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Semin Musculoskelet Radiol 2011; 15(1): 059-068
DOI: 10.1055/s-0031-1271959
© Thieme Medical Publishers

Imaging of Extra-Articular Injuries of the Knee

Harun Gupta1 , Stuart J. Calder2 , Philip J. O'Connor3
  • 1Department of Musculoskeletal Radiology, Leeds Teaching Hospitals, Leeds General Infirmary, Leeds, United Kingdom
  • 2Department of Orthopaedics, Leeds Teaching Hospitals, Chapel Allerton Hospital, Leeds, United Kingdom
  • 3Department of Musculoskeletal Radiology, Leeds Teaching Hospitals, Chapel Allerton Hospital, Leeds, United Kingdom
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Publication History

Publication Date:
17 February 2011 (online)

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ABSTRACT

Imaging of the extra-articular structures of the knee is important, particularly in overuse injury. Close attention needs to be paid to these areas on magnetic resonance (MR) imaging because misdiagnosis of extra-articular pathology is common, and these lesions are important to consider when planning management. This article details the clinical and radiological aspects of extra-articular injury of the knee with particular emphasis on MR and ultrasound imaging.

KEYWORDS

Knee - extra-articular - injuries - imaging

REFERENCES

  • 1 Sonin A H, Fitzgerald S W, Bresler M E, Kirsch M D, Hoff F L, Friedman H. MR imaging appearance of the extensor mechanism of the knee: functional anatomy and injury patterns.  Radiographics. 1995;  15(2) 367-382
    CrossrefPubMedGoogle Scholar
  • 2 Zeiss J, Saddemi S R, Ebraheim N A. MR imaging of the quadriceps tendon: normal layered configuration and its importance in cases of tendon rupture.  AJR Am J Roentgenol. 1992;  159(5) 1031-1034
    CrossrefPubMedGoogle Scholar
  • 3 Yu J S, Petersilge C, Sartoris D J, Pathria M N, Resnick D. MR imaging of injuries of the extensor mechanism of the knee.  Radiographics. 1994;  14(3) 541-551
    PubMedGoogle Scholar
  • 4 Nance Jr E P, Kaye J J. EP . Injuries of the quadriceps mechanism.  Radiology. 1982;  142(2) 301-307
    PubMedGoogle Scholar
  • 5 Wiberg G. Roentgenographic and anatomic studies on the femoropatellar joint.  Acta Orthop Scand. 1941;  12 319-410
    PubMedGoogle Scholar
  • 6 McNally E G. Imaging assessment of anterior knee pain and patellar maltracking.  Skeletal Radiol. 2001;  30(9) 484-495
    CrossrefPubMedGoogle Scholar
  • 7 Hehne H J. Biomechanics of the patellofemoral joint and its clinical relevance.  Clin Orthop Relat Res. 1990;  258(258) 73-85
    PubMedGoogle Scholar
  • 8 Watanabe A T, Carter B C, Teitelbaum G P, Seeger L L, Bradley Jr W G. Normal variations in MR imaging of the knee: appearance and frequency.  AJR Am J Roentgenol. 1989;  153(2) 341-344
    CrossrefPubMedGoogle Scholar
  • 9 Peace KAL, Lee J C, Healy J. Imaging the infrapatellar tendon in the elite athlete.  Clin Radiol. 2006;  61(7) 570-578
    CrossrefPubMedGoogle Scholar
  • 10 Nance Jr E P, Kaye J J. Injuries of the quadriceps mechanism.  Radiology. 1982;  142(2) 301-307
    PubMedGoogle Scholar
  • 11 Capps G W, Hayes C W. Easily missed injuries around the knee.  Radiographics. 1994;  14(6) 1191-1210
    PubMedGoogle Scholar
  • 12 Bencardino J T, Rosenberg Z S, Brown R R, Hassankhani A, Lustrin E S, Beltran J. Traumatic musculotendinous injuries of the knee: diagnosis with MR imaging.  Radiographics. 2000;  20(Spec No) S103-S120
    CrossrefPubMedGoogle Scholar
  • 13 Bianchi S, Zwass A, Abdelwahab I F, Banderali A. Diagnosis of tears of the quadriceps tendon of the knee: value of sonography.  AJR Am J Roentgenol. 1994;  162(5) 1137-1140
    CrossrefPubMedGoogle Scholar
  • 14 Casteleyn P P, Handelberg F. Arthroscopy in the diagnosis of occult dislocation of the patella.  Acta Orthop Belg. 1989;  55(3) 381-383
    PubMedGoogle Scholar
  • 15 Lance E, Deutsch A L, Mink J H. Prior lateral patellar dislocation: MR imaging findings.  Radiology. 1993;  189(3) 905-907
    PubMedGoogle Scholar
  • 16 Kirsch M D, Fitzgerald S W, Friedman H, Rogers L F. Transient lateral patellar dislocation: diagnosis with MR imaging.  AJR Am J Roentgenol. 1993;  161(1) 109-113
    CrossrefPubMedGoogle Scholar
  • 17 Yu J S, Popp J E, Kaeding C C, Lucas J. Correlation of MR imaging and pathologic findings in athletes undergoing surgery for chronic patellar tendinitis.  AJR Am J Roentgenol. 1995;  165(1) 115-118
    CrossrefPubMedGoogle Scholar
  • 18 Allen G M, Tauro P G, Ostlere S J. Proximal patellar tendinosis and abnormalities of patellar tracking.  Skeletal Radiol. 1999;  28(4) 220-223
    CrossrefPubMedGoogle Scholar
  • 19 Bates D G, Hresko M T, Jaramillo D. Patellar sleeve fracture: demonstration with MR imaging.  Radiology. 1994;  193(3) 825-827
    CrossrefPubMedGoogle Scholar
  • 20 Saddik D, McNally E G, Richardson M. MRI of Hoffa's fat pad.  Skeletal Radiol. 2004;  33(8) 433-444
    PubMedGoogle Scholar
  • 21 Jacobson J A, Lenchik L, Ruhoy M K, Schweitzer M E, Resnick D. MR imaging of the infrapatellar fat pad of Hoffa.  Radiographics. 1997;  17(3) 675-691
    PubMedGoogle Scholar
  • 22 Chung C B, Skaf A, Roger B, Campos J, Stump X, Resnick D. Patellar tendon-lateral femoral condyle friction syndrome: MR imaging in 42 patients.  Skeletal Radiol. 2001;  30(12) 694-697
    CrossrefPubMedGoogle Scholar
  • 23 Rennie W J, Saifuddin A. Pes anserine bursitis: incidence in symptomatic knees and clinical presentation.  Skeletal Radiol. 2005;  34(7) 395-398
    CrossrefPubMedGoogle Scholar
  • 24 Safran M R, Fu F H. Uncommon causes of knee pain in the athlete.  Orthop Clin North Am. 1995;  26(3) 547-559
    PubMedGoogle Scholar
  • 25 Kelley E A, Berquist T H. The knee. In:, Berquist T H, ed. MRI of the Musculoskeletal System. 5th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2006: 303-429
  • 26 Larsson L G, Baum J. The syndrome of anserina bursitis: an overlooked diagnosis.  Arthritis Rheum. 1985;  28(9) 1062-1065
    CrossrefPubMedGoogle Scholar
  • 27 Campbell S E, Sanders T G, Morrison W B. MR imaging of meniscal cysts: incidence, location, and clinical significance.  AJR Am J Roentgenol. 2001;  177(2) 409-413
    CrossrefPubMedGoogle Scholar
  • 28 Kavanaugh J, Yu J S. Too much of a good thing: overuse injuries of the knee.  Magn Reson Imaging Clin N Am. 2000;  8(2) 321-334
    PubMedGoogle Scholar
  • 29 Taylor M A, Norman T L, Clovis N B, Blaha J D. The response of rabbit patellar tendons after autologous blood injection.  Med Sci Sports Exerc. 2002;  34(1) 70-73
    PubMedGoogle Scholar
  • 30 Fairclough J, Hayashi K, Toumi H et al.. The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome.  J Anat. 2006;  208(3) 309-316
    CrossrefPubMedGoogle Scholar
  • 31 Muhle C, Ahn J M, Yeh L R et al.. Iliotibial band friction syndrome: MR imaging findings in 16 patients and MR arthrographic study of six cadaveric knees.  Radiology. 1999;  212(1) 103-110
    CrossrefPubMedGoogle Scholar
  • 32 Stoller D W, Li A E, Anderson L J, Cannon W D. The knee. In:, Stoller D W, ed. Magnetic Resonance Imaging in Orthopaedics and Sports Medicine. 3rd ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2007: 618
  • 33 David A, Buchholz J, Muhr G. Tear of the biceps femoris tendon.  Arch Orthop Trauma Surg. 1994;  113(6) 351-352
    CrossrefPubMedGoogle Scholar
  • 34 Brown T R, Quinn S F, Wensel J P, Kim J H, Demlow T. Diagnosis of popliteus injuries with MR imaging.  Skeletal Radiol. 1995;  24(7) 511-514
    PubMedGoogle Scholar

Philip J. O'ConnorM.R.C.P. F.R.C.R. 

Department of Musculoskeletal Radiology, Leeds Teaching Hospitals

Chapel Allerton Hospital, Leeds LS7 4SA, UK

Email: Philip.O'Connor@leedsth.nhs.uk