Role of magnetic resonance imaging in the evaluation of articular cartilage in painful knee joint
Aim: The aim of this study was to determine the role of the magnetic resonance imaging (MRI) in patients with atraumatic knee pain. Background and Objectives: Knee pain is one of the most common problems faced by people from time immemorial. There is a wide range of disease ranging from traumatic to...
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Wolters Kluwer Medknow Publications
2014-01-01
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doaj-5a3392cfed434065bea7acfb400d1e612020-11-25T00:47:38ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil University0975-28702014-01-017216016510.4103/0975-2870.126326Role of magnetic resonance imaging in the evaluation of articular cartilage in painful knee jointDigish ShahSatish NawareShoubhi BhatnagarVilas M KulkarniAim: The aim of this study was to determine the role of the magnetic resonance imaging (MRI) in patients with atraumatic knee pain. Background and Objectives: Knee pain is one of the most common problems faced by people from time immemorial. There is a wide range of disease ranging from traumatic to degenerative causing knee pain in which articular cartilage is involved. Over the past 15 years, MRI has become the premier, first-line imaging study that should be performed in the evaluation of the painful knee in particular in tears of menisci, cruciate and collateral ligaments, osteochondral abnormalities (chondromalacia, osteoarthritis and osteochondral defects), synovial cysts and bone bruises. MRI, by virtue of its superior soft-tissue contrast, lack of ionizing radiation and multiplanar capabilities, is superior to more conventional techniques for the evaluation of articular cartilage. Materials and Methods: A prospective study was carried out on 150 patients in the Department of Radio-diagnosis, Padmashree Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune over a period of 2 years from June 2011 to May 2013. Patients having fracture or dislocations of the knee joint were also excluded from the study. Detailed clinical history, physical and systemic examination findings of all patients were noted in addition to the laboratory investigations. All patients were subjected to radiograph of knee anterior-posterior and lateral view. MRI was performed with Siemens 1.5 Tesla MAGNETOM Avanto machine. Results: In our study of 150 patients with knee pain, articular cartilage defect was found in 90 patients (60%). Out of 90 patients with articular cartilage defect, 30 patients (20%) had full thickness cartilage defects. Subchondral marrow edema was seen beneath 30 patients (20%) with articular cartilage defects. 32 patients (21.1%) had a complex or macerated meniscal tear. Complete anterior cruciate ligament tear was found in seven patients. Joint effusions were detected in 70% (105) of the knees. Large Baker cysts were observed in 6.1% of the knees. Conclusion: In conclusion, individual with acute or chronic knee pain without any definite history of trauma should be subjected to MRI study of the knee provided radiographs are non-informative or non-diagnostic. The study not only outlines the tendons, ligament and cartilage status, but also demonstrates subtle underlying bony pathologies causative for patient complaints.http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2014;volume=7;issue=2;spage=160;epage=165;aulast=ShahArticular cartilageknee painmagnetic resonance imaging |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Digish Shah Satish Naware Shoubhi Bhatnagar Vilas M Kulkarni |
spellingShingle |
Digish Shah Satish Naware Shoubhi Bhatnagar Vilas M Kulkarni Role of magnetic resonance imaging in the evaluation of articular cartilage in painful knee joint Medical Journal of Dr. D.Y. Patil University Articular cartilage knee pain magnetic resonance imaging |
author_facet |
Digish Shah Satish Naware Shoubhi Bhatnagar Vilas M Kulkarni |
author_sort |
Digish Shah |
title |
Role of magnetic resonance imaging in the evaluation of articular cartilage in painful knee joint |
title_short |
Role of magnetic resonance imaging in the evaluation of articular cartilage in painful knee joint |
title_full |
Role of magnetic resonance imaging in the evaluation of articular cartilage in painful knee joint |
title_fullStr |
Role of magnetic resonance imaging in the evaluation of articular cartilage in painful knee joint |
title_full_unstemmed |
Role of magnetic resonance imaging in the evaluation of articular cartilage in painful knee joint |
title_sort |
role of magnetic resonance imaging in the evaluation of articular cartilage in painful knee joint |
publisher |
Wolters Kluwer Medknow Publications |
series |
Medical Journal of Dr. D.Y. Patil University |
issn |
0975-2870 |
publishDate |
2014-01-01 |
description |
Aim: The aim of this study was to determine the role of the magnetic resonance imaging (MRI) in patients with atraumatic knee pain. Background and Objectives: Knee pain is one of the most common problems faced by people from time immemorial. There is a wide range of disease ranging from traumatic to degenerative causing knee pain in which articular cartilage is involved. Over the past 15 years, MRI has become the premier, first-line imaging study that should be performed in the evaluation of the painful knee in particular in tears of menisci, cruciate and collateral ligaments, osteochondral abnormalities (chondromalacia, osteoarthritis and osteochondral defects), synovial cysts and bone bruises. MRI, by virtue of its superior soft-tissue contrast, lack of ionizing radiation and multiplanar capabilities, is superior to more conventional techniques for the evaluation of articular cartilage. Materials and Methods: A prospective study was carried out on 150 patients in the Department of Radio-diagnosis, Padmashree Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune over a period of 2 years from June 2011 to May 2013. Patients having fracture or dislocations of the knee joint were also excluded from the study. Detailed clinical history, physical and systemic examination findings of all patients were noted in addition to the laboratory investigations. All patients were subjected to radiograph of knee anterior-posterior and lateral view. MRI was performed with Siemens 1.5 Tesla MAGNETOM Avanto machine. Results: In our study of 150 patients with knee pain, articular cartilage defect was found in 90 patients (60%). Out of 90 patients with articular cartilage defect, 30 patients (20%) had full thickness cartilage defects. Subchondral marrow edema was seen beneath 30 patients (20%) with articular cartilage defects. 32 patients (21.1%) had a complex or macerated meniscal tear. Complete anterior cruciate ligament tear was found in seven patients. Joint effusions were detected in 70% (105) of the knees. Large Baker cysts were observed in 6.1% of the knees. Conclusion: In conclusion, individual with acute or chronic knee pain without any definite history of trauma should be subjected to MRI study of the knee provided radiographs are non-informative or non-diagnostic. The study not only outlines the tendons, ligament and cartilage status, but also demonstrates subtle underlying bony pathologies causative for patient complaints. |
topic |
Articular cartilage knee pain magnetic resonance imaging |
url |
http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2014;volume=7;issue=2;spage=160;epage=165;aulast=Shah |
work_keys_str_mv |
AT digishshah roleofmagneticresonanceimagingintheevaluationofarticularcartilageinpainfulkneejoint AT satishnaware roleofmagneticresonanceimagingintheevaluationofarticularcartilageinpainfulkneejoint AT shoubhibhatnagar roleofmagneticresonanceimagingintheevaluationofarticularcartilageinpainfulkneejoint AT vilasmkulkarni roleofmagneticresonanceimagingintheevaluationofarticularcartilageinpainfulkneejoint |
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