A biomechanical approach to interpreting magnetic resonance imaging of knee injuries

Magn Reson Imaging Clin N Am. 2014 Nov;22(4):621-48. doi: 10.1016/j.mric.2014.07.006. Epub 2014 Aug 28.

Abstract

This article discusses common injury mechanisms and the subsequent constellation of magnetic resonance (MR) imaging findings in the knee following trauma in the context of instability, as distinguished by the degree of knee flexion and tibial rotation at the time of initial injury, in addition to the direction and magnitude of the responsible force vectors. Using 3-dimensional imaging, common injury mechanisms are illustrated and correlated with MR imaging findings of the resulting osteochondral, ligamentous, meniscal, and musculotendinous lesions. The most common classification and grading systems for these individual lesions and their subsequent treatment implications are discussed.

Keywords: Biomechanics; Imaging; Injury; Instability; Knee; MR imaging; Mechanism.

Publication types

  • Review

MeSH terms

  • Compressive Strength
  • Humans
  • Knee Injuries / classification
  • Knee Injuries / pathology*
  • Knee Injuries / physiopathology*
  • Knee Joint / pathology*
  • Knee Joint / physiopathology*
  • Magnetic Resonance Imaging / methods*
  • Models, Anatomic
  • Models, Biological
  • Range of Motion, Articular
  • Stress, Mechanical
  • Trauma Severity Indices*