Anterior cruciate ligament injury: MR imaging diagnosis and patterns of injury.

E. M. Remer*, S. W. Fitzgerald, H. Friedman, L. F. Rogers, R. W. Hendrix, M. F. Schafer

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

102 Scopus citations

Abstract

The anterior cruciate ligament (ACL) is an important stabilizer of knee motion. Injury of the ACL can lead to substantial disability; an accurate diagnosis of ACL injury is vital in both short-term and long-term patient care. Magnetic resonance (MR) imaging has emerged as the study of choice to evaluate the status of the ACL and other associated structures in the knee. Sagittal MR images have been commonly used in the evaluation of the ACL. However, the authors believe that coronal and axial imaging planes can add useful information about ACL injury and, thus, lead to improved accuracy and confidence regarding diagnosis. Multiplanar imaging can readily demonstrate meniscal, ligamentous, and bone marrow injuries that commonly occur with the most frequent mechanisms of ACL injury. These mechanisms, in order of frequency, include internal rotation and valgus stress, hyperextension, and varus stress with external rotation. An understanding of these mechanisms is helpful in the MR diagnosis of ACL injury.

Original languageEnglish (US)
Pages (from-to)901-915
Number of pages15
JournalRadiographics : a review publication of the Radiological Society of North America, Inc
Volume12
Issue number5
DOIs
StatePublished - Sep 1992

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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