Download PDF
Semin Musculoskelet Radiol 2002; 06(1): 047-056
DOI: 10.1055/s-2002-23163
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Spiral CT Arthrography of the Postoperative Knee

B. C. Vande Berg1 , F. E. Lecouvet1 , P. Poilvache1, 2 , B. Maldague1 , J. Malghem1
  • 1Department of Radiology, Cliniques Universitaires St. Luc, Université Catholique de Louvain, Brussels, Belgium
  • 2Department of Orthopedic Surgery, Cliniques Universitaires St. Luc, Université Catholique de Louvain, Brussels, Belgium
Further Information

Publication History

Publication Date:
26 March 2002 (online)

Also available at
    Permissions and Reprints

ABSTRACT

Computed tomography (CT) has gained multiplanar capability and submillimeter spatial resolution due to the development of spiral acquisition mode and multidetector row technology. Multidetector spiral CT arthrography of the knee is a valuable imaging modality for the assessment of lesions of the meniscus, anterior cruciate ligament (ACL), and articular cartilage. This article presents the value of spiral CT arthrography in the assessment of the postoperative knee with emphasis on the postoperative meniscus, articular cartilage, and ACL graft. This technique may be proposed as an alternative to magnetic resonance arthrography.

KEYWORD

Knee - postoperative - meniscus - arthrography - computed tomography

REFERENCES

  • 1 Berland L L, Smith J K. Multidetector-array CT: once again, technology creates new opportunities [editorial; comment].  Radiology . 1998;  209 327-329
    PubMedSearch in Google Scholar
  • 2 Vande Berg C B, Lecouvet F E, Poilvache P. Dual-detector spiral CT arthrography of the knee: accuracy for detection of meniscal abnormalities and unstable meniscal tears.  Radiology . 2000;  216 851-857
    PubMedSearch in Google Scholar
  • 3 Vande Berg B, Lecouvet F E, Poilvache P, Dubuc J E, Maldague B, Malghem J. Dual-detector spiral CT arthrography of the knee: assessment of anterior cruciate ligament and associated meniscal tears.  Radiology (In press).
    PubMed
  • 4 Vande Berg B, Lecouvet F E, Poilvache P, Dubuc J E, Maldague B, Malghem J. Assessment of the knee cartilage in cadavers with dual-detector spiral CT arthrography and MR imaging.  Radiology . 2002;  222 430-436
    CrossrefPubMedSearch in Google Scholar
  • 5 Crues III V J, Ryu R, Morgan F W. Meniscal pathology. The expanding role of magnetic resonance imaging.  Clin Orthop . 1990;  52 80-87
    PubMedSearch in Google Scholar
  • 6 Smith D K, Totty W G. The knee after partial meniscectomy: MR imaging features.  Radiology . 1990;  176 141-144
    PubMedSearch in Google Scholar
  • 7 Rubin D A. MR imaging of the knee menisci.  Radiol Clin North Am . 1997;  35 21-44
    PubMedSearch in Google Scholar
  • 8 Lim P S, Schweitzer M E, Bhatia M. Repeat tear of postoperative meniscus: potential MR imaging signs.  Radiology . 1999;  210 183-188
    CrossrefPubMedSearch in Google Scholar
  • 9 Applegate G R, Flannigan B D, Tolin B S, Fox J M, Del Pizzo W. MR diagnosis of recurrent tears in the knee: value of intraarticular contrast material.  Am J Roentgenol . 1993;  161 821-825
    PubMedSearch in Google Scholar
  • 10 Sciulli R L, Boutin R D, Brown R R. Evaluation of the postoperative meniscus of the knee: a study comparing conventional arthrography, conventional MR imaging, MR arthrography with iodinated contrast material, and MR arthrography with gadolinium-based contrast material.  Skel Radiol . 1999;  28 508-514
    CrossrefPubMedSearch in Google Scholar
  • 11 Haims A H, Katz L D, Ruwe P A. MR arthrography of the knee.  Semin Musculoskel Radiol . 1998;  2 385-396
    PubMedSearch in Google Scholar
  • 12 Grainger A J, Elliott J M, Campbell R S, Tirman P F, Steinbach L S, Genant H K. Direct MR arthrography: a review of current use.  Clin Radiol . 2000;  55 163-176
    CrossrefPubMedSearch in Google Scholar
  • 13 Hall F M. Methodology in knee arthrography.  Radiol Clin North Am . 1981;  19 269-275
    PubMedSearch in Google Scholar
  • 14 Newberg A H, Munn C S, Robbins A H. Complications of arthrography.  Radiology . 1985;  155 605-606
    CrossrefPubMedSearch in Google Scholar
  • 15 Hall F M. MR diagnosis of recurrent meniscal tears: how soon we forget.  Am J Roentgenol . 2001;  162 1502
    PubMedSearch in Google Scholar
  • 16 Pereira E R, Ryu K N, Ahn J M, Kayser F, Bielecki D, Resnick D. Evaluation of the anterior cruciate ligament of the knee: comparison between partial flexion true sagittal and extension sagittal oblique positions during MR imaging.  Clin Radiol . 1998;  53 574-578
    PubMedSearch in Google Scholar
  • 17 Berland L L. Routine scan factors. In: Berland LL, ed. Practical CT Technology New York: Raven Press 1987: 56-72
    Search in Google Scholar
  • 18 Brink J A, Heiken J P, Wang G, McEnery K W, Schlueter F J, Vannier M W. Spiral (helical) CT: principles and technical considerations.  Radiographics . 1994;  14 887-893
    PubMedSearch in Google Scholar
  • 19 Brink J A, Davros W J. Helical/spiral CT: technical principles. In: Pennington J, Englis MR, eds. Helical/Spiral CT: A Practical Approach New York: McGraw-Hill 1995: 1-26
    Search in Google Scholar
  • 20 Quinn S F, Brown T R, Szumowski J. Menisci of the knee: radial MR imaging correlated with arthroscopy in 259 patients.  Radiology . 1992;  185 577-580
    PubMedSearch in Google Scholar
  • 21 Staeubli H U, Adam O, Becker W, Burgkart R. Anterior cruciate ligament and intercondylar notch in the coronal oblique plane: anatomy complemented by magnetic resonance imaging in cruciate ligament-intact knees.  Arthroscopy . 1999;  15 349-359
    PubMedSearch in Google Scholar
  • 22 DeHaven K E. Decision-making factors in the treatment of meniscus lesions.  Clin Orthop . 1990;  252 49-54
    PubMedSearch in Google Scholar
  • 23 Easley M, Cushner F, Norman Scott W. Arthroscopic meniscal resection In: Insall J, Norman Scott W, eds. Surgery of the Knee. Philadelphia: Churchill Livingstone 2001: 473-520
    Search in Google Scholar
  • 24 Warren R F. Meniscectomy and repair in the anterior cruciate ligament-deficient patient.  Clin Orthop . 1990;  55-63
    PubMedSearch in Google Scholar
  • 25 Watanabe A T, Carter B C, Teitelbaum G P, Bradley Jr G W. Common pitfalls in magnetic resonance imaging of the knee.  J Bone Joint Surg Am . 1989;  71 857-862
    CrossrefPubMedSearch in Google Scholar
  • 26 Vahey T N, Bennett H T, Arrington L E, Shelbourne K D, Ng J. MR imaging of the knee: pseudotear of the lateral meniscus caused by the meniscofemoral ligament.  Am J Roentgenol . 1990;  154 1237-1239
    PubMedSearch in Google Scholar
  • 27 Vande Berg C B, Malghem J. Arthrographic pseudotear of the anterior horn of the lateral meniscus caused by a displaced meniscal fragment.  Skel Radiol . 1993;  22(8) 600-601
    PubMedSearch in Google Scholar
  • 28 Jelaso D V. The fascicles of the lateral meniscus: an anatomic-arthrographic correlation.  Radiology . 1975;  114 335-339
    PubMedSearch in Google Scholar
  • 29 De Maeseneer M, Van Roy F, Lenchik L, Barbaix E, De Ridder F, Osteaux M. Three layers of the medial capsular and supporting structures of the knee: MR imaging-anatomic correlation.  Radiographics . 2000;  20 S83-S89
    CrossrefPubMedSearch in Google Scholar
  • 30 Magee T H, Hinson G W. MRI of meniscal bucket-handle tears.  Skel Radiol . 1998;  27 495-499
    PubMedSearch in Google Scholar
  • 31 Wright D H, De Smet A A, Norris M. Bucket-handle tears of the medial and lateral menisci of the knee: value of MR imaging in detecting displaced fragments [see comments].  Am J Roentgenol . 1995;  165 621-625
    PubMedSearch in Google Scholar
  • 32 Totty W G, Matava M J. Imaging the postoperative meniscus.  Magn Reson Imag Clin North Am . 2000;  8 271-283
    PubMedSearch in Google Scholar
  • 33 Farley T E, Howell S M, Love K F, Wolfe R D, Neumann C H. Meniscal tears: MR and arthrographic findings after arthroscopic repair.  Radiology . 1991;  180 517-522
    PubMedSearch in Google Scholar
  • 34 Ihara H. Double-contrast CT arthrography of the cartilage of the patellofemoral joint.  Clin Orthop . 2001;  198 50-55
    PubMedSearch in Google Scholar
  • 35 Gagliardi J A, Chung E M, Chandnani V P. Detection and staging of chondromalacia patellae: relative efficacies of conventional MR imaging, MR arthrography, and CT arthrography.  Am J Roentgenol . 1994;  163 629-636
    PubMedSearch in Google Scholar
  • 36 Daenen B R, Ferrara M A, Marcelis S, Dondelinger R F. Evaluation of patellar cartilage surface lesions: comparison of CT arthrography and fat-suppressed FLASH 3D MR imaging.  Eur Radiol . 1998;  8 981-985
    CrossrefPubMedSearch in Google Scholar
  • 37 Verstraete K L, Huysse W C, De Clercq P D, Rousseaux M, Steines D, Lang P K. Value of plain radiography, CT and MR imaging for evaluation of osteochondral autografts in the knee: a 3-year follow-up study.  Radiology . 2000;  217 450-451
    PubMedSearch in Google Scholar
  • 38 Rak K M, Gillogly S D, Schaefer R A, Yakes W F, Liljedahl R R. Anterior cruciate ligament reconstruction: evaluation with MR imaging.  Radiology . 1991;  178 553-556
    PubMedSearch in Google Scholar
  • 39 Recht M P, Piraino D W, Cohen M A, Parker R D, Bergfeld J A. Localized anterior arthrofibrosis (cyclops lesion) after reconstruction of the anterior cruciate ligament: MR imaging findings.  Am J Roentgenol . 1995;  165 383-385
    PubMedSearch in Google Scholar
  • 40 Lecouvet F E, van de Berg C B, Maldague B E. Early irreversible osteonecrosis versus transient lesions of the femoral condyles: prognostic value of subchondral bone and marrow changes on MR imaging.  Am J Roentgenol . 1998;  170 71-77
    PubMedSearch in Google Scholar
  • 41 Malghem J, Vande Berg C B, Lebon C, Lecouvet F E, Maldague B E. Ganglion cysts of the knee: articular communication revealed by delayed radiography and CT after arthrography.  Am J Roentgenol . 1998;  170 1579-1583
    PubMedSearch in Google Scholar