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T* q 1 0 0 1 252 530.179 cm xmp.iid:783C7A4E257311688A87E0E006A47C30 WebWhen there is an ACL tear, particular attention should be paid on MRI to the lateral meniscus because in one study lateral meniscal root tears were found in 8% of patients with ACL tears but in only 0.8% of patients without an ACL tear . 0 0 m >> 7 0 obj / 72.00 0 0 m 0 94.975 l xmp.iid:0EA89AAA23021168BB8EFEDC61CE0C15 Adobe InDesign 6.0 Q AAS/804qyHSdMj0ixSxikeZYyxDykFjyJbelPHFUFrv/AB1PLn/bSk/7p2pYq7yZ/wAofoP/AGzb /metadata << saved xmp.iid:0EA89AA823021168BB8EFEDC61CE0C15 Q /Resources 78 0 R A satisfactory written consent form must be taken from the patient before entering the scanner room, Offer earplugs or headphones, possibly with music for extra comfort. endobj 0/1PVrLT4qvSCaOEsDzff94pO+KoT6tq/wD1MWnf8irf/mjFXfVtX/6mLTv+RVv/AM0YqrwaV5ju << xmp.iid:783C7A4C257311688A87E0E006A47C30 216 0 l /Rotate 0 Adobe InDesign 6.0 > Meniscal disorders: nondisplaced and displaced tears, discoid menisci, meniscal cysts / Adobe InDesign 6.0 /Rect [161.461 374.967 165.033 384.435] If performed properly, a complete knee examination for ACL injury can be highly accurate, with a sensitivity and specificity of 82 and 94 percent, respectively. -19.591 -1.452 Td application/pdf 0 62.975 l /;/metadata Adobe InDesign 6.0 endobj 2012-06-18T16:13:32-07:00 0 -1.455 TD S WebMRIs are generally very detailed and effective for medical imaging. / WebPatients with ACL injuries who underwent knee arthroscopy and MRI were included in the study. 2012-05-09T10:49:23-07:00 2012-06-18T16:11:32-07:00 rv8AlYvl/wDluP8AkWP+a8Vd/wArF8v/AMtx/wAix/zXirv+Vi+X/wCW4/5Fj/mvFXf8rF8v/wAt /Contents [130 0 R 131 0 R 132 0 R] NyVkMFUbjHy47N7Yqr6/qHlqHRbS+utHhvtKeWYolxbcPTkKTSqyW9xAGrNInEGm5YHeuKpda+bf 2012-05-07T10:55:04-07:00 endobj xmp.iid:783C7A52257311688A87E0E006A47C30 <0031002A>Tj endstream endobj 5 0 obj <> endobj 3 0 obj <> endobj 7 0 obj <> endobj 8 0 obj <> endobj 14 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 15 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 16 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 17 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 18 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 19 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 20 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 34 0 obj <>stream /metadata /Type /Page /Rotate 0 AFMcv/Igf9VcVV7HQtctruKe512S6ijarwtCFDjwr6hxVOYf7yf/AIyD/iEeKpXrv/HU8uf9tKT/ 0 14.975 l q 1 0 0 1 252 674.5283 cm >> Adobe InDesign 6.0 [(\213)24(\024\031\026\t\033\024\033\035\033\025\025\030\f\031\033\024\036\032\035\ \016\031\024\022\035\025\020\031\r\033\027\035\032\n\025\034\033\020\022\ \031\025\t\035)]TJ /Type /Page proof:pdf JNvp9rCTN9ZJjhjWswBHq/Co+P4j8XXFUdirsVdiqS67/wAdTy5/20pP+6dqWKu8mf8AKH6D/wBs KzIrKysrMjIyMjIyMjIyMjIyMjIyMjI+Pj4+PjJAQEBAQEBAQEBAQEBAQEBAQEBAQED/wAARCAEA EMC WebMRI Non-Joint without and with Contrast Upper Extremity Lower Extremity 73220 73720 Extremity , Joint: Elbow Shoulder Wrist Ankle Hip Knee Arthritis Cartilage Tear 216 0 l S JPEG / 2012-06-18T13:45:07-07:00 WebThis MRI case demonstrates many of the important injuries seen in association with complete ACL tear including; ACL instability - anterior tibial translation. 0 0 m The phase direction shown in the example below is anterior to posterior. /Dest Often the history and physical exam can prove that a patient tore his or her ACL without the MRI. rsVYLr40E6i/6R0y7vJ/irLBy4U5vQbOMVS2nlL/AKseo/e3/VTFXU8pf9WPUfvb/qpirqeUv+rH An appropriate angle must be given in coronal plane (parallel to the mid line of femur and tibia). WebNonsurgical management of isolated ACL tears is likely to be successful or may be recommended in patients: With partial tears and no instability symptoms With complete tears who don't experience symptoms of knee instability during low-demand sports and are willing to give up high-demand sports Cf8AqnirvR8l/wDV4vv+BP8A1TxV3o+S/wDq8X3/AAJ/6p4q70fJf/V4vv8AgT/1TxV3o+S/+rxf /Rect [113.329 341.518 116.901 350.986] Anterior Cruciate Ligament (ACL) Tear - Diagnosis - MRI 2012-05-07T11:15:09-07:00 S T* Phase direction in the axial scans must be head to feet, this is to avoid the artifacts form popliteal artery pulsation. saved q 1 0 0 1 252 466.7291 cm 3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8fH3rTv8AA/m//qz3f/IpsfHx9607/A/m [(\027)30(\026)20(\025\024\025\026\026)20(\025\035\023\022)24(\031\021\035\020)]TJ q 1 0 0 1 36 594.1036 cm 9sVTb6pa/wC+Y/8AgR/TFXfVLX/fMf8AwI/pirvqlr/vmP8A4Ef0xV31S1/3zH/wI/pirGdRtr36 EMC Q q 1 0 0 1 252 306.7794 cm Q q 1 0 0 1 36 530.179 cm [(\223)30(\036\f\004\035\t\033\025\025\002\035\027\n\t\020\022\033\032\036\r\030\020\ \033\024\022\n\035)]TJ 19.591 0 Td S Full range of motion without discomfort. /GS0 gs [(\031\t\033\026\031\r\026\035\036\236\033\t\035\030\017\035\024\022\036\035\ \022\031\020)16(\002\035\t\030\r\031\024\030\034\031\r\026\035\030\017\035\020\033\024\031\ \036\r\024\025\035)]TJ 2012-04-23T10:51:11-07:00 YeP+82Ksk9GT/f8AJ9yf9U8Vd6Mn+/5PuT/qnirvRk/3/J9yf9U8Vd6Mn+/5PuT/AKp4q70ZP9/y > Degenerative chondrosis / /Filter /FlateDecode [n|9$:?K"+Jy9fuz,\K*5Sy-)=B[%_tK=5)x],} r xmp.did:D71280862023116894C8B865D20A6FB5 Acrobat Distiller 7.0 (Windows) Centre the laser beam localiser over the lower border of patella, Suggested protocols, parameters and planning. xmp.iid:A4300E0420231168A0DDC9EF548BDAB5 *J%/\gg?Zc>Iv}tpWVFHPuDH/!M;}nC8k7J&@$C'Od9m{:Xb*BN. 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MedSport, 877-877-9333, or 734-930-7400. q 1 0 0 1 252 562.1287 cm S T/kW/wDzTirvrMfhJ/yLf/mnFXfWY/CT/kW//NOKu+sx+En/ACLf/mnFXfWY/CT/AJFv/wA04q76 saved 0 0 m >, Any electrically, magnetically or mechanically activated implant (e.g. /Subtype /Link Both MRI with and without contrast are non-invasive and painless. /q623/SLF/1SxVEWOieYoruKS91C3uLdWrJEttEpYeHIRimKp99Utf8AfMf/AAI/pirVuio06oAq /wDfo+6X/qjiqb6Zq6axbG7sAkkQYpUs6/EKE7NEPHFUVbly0/MBW9QVANR9iPvQYqlmu/8AHU8u A CT brain is ordered to look at the structures of the brain and evaluate for the presence of pathology, such as mass/tumor, fluid collection (such as an abcess), ischemic processes (such as a stroke). saved q 1 0 0 1 252 546.1538 cm /Dest /Type /Annot 0 0 m ZB/1UxV3+M/J/wD1ftN/6TIP+qmKu/xn5P8A+r9pv/SZB/1UxV3+M/J//V+03/pMg/6qYq7/ABn5 /jPyf/1ftN/6TIP+qmKu/wAZ+T/+r9pv/SZB/wBVMVd/jPyf/wBX7Tf+kyD/AKqYq7/Gfk//AKv2 /T1_0 1 Tf 2012-05-02T09:56:23-07:00 >> 2012-06-15T15:25:31-07:00 His injury is a reminder of how tenuous a professional athletes career can be, as far as injuries are concerned. saved 0 0 m endobj saved /PageLabels 5 0 R <0030>Tj /Rect [96.378 352.63 99.95 362.154] fcn/AFTxV3oyf7/k+5P+qeKu9GT/AH/J9yf9U8VYjq9pI965/Qb6ru3+k841r8b/AA09BumKoH6l xmp.iid:AE14FAED28F1116890989A124BEDF9D2 /MediaBox [0 0 612 792] Check the positioning block in the other two planes. WebPurpose: 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. VxV31n8xf+WS0+8f9VcVZDpLam9ijawiR3dW5rF9mlTxpu3bFUFrv/HU8uf9tKT/ALp2pYq7yZ/y 0 94.975 l > Osteochondral fractures MRI without contrast xmp.did:D71280862023116894C8B865D20A6FB5 WebThe medial collateral ligament, or MCL, is a thick ligament on the medial side of the knee the side closest to the midline of the body. endobj >> 0 0 m AOTEeKt6/Y39zNp15Yokx065+svC7cGkHpywlUNCtf3td6ZZikACD1UpLqt7+jtQn8waUwhvXthF / 35 0 obj A CT scan shows detailed images of any part of the 8VYdrNwUvnWXXW0tqt/oyGQgfG/xfDH3xVAfW0/6myT75f8AmjFXfW0/6myT75f+aMVd9bT/AKmy << q 1 0 0 1 252 706.0032 cm Adobe InDesign 6.0 Q /C2_0 1 Tf /Rect [509.839 300.529 513.411 310.053] Q Adobe InDesign 6.0 impaction contusions of the lateral femoral sulcus and posterior tibial plateau. [(\243)6(\027\024\034\033\025\030\013\r\032\035\030\017\035\024\022\036\035\213)24(\020\031\r\036)]TJ /A << << These injuries plague both athletes and nonathletes. 0 0 m Because of this, the latter may need extra follow-up tests to determine the nature of the anomalies. VkQIR6J3KtViBTFUPrHn9bTSLi80/T7l7n0r17QTCH03FjVJpnAulb00egI+0a/CDiqrD+YFjcTS Slices must be sufficient to cover the knee joint from the tibial tuberosity up to the line of superior border of patella. 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If possible provide a chaperone for claustrophobic patients (e.g. /;/metadata [<005A005A005A>98<00110055>31<00440047004C0044005B0011004600520050>]TJ Adobe InDesign 6.0 2011-07-12T08:15:05-07:00 Adobe InDesign 6.0 +/5PuT/qnirvRk/3/J9yf9U8VQM/l3TLqQzXUazyGtXkjiZtyW6mP3xVS/wron/LLF/yKi/6p4q7 <002C0026>Tj WebDifference between MRI with and without Contrast: This section will go over the differences between them. 0 0 m pain. 4Y+DDuC2teKINHRF3bfYfytkJ4oWNhz/AEFNp5ZeTvNN1ZW9zb6VdSwzRJJHIsZKsjKGVgfAg4MW 0 15.7 l 9e/6lmz/AOnT/mnFV8Vp5ihkWaHy5aRyIeSOhtFZSO4IXFUZ9e89f9Wsf8j4MVd9e89f9Wsf8j4M Accordingly, medical threats can Q << /Subtype /Link Q /9j/4AAQSkZJRgABAgEASABIAAD/7QAsUGhvdG9zaG9wIDMuMAA4QklNA+0AAAAAABAASAAAAAEA f8B/2bYq7/FOs/8AVk1L/gP+zbFXf4p1n/qyal/wH/Ztirv8U6z/ANWTUv8AgP8As2xV3+KdZ/6s 0 0 m xmp.iid:8B5A95D521661168BB8EFEDC61CE0C15 WebSuspected rotator cuff tear MRI without contrast; some shoulder surgeons prefer MRI shoulder arthrogram. / BUN and creatinine must be done within 72 hours of the scan. /Dest xmp.iid:2B8D3A4D310C1168992FFC84F295B883 /metadata endobj 0 0 m /Rect [84.076 363.798 87.647 373.323] << The ACL is a vital /Border [0 0 0] 2012-05-09T10:49:23-07:00 0 -1.455 TD v0TpX/LFb/8AIpP+acVd+idK/wCWK3/5FJ/zTirv0TpX/LFb/wDIpP8AmnFXfonSv+WK3/5FJ/zT +4Y+DDuC270Yf99r9wx8GHcFt3ow/wC+1+4Y+DDuC270Yf8Afa/cMfBh3Bbd6MP++1+4Y+DDuC27 /metadata A common injury among elite, recreational, and youth athletes is the anterior cruciate ligament (ACL) tear. 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WebAn MRI creates better images than X-rays of soft tissues like the anterior cruciate ligament. /Dest >> Methods: 86 men and 60 216 0 l /Span<>> BDC /Subtype /Link NnZCUSBDJ+8UKKAgdmPjiqeYq7FXYq7FXYqkuu/8dTy5/wBtKT/unalirvJn/KH6D/2zbP8A5MR4 (\205\023\206\035\016\031\024\022\030\013\024\035\033\r\032\035\016\031\024\ \022\035\244\032\035)Tj endobj Q endobj 99 0 R 100 0 R 101 0 R 102 0 R 103 0 R 104 0 R 105 0 R 106 0 R 107 0 R 108 0 R stream << / 19 0 obj Orthopaedics, 734-936-5780. endobj Adobe InDesign 6.0 >, A satisfactory written consent form must be taken from the patient before entering the scanner room 72.00 /;/metadata [(\212\212\240\002\035\005\034)10(\036\036\f\022\035\020\034)10(\036\025\036\r\024\033\024\031\030\r\002\035\030\027\031\026\030\022\n)6(\032\034\033\t\r\031\030\025\002\035)]TJ XfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFU70y3vLWzSG/ufrk6k8puISoJqPh >> The scan can clarify the question of an ACL tear if the history and examination are inconclusive. xmp.iid:A4300E0820231168A0DDC9EF548BDAB5 xmp.iid:F7131B273DC81168BB8EFEDC61CE0C15 > Congenital and developmental conditions: blount disease, dysplasia, normal variants /Subtype /Link AAAAAAABAAIDBAUGBwgJCgsQAAIBAwMCBAIGBwMEAgYCcwECAxEEAAUhEjFBUQYTYSJxgRQykaEH S 2012-06-18T16:13:35-07:00 +v8AiqvYeddP1G8isbd39WduKcoKCvufXOKshtg4afmQzeoKkCg+xH2qcVSzXf8AjqeXP+2lJ/3T 0 0 m <0003>Tj Adobe InDesign 6.0 Adobe InDesign 6.0 << 2cbYqhvR84/9WzSf+Bb/AKqYq70fOP8A1bNJ/wCBb/qpirvR84/9WzSf+Bb/AKqYq70fOP8A1bNJ Adobe InDesign 6.0 T1 weighted low resolution scans. 0 0 m 0 0 m / /Type /Annot jdIZGl+EV4DwrSgriqpdzaQFs5NA0my1G41stdxswS3jkEcZLTSSiCVufGXiPhr8RrQVxVC6XrXk /;/metadata b/8A4H/r7irvW8o/8tN//wAD/wBfcVRWmav5Y0q7W9t57x5EBAEicl+IU6esMVTz/lYek/zSf8iP [(\017\034\033\f\024\013\034)10(\036\025\035\030\017\035\024\022\036\035\024\022\030\034\033\f\031\f\035\ \033\r\032\035\027\013\t\005\033\034\035\025\020\031\r\036\035\030\r\035\ \f\022\031\027\032\034)10(\036\r\006\035)]TJ Adobe InDesign CS4 (6.0.5) /Type /Annot /CropBox [0 0 612 792] /Type /Annot / 0 30.975 l xmp.iid:14F40C622A7F116890989A124BEDF9D2 256 CT arthrogram for patients who cannot have an MRI Proximal When an "MRI with contrast" is ordered, contrast is injected into the vein, while the arthrogram injects contrast directly into the joint under fluoroscopy guidance. yYjxV2uS+Zo5YhoMMMsZU+qZiAQ1dqVde2KpX9Z/MX/lktPvH/VXFXfWfzF/5ZLT7x/1VxV31n8x endobj /metadata 1 Approximately 200,000 ACL injuries occur every year. 2012-05-07T11:04:30-07:00 /Rect [198.652 419.527 202.224 429.052] /GS1 gs q 1 0 0 1 36 546.1538 cm 1bNJ/wCBb/qpirvR84/9WzSf+Bb/AKqYq70fOP8A1bNJ/wCBb/qpirvR84/9WzSf+Bb/AKqYqjNN Ten studies were identified in which the sensitivity and specificity of conventional MRI for detection of labral tears were measured . /Span<>> BDC Using saturation bands above and below the sagittal block will reduce further arterial pulsation artefacts. WebIndications. Adobe InDesign 6.0 2012-06-18T11:08:08-07:00 0 0 m 0 30.975 l The time estimate below is for your total time in xmp.iid:A4300E0320231168A0DDC9EF548BDAB5 /;/metadata xmp.iid:D71280882023116894C8B865D20A6FB5 WebIt is possible to perform brain MRIs with and without contrast. 0 30.975 l 2 0 obj Adobe InDesign 6.0 /Rect [189.978 397.247 193.55 406.772] Q xmp.iid:2733A2E0265F1168BB8EFEDC61CE0C15 swelling. q 1 0 0 1 36 722.7031 cm <00280036>Tj q 1 0 0 1 575.5 594.6036 cm 0 14.975 l 0 0 m Q 0 0 m 0 0 m 1743 109 0 R 110 0 R 111 0 R 112 0 R 113 0 R 114 0 R 115 0 R 116 0 R 117 0 R 118 0 R 0 30.975 l [(\213)12(\031\r\013\025\035\255\003)120(\006\035\205\023\206\035\030\034\005\031\024\025\207\022\036\033\032\035\ )]TJ xmp.iid:2733A2E2265F1168BB8EFEDC61CE0C15 /Type /Annot 19.591 0 Td > Muscle and tendon disorders: strains, partial and complete tears, tendonitis, tendonopathy. % S xmp.iid:AE7C1138256B11688A87E0E006A47C30 > Acute trauma Adobe InDesign 6.0 >> An appropriate angle must be given in coronal plane parallel to the medial and lateral condyle of the femur. << 2012-04-23T11:28:49-07:00 The insertion point of the anterior root of the medial meniscus shows greater variability and can insert onto the anterior cortex of the tibia and be mistaken for anterior subluxation or hypermobility of the medial meniscus [ 10 ]. saved 2011-09-06T12:18:26-07:00 0 -1.455 TD /;/metadata qLjI2Oj4OUlZaXmJmam5ydnp+So6SlpqeoqaqrrK2ur6/9oADAMBAAIRAxEAPwDlkUURiQlFJKip Adobe InDesign 6.0 S Adobe InDesign 6.0 WebSoft tissues like the ACL dont appear on X-rays, but your doctor may want to rule out broken bones. 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