee: Accuracy of detection with fast spin-echo MR imaging and arthroscopic correlation in 293 patients, Radiology, 203, 508-512 (1997)
  15. McCauley T.R., Moses M. and Kier R. et al., MR diagnosis of anterior cruciate ligament of the knee: Importance of ancillary finding, AJR, 162, 115-119 (1994)
  16. Schweitzer M.E., Tran D. and Deely D.M. et al., Medial collateral ligament injuries: Evaluation of multiple signs, prevalence and location of associated bone bruises, and assessment with MR imaging, Radiology, 194, 825-829 (1995)
  17. Chan W.P., Peterfy C., Fritz R.C. et al., MR diagnosis of complete tears of anterior cruciate ligament of the knee: importance of anterior subluxation of the tibia, AJR, 162, 355-360 (1994)
  18. Remer E.M., Fitzgerald S.W. and Friedman H, et al., anterior cruciate ligament injury, MR imaging diagnosis: and patterns of injury, Radiographic, 12, 901-915 (1992)
  19. Maurer E.J., Kaplan P.A., Dusssault R.G. et al., Actually injured knee: Effect of MR imaging on diagnostic and therapeutic decisions, Radiology, 204, 799-805 (1997)
  20. Robertson P., Schweitzer M. and Bartolozzi A. et al., Anterior cruciate ligament tears: Evaluation of multiple signs with MR imaging, Radiology, 193, 829-834 (1994)
  21. Heron C.W. and Calvert P.T., Three-dimensional gradient-echo MR imaging of the knee: comparison with arthroscopy in 100 patients, Radiology, 183, 839844 (1992)
  22. Grover J.S., Bassett L.W. and Gross M.L. et al., Posterior cruciate ligament: MR imaging, Radiology, 174, 527- 530 (1990)
  23. Sammak B., Abd El Bagi M. et al., Ostemyelitis: a review of currently used imaging techniques, European Radiology, 9, 894-900 (1999)
  24. Mackenzie R., Dixon A.K., Keene G.S., Hollingworth W., Lomas D.J. and Villar R.N., Magnetic resonance imaging of the knee: assessment of effectiveness, Clin Radiol., 51, 245250 (1996)