Abstract
Purpose: To evaluate meniscofibular ligament (MFibL) at the posterolateral corner of the knee joint on the magnetic resonance arthrography (MRA) with 70° knee flexion. Materials and Methods: The MRA of the knee joint was performed at 70° knee flexion. Eighteen patients (19 knee joints) underwent scanning of sagittal, coronal, and axial fat-suppressed T1 weighted images (T1FS), and coronal fat-suppressed T2 weighted images. Sagittal three-dimensional (3D) gradient echo (GRE) images were also obtained. Retrospective review of 19 knee MRA studies was independently performed by two musculoskeletal radiologists. The statistical significance was proved by chi-square test. Results: The MFibL ligament was optimally demonstrated on the far lateral sagittal 3D GRE and T1FS MRA images. The MFibL appeared as a curvilinear or straight hypointense band of variable thickness, extended from the posterolateral meniscus to upper anteromedial aspect of the fibular head. The MFibL was demonstrated with scale 2 (more than a half length of the ligament) by both reviewers in 73.68% (n=14/19) of the knee 3D GRE images and 89.47% (n=17/19) of the knee T1FS images. The visualization on T1FS and that on GRE were not statistically different from each other (p>0.05). The interobserver agreements were significantly good on both 3D GRE and T1FS images in detecting the ligament (kappa values, 0.642 and 0.683, respectively). Conclusion: The MFibL is well visualized on the far lateral sagittal MRA at 70° knee flexion, which could potentially be useful in recognizing structures in the posterolateral corner of the knee, including the MFibL.
| Original language | English |
|---|---|
| Pages (from-to) | 820-824 |
| Number of pages | 5 |
| Journal | Yonsei medical journal |
| Volume | 53 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2012 Jul 1 |
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All Science Journal Classification (ASJC) codes
- Medicine(all)
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Magnetic resonance arthrographic dissection of posterolateral corner of the knee : Revealing the meniscofibular ligament. / Lee, Young Han; Song, Ho Taek; Kim, Sungjun; Kim, Sung Jae; Suh, Jin Suck.
In: Yonsei medical journal, Vol. 53, No. 4, 01.07.2012, p. 820-824.Research output: Contribution to journal › Review article
TY - JOUR
T1 - Magnetic resonance arthrographic dissection of posterolateral corner of the knee
T2 - Revealing the meniscofibular ligament
AU - Lee, Young Han
AU - Song, Ho Taek
AU - Kim, Sungjun
AU - Kim, Sung Jae
AU - Suh, Jin Suck
PY - 2012/7/1
Y1 - 2012/7/1
N2 - Purpose: To evaluate meniscofibular ligament (MFibL) at the posterolateral corner of the knee joint on the magnetic resonance arthrography (MRA) with 70° knee flexion. Materials and Methods: The MRA of the knee joint was performed at 70° knee flexion. Eighteen patients (19 knee joints) underwent scanning of sagittal, coronal, and axial fat-suppressed T1 weighted images (T1FS), and coronal fat-suppressed T2 weighted images. Sagittal three-dimensional (3D) gradient echo (GRE) images were also obtained. Retrospective review of 19 knee MRA studies was independently performed by two musculoskeletal radiologists. The statistical significance was proved by chi-square test. Results: The MFibL ligament was optimally demonstrated on the far lateral sagittal 3D GRE and T1FS MRA images. The MFibL appeared as a curvilinear or straight hypointense band of variable thickness, extended from the posterolateral meniscus to upper anteromedial aspect of the fibular head. The MFibL was demonstrated with scale 2 (more than a half length of the ligament) by both reviewers in 73.68% (n=14/19) of the knee 3D GRE images and 89.47% (n=17/19) of the knee T1FS images. The visualization on T1FS and that on GRE were not statistically different from each other (p>0.05). The interobserver agreements were significantly good on both 3D GRE and T1FS images in detecting the ligament (kappa values, 0.642 and 0.683, respectively). Conclusion: The MFibL is well visualized on the far lateral sagittal MRA at 70° knee flexion, which could potentially be useful in recognizing structures in the posterolateral corner of the knee, including the MFibL.
AB - Purpose: To evaluate meniscofibular ligament (MFibL) at the posterolateral corner of the knee joint on the magnetic resonance arthrography (MRA) with 70° knee flexion. Materials and Methods: The MRA of the knee joint was performed at 70° knee flexion. Eighteen patients (19 knee joints) underwent scanning of sagittal, coronal, and axial fat-suppressed T1 weighted images (T1FS), and coronal fat-suppressed T2 weighted images. Sagittal three-dimensional (3D) gradient echo (GRE) images were also obtained. Retrospective review of 19 knee MRA studies was independently performed by two musculoskeletal radiologists. The statistical significance was proved by chi-square test. Results: The MFibL ligament was optimally demonstrated on the far lateral sagittal 3D GRE and T1FS MRA images. The MFibL appeared as a curvilinear or straight hypointense band of variable thickness, extended from the posterolateral meniscus to upper anteromedial aspect of the fibular head. The MFibL was demonstrated with scale 2 (more than a half length of the ligament) by both reviewers in 73.68% (n=14/19) of the knee 3D GRE images and 89.47% (n=17/19) of the knee T1FS images. The visualization on T1FS and that on GRE were not statistically different from each other (p>0.05). The interobserver agreements were significantly good on both 3D GRE and T1FS images in detecting the ligament (kappa values, 0.642 and 0.683, respectively). Conclusion: The MFibL is well visualized on the far lateral sagittal MRA at 70° knee flexion, which could potentially be useful in recognizing structures in the posterolateral corner of the knee, including the MFibL.
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U2 - 10.3349/ymj.2012.53.4.820
DO - 10.3349/ymj.2012.53.4.820
M3 - Review article
C2 - 22665352
AN - SCOPUS:84863086582
VL - 53
SP - 820
EP - 824
JO - Yonsei Medical Journal
JF - Yonsei Medical Journal
SN - 0513-5796
IS - 4
ER -