John Hunter's MSK Teaching File
Interesting MRI Cases from University of Washington Department of Radiology

 
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TABLE OF CONTENTS: Knee MRI

Case 1b: Normal meniscofemoral ligament.

Case 2b: Discoid lateral meniscus

Case 3b: Lateral tibial plateau contusion

Case 4b: Prepatellar bursitis

Case 5b: Defect, medial facet of patella.

Case 6b: Lateral patellar dislocation.

Case 7b: Cyclops lesion, ACL reconstruction.

Case 8b: ACL ganglion.

Case 9b: Tibial plateau fracture.

Case 10b: Osteochondral lesion medial femoral condyle.

Case 11b: Anterior cruciate ligament tear.

Case 12b: Iliotibial band syndrome.

Case 13b: Bucket handle tear,with "double PCL" sign.

Case 14b: Posterior horn lateral meniscus tear with meniscal cyst.

Case 15b: Posterior horn medial meniscus tear; incidental NOF

Case 16b: Popliteal (Baker's)cyst.

Case 17b: Chondromalacia, medial facet of patella.

Case 18b: Terrible triad. ACL, MCL, medial meniscus tears.

Case 19b: Contusion medial femoral condyle.

Case 20b: Discoid lateral meniscus with tear.

Case 21b: Osteochondral defect lateral femoral condyle with intra-articular loose body.

Case 22b: Discoid lateral meniscus with tear.

Case 23b: Osteochondritis dessicans (osteochondral defect)

Case 24b: ACL tear with lateral femoral condyle contusion.

Case 25b: ACL tear with "kissing contusions".

Case 26b: ACL tear

Case 27b: Bucket handle tear posterior horn medial meniscus.

Case 28b: Discoid lateral meniscus with tear.

Case 29b: Bucket handle tear post. horn, med. meniscus with "double PCL" sign.

Case 30b: Iliotibial band syndrome (see also Case 89b)

Case 31b: Tears lateral meniscus, popliteus muscle

Case 32b: Patellar cartilage injury, apex and medial facet.

Case 33b: Bucket handle tear posterior horn of lateral meniscus

Case 34b: Posterior horn lateral meniscus tear with meniscal cyst.

Case 35b: Patellar tendon rupture.

Case 36b: Tear posterior horn medial meniscus with small meniscal cyst

Case 37b: Segond fracture with ACL tear.

Case 38b: Tear, posterior horn medial meniscus with meniscal cyst.

Case 39b: Chondral defect LFC with loose fragment in joint.

Case 40b: Bucket handle tear medial meniscus with "double PCL sign."

Case 41b: ACL tear with "kissing contusions."

Case 42b: ACL tear with "kissing contusions".

Case 43b: ACL tear with contusions. Note anterior drawer sign.

Case 44b: ACL tear.

Case 45b: Tibial tubercle avulsion

Case 46b: Posterolateral dislocation of knee with lateral patella dislocation

Case 47b: Spontaneous osteonecrosis, medial femoral condyle

Case 48bx: Lateral dislocation of the patella

Case 49b: Avulsion of ACL insertion (tibial spine)

Case 50b: Bucket handle tear, posterior horn lateral meniscus with anterior displacement

Case 51b: Bucket handle tear posterior horn lateral meniscus, with displacement of the posterior horn anteriorly

Case 52b: Prepatellar bursitis

Case 53b: Occult lateral tibial plateau fracture

Case 54b: Posterolateral corner injury injury following hyperextension injury and knee dislocation

Case 55b: Posterolateral corner injury injury following varus injury to the knee-marked lateral capsular stripping

Case 56b: Posterolateral corner injury with marked lateral capsular stripping, avulsion of the tibial attachments of the lateral meniscus, and widening of the lateral joint space

Case 57b: Deep lateral femoral notch sign with intact ACL reconstruction

Case 58b: ACL reconstruction with "cyclops lesion"

Case 59b: Patellar tendinosis or "jumper's knee"

Case 60b: Discoid lateral meniscus

Case 61b: "Jumper's knee" (see also Case 59b)

Case 62b: Medial meniscus tear with large meniscal cyst

Case 63b: ACL tear/ marked deep lateral femoral sulcus compression fracture & anterior drawer sign

Case 64b: PCL tear secondary to dashboard injury

Case 65b: Discoid lateral meniscus

Case 66b: Classic ACL tear with PCL changes and contusions

Case 67b: Osteochondroma, distal femur

Case 68b: Patellar tendon, ACL, intra-substance PCL tears and a peripheral tear, posterior horn medial meniscus

Case 69b: Partial tear, origin, patellar tendon

Case 70b: ACL insertion avulsion fx

Case 71b: ACL tear with "kissing contusions"

Case 72b: Bucket-handle tear lateral meniscus with displacement from posterior to anterior

Case 73b: Occult fracture, distal femur

Case 74b: Tear,posterior horn medial meniscus with small meniscal cyst

Case 75b: PCL tear secondary to impact of the anterior tibia on the dashboard during an MVA

Case 76b: Lipoma, superficial soft tissues, posterior knee

Case 77b: Synovial chondromatosis progressing to synovial osteochondromatosis

Case 78b: Intra-osseous lipoma

Case 79b: Deep lateral sulcus sign on plain films indicating ACL tear

Case 80b: Partial tear, intra-substance, PCL (presumed, not scoped)

Case 81b: Radial tear(ie.free edge tear, parrot beak tear), medial meniscus

Case 82b: Probable stress reaction, anterior distal femur in a female long distance runner

Case 83b: Radial tear, medial meniscus

Case 84b: Anterior horn, lateral meniscus true tear & "pseudotear"

Case 85b: Peripheral, vertical tear posterior horn, medial meniscus

Case 86b: Presumed complete tear, ACL

Case 87b: Bucket-handle tear, posterior horn, medial meniscus

Case 88b: Bucket-handle tear, posterior horn, medial meniscus with "double PCL" sign

Case 89b: Iliotibial band friction syndrome. (see also Case 30b)

Case 90b: Prepatellar bursitis (see also Case 4b and Case 52b).

Case 91b: Lateral patellar dislocation with partial disruption of the medial retinaculum

Case 92b: Anterior horn medial meniscal "pseudotear" from the transverse ligament

Case 93b: Meniscal "pseudotear", posterior horn lateral meniscus caused by a prominent meniscofemoral ligament.

Case 94b: Radial tear, lateral meniscus

Case 95b: Disruption of ACL graft with "cyclops lesion" (fibrosis) in the anterior joint space

Case 96b: The so-called "speckled anterior horn,"lateral meniscus, a normal variant created by the insertion of the ACL

Case 97b: "Ghost" meniscus appearance of the lateral meniscus with diffuse internal signal probably indicating intrasubstance degeneration along with a tear of the anterior horn.

Case 98b: Tear posterior horn medial meniscus, medial meniscal cyst, medial femoral cartilage defect, popliteal cyst

Case 99b: Absent posterior horn, lateral meniscus, complete absence of the lateral articular cartilage

Case 100b:Tear of anterior and posterior horns of the lateral meniscus with a focal cartilage defect in the lateral femoral condyle

Case 101b: Tear, posterior horn medial meniscus with meniscal cyst. Popliteal cyst. Cartilage defect, medial femoral condyle.

Case 102b: ACL tear with "kissing contusions"

Case 103b: Tear medial, medial meniscus

Case 104b: Radial tear, medial meniscus

Case 105b: Osteoarthritis with meniscal degenerative tears, cartilage loss and associated marrow edema. Large popliteal cyst with loose body

Case 106b: Lateral meniscal tear with large meniscal cyst

Case 107b: Probable spontaneous osteonecrosis (SON), lateral femoral condyle, post-menisectomy

Case 108b: Lateral patellar dislocation

Case 109b: Bucket handle tear, posterior horn lateral meniscus, peripheral tear, posterior horn medial meniscus,ACL tear.

Case 110b: Osteochondral defect, medial femoral condyle

Case 111b: Iliotibial band friction syndrome (see also Case 30b & Case 89b)

Case 112b: ACL tear, "kissing contusions" anterior lateral femoral condyle-posterior tibial plateau, presumed tear of the meniscofemoral ligament

Case 113b: Contusion medial femoral condyle with associated chondral defect

Case 114b: ACL tear, proximal aspect

Case 115b: PCL tear, mid substance

Case 116b: Contusion/microfracture lateral femoral condyle

Case 117b: Bucket handle tear, posterior horn medial meniscus

Case 118b: ACL tear, bowing of PCL and a full thickness defect in the lateral femoral cartilage and partial thickness defect in the lateral tibial articular cartilage

Case 119b: Segond fracture with ACL tear and kissing contusions

Case 120b: Posterolateral corner injury with tear of popliteus muscle and musculotendinous junction and tear of arcuate ligament with ACL tear

Case 121b: Bucket handle tear, posterior horn of medial meniscus with "double PCL" sign

Case 122b: Complex tear, posterior horn, medial meniscus

Case 123b: ACL tear, probable tear of meniscofemoral ligament , lateral tibial plateau microfracture, "pseudotear" of the posterior horn of the lateral meniscus caused by the insertion of MFL onto the meniscus

Case 124b: Tear anterior horn, lateral meniscus, with large meniscal cyst

Case 125b: Popliteus tendon tear / posterolateral corner injury

Case 126b: Medial Segond injury with injury to MCL, PCL (origin) and ACL insertion avulsion. There is also a tear of the medial head of the gastrocnemius muscle

Case 127b: Anterolateral ganglion arising from the proximal tibio-fibular joint

Case 128b: Grade IV chondromalacia, patellar cartilage.

Case 129b: Medial femoral cartilage defect with thinning of medial tibial cartilage

Case 130b: ACL tear; popliteus tendon tear at insertion; partial tear, LCL.

Case 131b: MCL tear, complete; tear, anterior horn lateral meniscus; osteochondral defect, lateral femoral condyle; focal cartilage defect, lateral tibial plateau

Case 132b: Occult tibial plateau fracture

Case 133b: Osteochondral defect, lateral aspect of the medial femoral condyle (aka. osteochondritis dessicans)

Case 134b: Bucket-handle tear, posterior horn of the lateral meniscus with anterior displacement of the fragment

Case 135b: Osteoarthritis(lateral and patellofemoral compartments) with cartilage loss and intra-articular loose bodies

Case 136b: Ganglion, posterior aspect, proximal tibiofibular joint (see also Case 127b)

Case 137b: Transverse patella fracture with large effusion

Case 138b: Avulsion fracture of fibular head / conjoined tendon insertion and a tear of the vastas lateralis

Case 139b: Osteochondritis dessicans, lateral aspect medial femoral condyle

Case 140b: PCL avulsion [CT / plain film study]

Case 141b: LCL avulsion (see also "Case 138b ")

Case 142b: Bucket-handle tear, posterior horn, medial meniscus

Case 143b: Radial tear, medial meniscus

Case 144b: Pseudo-tears of the lateral meniscus caused by ligamentous insertions on anterior and posterior horns

Case 145b: "Terrible triad": MCL, medial meniscus, ACL tears

Case 146b: Segond fracture (lateral capsular avulsion) has a high association with ACL tear

Case 147b: Chondromalacia, medial facet of patella

Case 148b: "Blooming artifact" on gradient echo image

Case 149b: Lateral meniscal tear and mensical cyst

Case 150b: Partial tear musculotendinous junction of popliteus (posterolateral corner injury)

Case 151b: Posterolateral corner injury (LCL avulsion, popliteal tendon rupture at M-T junction), ACL tear

Case 152b: Tibial plateau erosions in a patient with rheumatoid arthritis

Case 153b: Pigmented villonodular synovitis

Case 154b: ACL tear with "wavy" patellar tendon

Case 155b: Fat fluid level in knee with "parfait" sign

Case 156b: PCL insertion avulsion, lateral meniscus bucket-handle tear (into notch)

Case 157b: Large posterior lateral femoral cartilage defect with multiple intra-articular loose bodies

Case 158b: Ruptured popliteal cyst

Case 159b: AML with widespread marrow involvement

Case 160b: Spontaneous osteonecrosis (SONC) (see also Case 47b and Case 107b)

Case 161b: Lateral meniscus tear

Case 162b: Full thickness cartilage lesion lateral trochlea with corresponding defect in patellar cartilage

Case 163b: Full-thickness cartilage lesion, lateral femoral condyle at trochlea

Case 164b: Displaced medial meniscus tear-"medial flipped meniscus"

Case 165b: Lateral patellar dislocation with medial facet chondral flap

Case 166b: Covered osteochondral defect, MFC, with small articular cartilage defect seen just anterior to the OCD (MRA knee)

Case 167b: LCL avulsion/posterolateral corner injury & Segond fx with ACL tear

Case 168b: Anterior tibial fracture, PCL (origin) avulsion, posterolateral corner injury.

Case 169b: Popliteal cyst + tear posterior horn medial meniscus

Case 170b: Traumatic pre-patellar bursal fluid collection

Case 171b: Medial tibial plateau fracture: "occult"

Case 172b: Patient was on high dose steroids: AVN and multiple bone infarcts

Case 173b: Full thickness cartilage defect, lateral facet of patella

Case 174b: ACL tear with "bowing' of the PCL. The "question mark [?]" look to the PCL is a reflection of an anterior drawer sign

Case 175b: Large loose body in a ganglion arising near, or possibly within the tendon sheath of the popliteus muscle.

Case 176b: Popliteal cyst and complex ganglion arising from popliteus tendon sheath

Case 177b: Patellar tendon rupture, with patella alta

Case 178b: Tear, posterior horn of lateral meniscus with posterior displacement out of joint. Also, peripheral tear, posterior horn, medial meniscus.

Case 179b: True bucket-handle tear of the lateral meniscus, flipped into the notch

Case 180b: ACL tear, large medial femoral condyle cartilage defect (the piece is sitting anteriorly and medially-see below), complex radial tear medial meniscus, popliteal cyst with loose body

Case 181b: Lateral patellar dislocation with large cartilage defect off lateral facet of patella and a detached lateral femoral condyle osteochondral fracture, the fragment sitting in the lateral capsular reflection.

Case 182b: Spontaneous osteonecrosis (SONC) (45.440)

Case 183b: Partial tear, PCL

Case 184b: Discoid lateral meniscus with multiple tears

Case 185b: Discoid lateral meniscus with small radial tear

Case 186b: Hematoma, medial head of gastrocnemius muscle

Case 187b: Normal ACL reconstruction

Case 188b: Two cases of complications of ACL reconstruction: Case A: improper placement of the tibial tunnel-too anterior and Case B: failed ACL graft.

Case 189b: Lateral femoral condyle osteochondral defect (OCD 45.440). The defect is covered by articular cartilage, an in-situ defect

Case 190b: Peroneal nerve sheath tumor with atrophy (T1WI) and increased signal (STIR) compatible with denervation in the Tibialis Anterior muscle

Case 191b: Complex tear of lateral meniscus with horizontal and radial components

Case 192b: Osteochondral defect, anterior lateral femoral condyle trochlear area with free fragment of cartilage in the posterior lateral recess of the joint

Case 193b: Bucket handle tear, posterior horn medial meniscus. The displaced fragment is anterior and partly toward the notch

Case 194b: Displaced medial meniscus tear, displaced medially

Case 195b: Failed ACL graft (45.450)

Case 196b: Failed ACL graft

Case 197b: Near complete tear, LCL. This was an isolated injury.

Case 198b: Lateral tibial plateau fracture with fat-fluid level on plain film and "parfait" sign on MR

"Case 199b"

Knee MRI Cases

Normal MR Anatomy: http://www.indyrad.iupui.edu/learning/mriatlasinfo.html


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