NGHIÊN CỨU ĐẶC ĐIỂM HÌNH ẢNH VÀ GIÁ TRỊ CỦA CỘNG HƯỞNG TỪ 1.5 TESLA TRONG CHẤN THƯƠNG DÂY CHẰNG, SỤN CHÊM KHỚP GỐI

Dr Dang Thi Ngoc Anh1, Dr Vu Long2, Professor Pham Minh Thong3, Dr Le Quang Phuong4
1 Imaging dept Duc Giang General Hospital
2 Imaging dept Vietnam-Germany Hospital
3 Electro Optical Center Bach Mai Hospital
4 Illness Intensive Care Department Viet-Soviet Friendship Institute

Main Article Content

Abstract

Objective: Image Characteristic of ligament and meniscus injuries of the kneee on 1.5Tesla magnetic resonance imaging at Duc
Giang hospital.
Methods: The cross-sectional retrospective study of 98 patients with diagnosed of knee injuries by magnetic resonance imaging (MRI) at Duc Giang Hospital from January 2018 to January 2020, aimed to comments on MRI appearance features in knee injury. The cross sectional study on the statistical basis of data to make comments on the MRI features in the diagnosis of knee injury, using Siemen Essenza 1.5 Tesla MRI with knee joint coil.
Result: The most common age is from 20 to 40 years old. Male prominent. MRI can detect osseous edema with 35.7% in tibia and Femur is 23,5%, 94.9% anterior cruciate ligament (ACL) and 5.1% posterior cruciate ligament (PCL) injury. On the other hand, there were 45,9% medial meniscal and 25,5% lateral meniscal injury. We saw 2% tibial collateral ligament and 1% fibular collateral ligament.
Conclusion: MRI imaging features play an important role in diagnosing and accessing the severity of knee injury.

Article Details

References

1. Ali Naraghi, and Lawrence M. White (2014), “MR Imaging of Cruciate Ligaments”, Magn Reson Imaging Clin N Am - (2014).
2. Hayes C.W, Brigido M.K, Jamadar D.A, Propeck T:Mechanism based pattern approach to classiffication of complex injuries of the knee depicted at MR Imaging.Radiographics, 2000; 20: 121-134.
3. Laudre B.J, Collins M.S, Bond J.R, Dahm D.L,Stuart M.J., Mandrekar J.N: MRI accuracy for tears of the posterior horn of the lateral meniscus in patients with acute anterior cruciate ligament injury and the clinical relevance of missed tears. AJR Am J Roentgenol 2009,193: 515-523.
4. Mustonen A.O, Koivikko M.P, Lindahl J, Koskinen S.K: MRI of acute meniscal injury associated with tibial plateau fractures:prevalence, type, and location. AJR Am J Roentgenol 2008; 191: 1002-1009.
5. Rodriguez J.W, Vinson E.N, Helms C.A, Toth A.P:MRI appearance of posterior cruciate ligament tears. AJR Am J Roentgenol 2008; 191: 155-159.
6. Sonin A.H., Fitzgerald S.W., Bresler M.E, Kirsch M.D., Hoff F.L, Friedman H: Radiographics 1995; 15: 367-382.
7. Ferkel R.D., Davis J.R., Friedman M.J. và cộng sự. (1985). Arthroscopic partial medial meniscectomy: an analysis of unsatisfactory results. Arthrosc J Arthrosc Relat Surg, 1(1), 44–52.
8. Frobell R.B, Lahmander L.S, Roos H.P: Acute rotation trauma to the knee: poor agreement between clinical assessement and magnetic resonance imaging findings. Scand J Med Sci Sports 2007; 17: 109-114.
9. Galy Fourcade D (2003), “Genou”, IRM osteo-articulaire et musculaire”, Masson, pp. 117-153.
10. Thomas H. Berquist (2001), “Knee”, MRI of the Musculoskeletal system”, Liprincott Williams & Wilkins. pp. 356-357
11. Sintzoff JR S.A and Sintzoff S. (1998). Imagerie du genou du sportif”, Imagerie en traumatologie du sport . Masson, Paris, pp. 55-74.