Q << In contrast, the inner two-thirds of the meniscus lacks a significant blood supply. /Annots [45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R /Span<>> BDC TEeKp1irsVSvzLqc+jeX9S1a1VHnsraWeNZAShZFLAMFZTT6cVSGw8/DhbQXdndahc3M00ayabZy saved aAgN+ikK3+B/N/8A1Z7v/kU2T8fH3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8fH3r endobj 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 . q 1 0 0 1 575.5 306.7794 cm q 1 0 0 1 36.5 498.704 cm 5 0 obj iyWNs7qoDN6EYqQNz9nHiKq9nBBbetDbxpDGsmyRqFUVRCdloMCpdrv/AB1PLn/bSk/7p2pYq7yZ xmp.iid:A4300E0720231168A0DDC9EF548BDAB5 uuid:2ddc12e7-9bf4-4258-8f3e-ab76721ec77f /Dest /Subtype /Link S /wDfo+6X/qjiqb6Zq6axbG7sAkkQYpUs6/EKE7NEPHFUVbly0/MBW9QVANR9iPvQYqlmu/8AHU8u The remaining 3 major ligaments MRI L Knee w/o Contrast T2 FS Coronal ACL tear - Lack of continuity between anteromedial bundle and posterolateral MRI for Detection of ACL Tear In reference to arthroscopy:6 Sensitivity of 97.46% 2z/5MR4qnWKuxV2KuxV2KuxVDXdhZ35gN3EJvqsq3EPKvwyqGVW29mOKoJfK+hLbxWqWgWGCKOCN Keywords ACL tear, anterior cruciate ligament, knee, meniscal tear, MRI, pediatric, sports medicine Submitted: Jan 21, 2021 Revision requested: Feb 3, 2021 Revision received: Feb 10, 2021 Accepted: Mar 1, This bruising is usually due to the subluxation that happens with an ACL injury. >> xmp.did:D71280862023116894C8B865D20A6FB5 Computed Tomography (CT or CAT) Scan S 17.958 0 Td /9j/4AAQSkZJRgABAgEASABIAAD/7QAsUGhvdG9zaG9wIDMuMAA4QklNA+0AAAAAABAASAAAAAEA 0 30.975 l >> /;/metadata Acrobat Distiller 7.0 (Windows) 216 0 l WebDifference between MRI with and without Contrast: This section will go over the differences between them. -19.591 -1.452 Td 9 0 obj 216 0 l /Border [0 0 0] On MRI, a distinct MFL was identified as a ligament of Humphrey in 50% (27 out of 54 patients), ligament of Wrisberg in 28% (15 out of 54 patients), or both in 22% (12 out of 54 patients). If possible provide a chaperone for claustrophobic patients (e.g. > Fractures, Please check our new video tutorial for protocols and planning, > 2011-09-12T12:00:56-07:00 (\025\013\f\022\035\033\025\035\t\033\025\025\002\035\025\004\031\r\035\032\ \031\025\f\030\027\030\034\033\024\031\030\r\002\035\024\033\026\025\002\ \035\022\033\031\034\035)Tj The scan can clarify the question of an ACL tear if the history and examination are inconclusive. /CS0 cs 1 scn /Rect [509.839 300.529 513.411 310.053] xmp.iid:783C7A4F257311688A87E0E006A47C30 Plan the sagittal slices on the axial plane; angle the position block parallel to the lateral condyle of the femur (parallel to anterior cruciate ligament). 324 0 l >> xmp.iid:74117FDF200711688AFBDF57A7AE916E q 1 0 0 1 36.5 546.6538 cm 0 -1.455 TD saved 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 Adobe InDesign 6.0 q 1 0 0 1 36 562.1287 cm q 1 0 0 1 252 642.5535 cm 216 0 l Q saved Phase direction in the axial scans must be right to left, this is to avoid the artifacts form popliteal artery pulsation. Clinical Diagnostic Tests Versus MRI Diagnosis of ACL Tears 6pYq79AebP8Aq623/SLF/wBUsVd+gPNn/V1tv+kWL/qliqYaRpGrW0ztq91BexFaIiQRxlWqN6qi NPO four hours prior to exam (no food or drink). >> kzcepU/Y6dCFVHQvMfl60Ww0hrYrp9uz/oy+kRpgWWZrJZT6duEh5vIyq1VWhoNjTFUTJ5j8ma1L Pathology Acute meniscal tears occur after the rotatory trauma of the knee, whereas chronic degenerative meniscal tears 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 << /;/metadata /metadata 0 0 m [(\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 xmp.iid:783C7A54257311688A87E0E006A47C30 endobj Adobe InDesign 6.0 saved /Type /Annot rsVYLr40E6i/6R0y7vJ/irLBy4U5vQbOMVS2nlL/AKseo/e3/VTFXU8pf9WPUfvb/qpirqeUv+rH MRI without contrast means we do not give the gadolinium based contrast through an IV. +4Y+DDuC270Yf99r9wx8GHcFt3ow/wC+1+4Y+DDuC270Yf8Afa/cMfBh3Bbd6MP++1+4Y+DDuC27 How To Diagnose Your Own ACL Tear on MRI - YouTub . Same patient. On axial images fluid within a bursa is seen between the iliotibial tract and the underlying femur. Sometimes fluid in this location has to be differentiated from joint fluid. You have to look at all the images. In this case the joint fluid stops at the red arrows. Torn ACL 0 94.975 l The anterior cruciate ligament(ACL) is the most commonly disrupted ligament of the 2012-04-23T10:51:11-07:00 q 1 0 0 1 36 706.0032 cm 2011-07-12T07:31:20-07:00 endstream False Q Adobe InDesign 6.0 S 2012-05-02T09:56:23-07:00 0 0 m saved saved /Contents [34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R] 0 0 m Adobe InDesign 6.0 /Metadata 3 0 R [(\023)12(\036\r\033\027\035\033\r\032\035\005\027\033\032\032\036\034\035\013\027\ \024\034\033\025\030\013\r\032\006\035)15(\231)100(\030\031\032\031\r\026\035\f\n\025\024\030\013\034)6(\030\026\034\033\020\022\n\035\024\030\035\036\236)12(\f\027\013\032\036\035\034)10(\036\230\013\236\006\035)]TJ /metadata default << Q The scan is also useful for evaluating the cartilage or meniscus tissue in the knee if this information is necessary to make decisions regarding the best treatment for a specific patient. 0 0 m Slices must be sufficient to cover the knee joint from the pattela down to the line of popliteal artery. Because of this, the latter may need extra follow-up tests to determine the nature of the anomalies. Q xmp.iid:FEFC542523CD11689098EB0B5BF58135 S 29 0 obj qLjI2Oj4OUlZaXmJmam5ydnp+So6SlpqeoqaqrrK2ur6/9oADAMBAAIRAxEAPwDlkUURiQlFJKip /metadata 0 -1.455 TD 2012-06-18T13:45:07-07:00 saved Mri Of Knee With Or Without Contrast - HealthyKneesClub.com Adobe InDesign 6.0 saved Adobe InDesign 6.0 U8Vd6Mn+/wCT7k/6p4qwvW4IDfv62i3eqNVv9JiB4n43+H4ISNsVS/6vZ/8AUq3/ANz/APVDFXfV q 1 0 0 1 575.5 466.7291 cm Adobe InDesign 6.0 /GS1 gs > Neoplasms of bone, joint or soft tissue /Type /Annot saved <0031>Tj xmp.iid:AE7C1138256B11688A87E0E006A47C30 endobj 1b7b/kTH/wA048RV36F0b/q323/ImP8A5px4irv0Lo3/AFb7b/kTH/zTjxFXfoXRv+rfbf8AImP/ /Subtype /Link (Spinal CT Scan, CT of the Spine or Back) Computed tomography (CT scan or CAT scan) is a noninvasive diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce horizontal, or axial, images (often called slices) of the body. > Meniscal disorders: nondisplaced and displaced tears, discoid menisci, TjzenWXFUr9byj/y03//AAP/AF9xV3reUf8Alpv/APgf+vuKu9byj/y03/8AwP8A19xV3reUf+Wm /CropBox [0 0 612 792] 8jD/ANU8Vdyuv99x/wDIw/8AVPFXcrr/AH3H/wAjD/1TxV3K6/33H/yMP/VPFWE67caemoOt9qVz AMdTy5/20pP+6dqWKu8mf8ofoP8A2zbP/kxHiqdYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq Q S /Type /Annot q 1 0 0 1 36 530.179 cm Plan the coronal slices on the axial plane; angle the position block parallel to the medial and lateral condyle of the femur. xmp.iid:FEFC542723CD11689098EB0B5BF58135 216 0 l /Limits [ ] Q 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. 8VYdrNwUvnWXXW0tqt/oyGQgfG/xfDH3xVAfW0/6myT75f8AmjFXfW0/6myT75f+aMVd9bT/AKmy gxVGaXceabi7EeqWn1S34kmVZYXPIdBxUHFU5tlKtOCxc+oNzSv2I/5QMVSzXf8AjqeXP+2lJ/3T /Contents [75 0 R 76 0 R 77 0 R] 36.5 722.703 215.5 -16.7 re 0 30.975 l He was initially felt to have an MCL injury, but an MRI was performed to confirm the diagnosis, which revealed an ACL tear. S BUN and creatinine must be done within 72 hours of the scan. Q Methods: This prospective comparative study was conducted from 2009 to 2012. 2012-06-18T13:48:57-07:00 xmp.iid:2B8D3A4E310C1168992FFC84F295B883 << > Infections of bone, joint or soft tissue CT Scan for Knee Ligament Injury | Stanford Health Care Spontaneous healing in complete ACL It is particularly good for hemorrhage, trauma or fracture to the skull and for hydrocephalus. <002C0026>Tj 0 30.975 l <002C>Tj 19.591 1.455 Td How to Read an MRI of an ACL Tear ZT/gPyz/AMsz/wDI2T/mrFXf4D8s/wDLM/8AyNk/5qxV3+A/LP8AyzP/AMjZP+asVd/gPyz/AMsz The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. The anterior cruciate ligament (ACL) is a structure that contributes to the restraints of anterior translation and internal rotation of the tibia relative to the femur [1,2,3,4,5,6].In addition to the integrity of the ACL itself, several additional signs have been proposed that can assist with the diagnosis of ACL tears on magnetic resonance imaging WebThis MRI case demonstrates many of the important injuries seen in association with complete ACL tear including; ACL instability - anterior tibial translation. 4 0 obj Q Phase direction in the axial scans must be head to feet, this is to avoid the artifacts form popliteal artery pulsation. Tears <0031002A>Tj /jPyf/1ftN/6TIP+qmKu/wAZ+T/+r9pv/SZB/wBVMVd/jPyf/wBX7Tf+kyD/AKqYq7/Gfk//AKv2 endobj Indications for knee MRI scan. Adobe InDesign 6.0 A CT scan shows detailed images of any part of the /ModDate (D:20181019121051+05'30') ALaUn/dO1LFXeTP+UP0H/tm2f/JiPFVfUdUttKka4u3SKJ1jjDOWHxEzMB8CP2U4qgv8Z6J/y1wf /Rect [100.857 341.518 104.428 350.986] ACL Injury 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. endobj S JPEG /CropBox [0 0 612 792] << 0 62.975 l << S qIMU?$_\)I){26lhPZ)t E Bypjwv;l[+AEq\ LzX. q 1 0 0 1 575.5 674.5283 cm Adobe InDesign 6.0 xmp.iid:0EA89AAC23021168BB8EFEDC61CE0C15 WebAssessment of Labral Tears. NYyTrFXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FUl13/jqeXP+2lJ/ /metadata h84/zW3/ACJ/5uyz8lj80W7/AJXD5x/mtv8AkT/zdj+Sx+a27/lcPnH+a2/5E/8AN2P5LH5rbv8A 2012-04-10T12:19:31-07:00 Patients and methods A consecutive 16 0 0 16 188.4531 744.2031 Tm XYq7FXYq7FXYq7FXYq7FXYq7FXYq7FUl13/jqeXP+2lJ/wB07UsVd5M/5Q/Qf+2bZ/8AJiPFU6xV /URI (mailto:megan.brady@drake.edu) However, an MRI is usually not required to make the diagnosis of a torn ACL. /Rect [477.524 404.957 481.096 414.482] /Span<>> BDC >> /wB07UsVd5M/5Q/Qf+2bZ/8AJiPFU6xV2Kqc9vBdQyW11Ek8EqlJIpFDo6nYqytUEHFUNNouj3Ey application/pdf 2012-05-09T10:50:30-07:00 >> 3 0 obj ALp2pYq7yZ/yh+g/9s2z/wCTEeKpq8JaQyLI0ZICnjxoQCSPtK382KtejJ/v+T7k/wCqeKu9GT/f xmp.iid:58FAF33A22FC11688A87E0E006A47C30 WebMRIs are generally very detailed and effective for medical imaging. 0 0 m /Subtype /Link S q 1 0 0 1 36.5 466.7291 cm Adobe InDesign 6.0 WebMRI Non-Joint without and with Contrast Upper Extremity Lower Extremity 73220 73720 Extremity , Joint: Elbow Shoulder Wrist Ankle Hip Knee Arthritis Cartilage Tear Check the positioning block in the other two planes. AOTEeKt6/Y39zNp15Yokx065+svC7cGkHpywlUNCtf3td6ZZikACD1UpLqt7+jtQn8waUwhvXthF Bone abnormalities. /S /URI 0 0 m Adobe InDesign 6.0 Q /Names [ 134 0 R 135 0 R 136 0 R 137 0 R 138 0 R Q HWMs6WX, $4ug:nMLdR%)=-@cNO".{0xWWJB6_da[CHsiC2vP^}D\8kykvB7Yhvkm0yS/frF~u_(V9y7\"]mBDLBcE&OXrC4'/~Td|Ku@ *F%hIvgpsG8&@|=46zbU~_I)/BvK!TX 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 2011-07-12T08:15:05-07:00 /;/metadata endobj [(\240)18(\036\t\033\024\013\034\031\033\035)]TJ Slices must be sufficient to cover the knee joint from the tibial tuberosity up to the line of superior border of patella. XfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFU70y3vLWzSG/ufrk6k8puISoJqPh S Lay the subject on his/her back with his/her knee bent to 90 degrees.Sit lightly on the persons foot and wrap your fingers around to the back of his/her knee.Pull the tibia forward towards you to assess how much motion there is.If the ACL is intact, there should be very little motion with a firm end feel.More items /Dest 2012-06-15T15:25:31-07:00 << 0 0 m 2012-06-15T09:01:38-07:00 P17/AKlmz/6dP+acVd+j9e/6lmz/AOnT/mnFXfo/Xv8AqWbP/p0/5pxVOtL0G3ntBJqmmW1pcciD About 70% of people with an ACL injury have a bone bruise. S Slices must be sufficient to cover the ACL. /Length 1595 119 0 R 120 0 R 121 0 R 122 0 R 123 0 R 124 0 R 125 0 R 126 0 R 127 0 R 128 0 R lf8ALFb/APIpP+acVd+idK/5Yrf/AJFJ/wA04q79E6V/yxW//IpP+acVd+idK/5Yrf8A5FJ/zTir Magnetic resonance imaging (MRI). Magnetic resonance imaging (MRI) remains the imaging technique of choice for patients with suspected ACL tear where the diagnosis is in question. saved /Rect [189.978 397.247 193.55 406.772] 2012-06-18T16:13:35-07:00 /Border [0 0 0] /PageLabels 5 0 R xmp.iid:A4300E0A20231168A0DDC9EF548BDAB5 Without nutrients from blood, tears in this "white" zone with limited blood flow cannot heal. << An appropriate angle must be given in sagittal plane (perpendicular to the line of femur and tibia). /;/metadata Q irv0DoX/AFbbT/kRH/zTirv0DoX/AFbbT/kRH/zTirv0DoX/AFbbT/kRH/zTirv0DoX/AFbbT/kR endobj VxV31n8xf+WS0+8f9VcVZDpLam9ijawiR3dW5rF9mlTxpu3bFUFrv/HU8uf9tKT/ALp2pYq7yZ/y /Border [0 0 0] >> *Y18"71~s2sxk]Dvi_cN%+D6%/6?yhbKX~}|IikCt&I%rMh.bCdpCFSH7QmR BY>}`5C-?F:$Y4~VNBsq& >> > Osteochondral and articular cartilage infractions Q saved Q xmp.iid:4347591E25601168BB8EFEDC61CE0C15 0 30.975 l 2012-05-07T11:04:30-07:00 xmp.iid:B54ABC4E230411688A87E0E006A47C30 Q /Subtype /Link saved 3TtSxV3kz/lD9B/7Ztn/AMmI8VUPNF09rdaIw9UxyX4SWOEMzOpguTxKJuwqAae2XYRYl7kFT8s3 << (\024\013\017\024\002\035\022\036\t\033\r\026\031\030\t\033\025\002\035\020\ \031\r\020\030\031\r\024\035\t\031\032\027\031\r\036\035\032\031\t\020\027\ \036\002\035)Tj 0 94.975 l xmp.iid:AE14FAED28F1116890989A124BEDF9D2 /Resources 133 0 R YjxVrXdHfV24W8kUE0Yjb1ZYUm+D99VAJAaVND9GEEhUn/wTqn/Vwtv+kGH/AJpx4iqcaV5btrS1 The MRI contrast brightens some of the tissues on a sequence called T1. A CT scan shows detailed images of any part of the T/kW/wDzTirvrMfhJ/yLf/mnFXfWY/CT/kW//NOKu+sx+En/ACLf/mnFXfWY/CT/AJFv/wA04q76 /S /D [<0003>18<0037>129<0052004F004F00030029005500480048001D0003001B001A001A0010001C001C001A00100015001600170015>]TJ BT 19.591 0 Td 0 0 m endobj /metadata xmp.iid:2733A2E2265F1168BB8EFEDC61CE0C15 /wCRH/X/ABVP9Mv21axi1C1kUQzcuPOIhvhZkNR6p7riqK43X+/I/wDkWf8AqpiruN1/vyP/AJFn << <00280027002C0024>Tj +v8AiqvYeddP1G8isbd39WduKcoKCvufXOKshtg4afmQzeoKkCg+xH2qcVSzXf8AjqeXP+2lJ/3T xmp.iid:2B8D3A52310C1168992FFC84F295B883 14 0 obj 2012-05-07T11:15:09-07:00 Q /Dest 12 0 obj 2012-06-18T16:13:35-07:00 A >> 0 0 m saved MRI without contrast saved WO5/5HRf9k2Ku/T3mf8A6sdz/wAjov8AsmxV36e8z/8AVjuf+R0X/ZNirv095n/6sdz/AMjov+yb 3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8fH3rTv8AA/m//qz3f/IpsfHx9607/A/m 0 15.7 l / [(\212\212\240\035\200\212)6(\036\021)6(\036\027\030\020\t\036\r\024\033\027\035\212\n\025\020\027\033\025\031\033\ \035\030\017\035\024\022\036\035\240)18(\031\020\204\002\035)]TJ xmp.iid:783C7A55257311688A87E0E006A47C30 endobj WebComputed tomography scan (CT or CAT scan) is a non-invasive diagnostic imaging procedure that uses a combination of special X-ray equipment and sophisticated xmp.iid:A4300E0920231168A0DDC9EF548BDAB5 q 1 0 0 1 252 466.2291 cm /Border [0 0 0] An appropriate angle must be given in coronal plane (parallel to the mid line of femur and tibia). [(\223)30(\036\f\004\035\013\027\024\034\033\025\030\013\r\032\006\035\255\003\035\ \016\031\024\022\035\f\030\r\024\034\033\025\024\035\031\025\035\f\030\t\ \020\027\036\t\036\r\024\033\034)-18(\n\035)]TJ > Acute trauma Q /T1_0 1 Tf 2011-09-06T12:18:26-07:00 2012-06-18T16:11:32-07:00 xmp.iid:783C7A56257311688A87E0E006A47C30 / 19.591 1.455 Td /Span<>> BDC > Degenerative chondrosis /;/metadata << Plan the axial slices on the coronal plane; angle the position block parallel to the medial and lateral condyle of the femur. / faXdj0mmCV9KdD+00VTXjyDLtUZbCPFHhPLoUJne+W7HVvLkWnckeVYE+q35FZEloGFwrCjVLfEa q 1 0 0 1 252 306.7794 cm S Q 18 0 obj 42.354 0 Td / CLICK THE SEQUENCES BELOW TO CHECK THE SCANS. 1n8xf+WS0+8f9VcVd9Z/MX/lktPvH/VXFXfWfzF/5ZLT7x/1VxV31n8xf+WS0+8f9VcVd9Z/MX/l 12 0 0 12 40.5 710.0032 Tm 2012-04-23T11:12:50-07:00 tpSf907UsVd5M/5Q/Qf+2bZ/8mI8VTrFXYq7FXYq7FWM3Hn7QraeW2kWfnC7RtRARVTxNPj9sVU/ endobj S Q MRI 0 0 m endobj /S /URI MRI 1Y6NYGHn6vpfVYeHOnHnx4U5U74qrz6DodzLHNc6baTSwuZY3kgjZkkYqS6llJDEqN/bFW4dF0a2 T* /;/metadata 216 0 l MRI, and Arthroscopic Findings Associated with Failure stream / Adobe InDesign 6.0 xmp.iid:B54ABC55230411688A87E0E006A47C30 q 1 0 0 1 252 706.5032 cm Adobe InDesign 6.0 /Dest 19.591 0 Td /Subtype /Link /Subtype /Link Q /Rect [168.605 374.967 172.176 384.435] [(\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 Applying saturation bands above and below the coronal block will further reduce arterial pulsation artefacts. 0 0 m Q 2012-04-23T11:26:47-07:00 xmp.iid:58FAF33922FC11688A87E0E006A47C30 ABrirduwdp2FQDIOoKn7EfZqYqlmu/8AHU8uf9tKT/unalirvJn/ACh+g/8AbNs/+TEeKq+paRY6 Orthopaedics, 734-936-5780. /Dests 7 0 R >> /metadata Check the positioning block in the other two planes. [(\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 Ten studies were identified in which the sensitivity and specificity of conventional MRI for detection of labral tears were measured . 72.00 S 0 0 m Q Direct or indirect contrast enhancement is recommended for more differentiation. xmp.iid:0EA89AA923021168BB8EFEDC61CE0C15 S S Note the weight of the patient, Feet first supine Anterior cruciate ligament tear | Radiology Reference Article /Kids [14 0 R] xmp.iid:8B5A95D421661168BB8EFEDC61CE0C15 q 1 0 0 1 252 610.0786 cm endobj xmp.iid:2B8D3A4D310C1168992FFC84F295B883 endobj VkQIR6J3KtViBTFUPrHn9bTSLi80/T7l7n0r17QTCH03FjVJpnAulb00egI+0a/CDiqrD+YFjcTS Computed Tomography (CT or CAT) Scan 35 0 obj Phase direction in the axial scans must be head to feet, this is to avoid the artifacts form popliteal artery pulsation. Adobe InDesign 6.0 /metadata WebNon-contrast MRI is reliable only for diagnosing full thickness rotator cuff tears and anterior labral tears. 0 0 m >> 2 0 obj -19.591 -1.452 Td 10 0 obj 0 0 m S xmp.iid:2733A2E3265F1168BB8EFEDC61CE0C15 xmp.iid:74117FE220071168A0DDC9EF548BDAB5 I05cuB67fPDLKDO6RSrfeX4ZtWsdbsVitry1dvXkCbzwuhRon48a9ipNaEdMEcpETE8lpMrZLlPV uuid:6ef688ac-5815-48f8-aea9-9bee263cdcb3 xmp.did:D71280862023116894C8B865D20A6FB5 Adobe InDesign 6.0 2012-05-09T10:49:23-07:00 2018-10-19T12:10:51+05:30 -19.591 -1.452 Td An appropriate angle must be given in coronal plane parallel to the medial and lateral condyle of the femur. Ml9qusXkDTx6eHigjtrpn5pPGGaVlhkJaJWDrRTSvWmOYcMQOqhB3Gs3kXmm0vxcj9Dy3D6IYKmn 0 0 m q 1 0 0 1 252 546.6538 cm /;/metadata mOl2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KpLrv/HU8uf8AbSk/7p2pYq7yZ/yh+g/9s2z/ 2012-04-23T12:13:58-07:00 T* saved 1743 /Subtype /Link /Subtype /Link 0 0 m ACL tears 2.615 0 Td bq5il9acxl3iuJ4Tyi2jdfRlTi4G3JaGm1aYq3ceXNHubK2094GjgsRxthBLLA8a8fTIWWCSOShU Adobe InDesign 6.0 .E Q^: Y],_lRawE[w:c?}:0&:W-q$4_V*^vIms{|V}~Z}iT^}x?,Pei>U~k:ct~sH!9L:oB[KBWAv5sJ;wJ69zG-}_SAcuxMJd(#j2Td-MuE ~. /CreationDate (D:20181019121051+05'30') 216 0 l 26 0 obj /metadata /Dest 324 0 l 0 0 m << /Subtype /XML PD fat sat coronal oblique 2mm for Anterior cruciate ligament. 2011-07-11T18:34:07-07:00 2011-07-15T14:01:41-07:00 gWttbs5gpoTHbwMAffjGcVVP0B5s/wCrrbf9IsX/AFSxV36A82f9XW2/6RYv+qWKu/QHmz/q623/ AFMcv/Igf9VcVV7HQtctruKe512S6ijarwtCFDjwr6hxVOYf7yf/AIyD/iEeKpXrv/HU8uf9tKT/ 139 0 R 140 0 R 141 0 R 142 0 R 143 0 R [(\213)12(\036\031\221\013\034)10(\036\025\035\r\030\r\035\024\034\033\013\t\033\024\031\f\035)]TJ /metadata Phase direction in the axial scans must be head to feet, this is to avoid the artifacts form popliteal artery pulsation. EMC created << 0 0 m /Parent 4 0 R Pregnancy (risk vs benefit ratio to be assessed) / [(\242\201\034\033\n\035\030\017\035\020\036\027\021\031\025\035\033\r\032\ \035\027\030)12(\016)6(\036\034\035\036\236\024\034)10(\036\t\031\024\n)85(\006\035\220\035\020\022\033\025\036\035\005\030\r\036\035\025\f\033\r\035\ \031\017\035\027\031\t\020\031\r\026\035\020\036\034\025\031\024\031\025\ \035)]TJ saved 2012-04-12T12:06:10-07:00 <0003>Tj Q h+g/9s2z/wCTEeKpZ5yj0J7m2Or3txZuEb01gBIYV3JorYqxz0fJf/V4vv8AgT/1TxV3o+S/+rxf S 72.00 saved Adobe InDesign 6.0 >> /Dest /metadata fH3rSjceTvNMUttHLpV0jXEpjiUxkF3EcsnFffijH6MhPNAkb9f0FafQfkz/AJQ/Qf8Atm2f/JiP /Rect [36 709.738 149.272 716.768] S 804q7/lXtj/y33f/AAS/804q7/lXtj/y33f/AAS/804q7/lXtj/y33f/AAS/804q7/lXtj/y33f/ q 1 0 0 1 36 674.0283 cm /Type /Annot Q endobj b/8A4H/r7irvW8o/8tN//wAD/wBfcVRWmav5Y0q7W9t57x5EBAEicl+IU6esMVTz/lYek/zSf8iP AAS/804qyHSdMj0ixSxikeZYyxDykFjyJbelPHFUFrv/AB1PLn/bSk/7p2pYq7yZ/wAofoP/AGzb saved 0Yf99r9wx8GHcFt3ow/77X7hj4MO4LbvRh/32v3DHwYdwW3ejD/vtfuGPgw7gtu9GH/fa/cMfBh3 /Border [0 0 0] 22 0 obj 324 0 l 0 30.975 l [(\243)6(\027\024\034\033\025\030\013\r\032\035\030\017\035\024\022\036\035\240)18(\031\020)]TJ /Type /Page pohcr5g06a1a3Y1eEI0aCOG1mnRy0/PlF67Mx4gcRtU7YqiLrz9aRWtxdW1hcyrFBJcwPIYYorhY << S S /Dest 0 0 m /MediaBox [0 0 612 792] Initial sharp pain. Swelling after the injury. Deep, aching pain in the knee. A feeling the knee is giving out. Instability may be especially noticeable during activities that strain the knee joint, such as walking downstairs and pivoting on one leg. Adobe InDesign 6.0 252 722.703 323.5 -16.7 re L/1Kb/8AI2P/ALJ8Vd9Sl/6lN/8AkbH/ANk+Kplb6t5htYUt7fQLiOKMcURZo6Af9I2Kqn6e8z/9 Should You Get an MRI With or Without Contrast? - ezra Q /Subtype /Link zI86UA9KB/Ub12WvGvxe+Ko7ypoui6fZS3ejyG4t9U4zFjFDApAHED0be3tkX3qnLxxVEnyp5XMP -19.591 -8.725 Td xmp.iid:A4300E0420231168A0DDC9EF548BDAB5 [(\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 Referring Physician Ordering Guide: What to Order When Adobe InDesign 6.0 /Cuif8ssX/IqL/qnirv8K6J/yyxf8iov+qeKu/wron/LLF/yKi/6p4q7/Cuif8ssX/IqL/qnirv8 >> /Nums [0 13 0 R] Using saturation bands above and below the sagittal block will reduce further arterial pulsation artefacts. stream P/6v2m/9JkH/AFUxV3+M/J//AFftN/6TIP8Aqpirv8Z+T/8Aq/ab/wBJkH/VTFXf4z8n/wDV+03/ xmp.iid:A4300E0820231168A0DDC9EF548BDAB5 xmp.iid:B54ABC51230411688A87E0E006A47C30 0Pxb98VWnyvoX1aS0S19KGVoXIhkkiKtbKkcDRtE6tGUWNacCMVUofKGgW6vHBBKkc0DW00Yubjh /Border [0 0 0] /Type /Annot /Dest T* q 1 0 0 1 36.5 706.5032 cm Methods: 86 men and 60 324 0 l 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. WebA tear in this "red" zone may heal on its own, or can often be repaired with surgery. 2011-09-07T08:19:58-07:00 Q /Contents [68 0 R 69 0 R 70 0 R] Q /wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8fH3rTv8AA/m//qz3 saved Also unlike X-rays, an MRI shows more than just bones and that is why it is particularly helpful for a meniscus tear, since the meniscus is cartilage and doesnt show up in an X-ray. saved > Synovial based disorders: symptomatic plicae, synovitis ,bursitis, and popliteal cysts 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). V+03/pMg/wCqmKu/xn5P/wCr9pv/AEmQf9VMVd/jPyf/ANX7Tf8ApMg/6qYq7/Gfk/8A6v2m/wDS > S Meniscal tears are best evaluated with MRI. << Q The knee will quickly swell and, in many cases, feel unstable. Adobe InDesign 6.0 rqv/ANTon/AJ/wBVsVdV/wDqdE/4BP8Aqtirqv8A9Ton/AJ/1WxV1X/6nRP+AT/qtiqZ/wCHPMf/ $>:S_X*x}T.2]mP=$qMbPaXt+eW&)# Adobe InDesign 6.0 << 2012-05-09T10:53:53-07:00 /wDI2T/mrFUZpnljRtHuTd2ELRylSlS7N8JoTsxPhiqYw/3k/wDxkH/EI8VSvXf+Op5c/wC2lJ/3 <00370035>Tj fcn/AFTxV3oyf7/k+5P+qeKu9GT/AH/J9yf9U8VYjq9pI965/Qb6ru3+k841r8b/AA09BumKoH6l Anterior Cruciate Ligament (ACL) Tear - Diagnosis - MRI uuid:d1cbd8ed-9d99-4998-938b-cee3a6e6e08d /;/metadata /MediaBox [0 0 612 792] S saved Localisers are usually less than 25sec. xmp.did:783C7A53257311688A87E0E006A47C30 saved 2012-06-15T09:01:38-07:00 Adobe InDesign 6.0 MRI 2P8AyzRf8Av9MVXx21tC3OKFI26VVQDT6BiqrirsVdirsVdirGr+PzE1yx02ysLiDk9HuVJkrzeo << /Rect [162.539 49.946 183.628 57.94]