Rajaa Aziz Jabbar¹and Ragdaa Fahim Ghaith²

¹Al-Samawa Teaching Hospital – Al Muthanna Province, Iraq

²Al-Sader Teaching Hospital- Najaf Province, Iraq

Received: Dec 12, 2023/ Revised: Jan 14, 2023/Accepted: Jan 16, 2024

Abstract

Magnetic resonance imaging is one of the most crucial procedures used to diagnose and follow up several orthopedic approaches and interventions. This study aimed to assess and evaluate the efficacy of MRI in diagnosing ACL among different patients who attend the radiology department. A case series correlational study was conducted among randomly selected patients with AC in different stages for 11 months of study correlations. The results revealed that among 40 patients with partial or complete ACL tears and assessing the MRI approaches with evaluating its accuracy, specificity, and sensitivity with selected cases under radiograph.This study concluded that MRI is main radiological procedure used to assess and evaluate the degree of bone and tendons injuries, specially, ACL tears.

Keywords:  MRI – Magnetic Resonance Imaging – Tears Anterior Cruciate Ligament – ACL

References

Awan, M. J., Rahim, M. S. M., Salim, N., Rehman, A., Nobanee, H., & Shabir, H. (2021). Improved Deep Convolutional Neural Network to Classify Osteoarthritis from Anterior Cruciate Ligament Tear Using Magnetic Resonance Imaging. Journal of Personalized Medicine, 11(11), 1163.

https://doi.org/10.3390/jpm11111163

Behairy, N. H., Dorgham, M. A., & Khaled, S. A. (2008). Accuracy of routine magnetic resonance imaging in meniscal and ligamentous injuries of the knee: comparison with arthroscopy. International Orthopaedics, 33(4), 961–967.

https://doi.org/10.1007/s00264-008-0580-5

Cavinatto, L., Gupta, S., Morgan, C., & Bartolozzi, A. R. (2018). Value of Preoperative MRI and Examination under Anesthesia for Differentiating Complete from Partial Anterior Cruciate Ligament Tears. The Journal of Knee Surgery, 32(07), 620–623.

https://doi.org/10.1055/s-0038-1666827

Clayton, R. A., & Court-Brown, C. M. (2008). The epidemiology of musculoskeletal tendinous and ligamentous injuries. Injury, 39(12), 1338–1344.

https://doi.org/10.1016/j.injury.2008.06.021

CR, D. S. (2017). MRI and Arthroscopic Correlation in Meniscal Injuries of Knee. Journal of Medical Science and Clinical Research, 05(06), 23627–23642.

https://doi.org/10.18535/jmscr/v5i6.137

Ferretti, A., Monaco, E., Redler, A., Argento, G., De Carli, A., Saithna, A., . . . Helito, C. P. (2019). High Prevalence of Anterolateral Ligament Abnormalities on MRI in Knees With Acute Anterior Cruciate Ligament Injuries: A Case-Control Series From the SANTI Study Group. Orthopaedic Journal of Sports Medicine, 7(6), 232596711985291.

https://doi.org/10.1177/2325967119852916

Germann, C., Marbach, G., Civardi, F., Fucentese, S. F., Fritz, J., Sutter, R., . . . Fritz, B. (2020). Deep Convolutional Neural Network–Based Diagnosis of Anterior Cruciate Ligament Tears. Investigative Radiology, 55(8), 499–506.

https://doi.org/10.1097/rli.0000000000000664

Gorantla, R., B, S., & Rao, A. (2018). Correlation of Clinical examination, Magnetic Resonance Imaging (MRI) with Arthroscopic Findings in the Knee Joint. International Journal of Contemporary Medicine, Surgery and Radiology, 3(4).

https://doi.org/10.21276/ijcmsr.2018.3.4.33

Gunaydin, B., Sahin, G. G., Sari, A., Kara, A., Dincel, Y. M., Cetin, M. U., . . . Kabukcuoglu, Y. S. (2019). A new method for diagnosis of anterior cruciate ligament tear: MRI with maximum flexion of knee in the prone position: A case control study. International Journal of Surgery, 68, 142–147.

https://doi.org/10.1016/j.ijsu.2019.06.017

Helito, C. P., Helito, P. V. P., Assirati, L. F. B., Longo, C. H., Bordalo-Rodrigues, M., & Souza, F. F. D. (2019). Magnetic Resonance Imaging Evaluation of the Anterolateral Ligament in Acute Anterior Cruciate Ligament Injuries in an Adolescent Population. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 35(7), 2136–2142.

https://doi.org/10.1016/j.arthro.2019.02.034

Helito, P. V. P., Bartholomeeusen, S., Claes, S., Rodrigues, M. B., & Helito, C. P. (2020). Magnetic Resonance Imaging Evaluation of the Anterolateral Ligament and the Iliotibial Band in Acute Anterior Cruciate Ligament Injuries Associated With Segond Fractures. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 36(6), 1679–1686.

https://doi.org/10.1016/j.arthro.2020.02.005

Javed Awan, M., Mohd Rahim, M., Salim, N., Mohammed, M., Garcia-Zapirain, B., & Abdulkareem, K. (2021). Efficient Detection of Knee Anterior Cruciate Ligament from Magnetic Resonance Imaging Using Deep Learning Approach. Diagnostics, 11(1), 105.

https://doi.org/10.3390/diagnostics11010105

Jog, A. V., Smith, T. J., Pipitone, P. S., Toorkey, B. C., Morgan, C. D., & Bartolozzi, A. R. (2020). Is a Partial Anterior Cruciate Ligament Tear Truly Partial? A Clinical, Arthroscopic, and Histologic Investigation. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 36(6), 1706–1713.

https://doi.org/10.1016/j.arthro.2020.02.037

Koo, B., Lee, S. H., Yun, S. J., & Song, J. G. (2019). Diagnostic Performance of Magnetic Resonance Imaging for Detecting Meniscal Ramp Lesions in Patients With Anterior Cruciate Ligament Tears: A Systematic Review and Meta-analysis. The American Journal of Sports Medicine, 48(8), 2051–2059.

https://doi.org/10.1177/0363546519880528

Kostov, H., Slavcho, S., & Kostova, E. (2014). Reliability Assessment of Arthroscopic Findings Versus MRI in ACL Injuries of the Knee. Acta Informatica Medica, 22(2), 111.

https://doi.org/10.5455/aim.2014.22.111-114

Liu, F., Guan, B., Zhou, Z., Samsonov, A., Rosas, H., Lian, K.,  Kijowski, R. (2019). Fully Automated Diagnosis of Anterior Cruciate Ligament Tears on Knee MR Images by Using Deep Learning. Radiology: Artificial Intelligence, 1(3), 180091.

https://doi.org/10.1148/ryai.2019180091

Longo, U. G., Nagai, K., Salvatore, G., Cella, E., Candela, V., Cappelli, F., Denaro, V. (2021). Epidemiology of Anterior Cruciate Ligament Reconstruction Surgery in Italy: A 15-Year Nationwide Registry Study. Journal of Clinical Medicine, 10(2), 223.

https://doi.org/10.3390/jcm10020223

Lynch, T. B., Bernot, J. M., Oettel, D. J., Byerly, D., Musahl, V., Chasteen, J., . . . Sheean, A. J. (2021). Magnetic resonance imaging does not reliably detect Kaplan fiber injury in the setting of anterior cruciate ligament tear. Knee Surgery, Sports Traumatology, Arthroscopy, 30(5), 1769–1775.

https://doi.org/10.1007/s00167-021-06730-5

Marom, N., Greditzer, H. G., Roux, M., Ling, D., Boyle, C., Pearle, A. D., & Marx, R. G. (2020). The Incidence of Kaplan Fiber Injury Associated With Acute Anterior Cruciate Ligament Tear Based on Magnetic Resonance Imaging. The American Journal of Sports Medicine, 48(13), 3194–3199.

https://doi.org/10.1177/0363546520956302

Oei, E. H. G., Nikken, J. J., Verstijnen, A. C. M., Ginai, A. Z., & Myriam Hunink, M. G. (2003). MR Imaging of the Menisci and Cruciate Ligaments: A Systematic Review. Radiology, 226(3), 837–848.

https://doi.org/10.1148/radiol.2263011892

Panigrahi, R., Priyadarshi, A., Palo, N., Marandi, H., Kumar Agrawalla, D., & Ranjan Biswal, M. (2016). Correlation of Clinical Examination, MRI and Arthroscopy Findings in Menisco-Cruciate Injuries of the Knee: A Prospective Diagnostic Study. Archives of Trauma Research, 6(1).

https://doi.org/10.5812/atr.30364

Roemer, F. W., Lohmander, L. S., Englund, M., Guermazi, A., Åkesson, A., & Frobell, R. (2021). Development of MRI-defined Structural Tissue Damage after Anterior Cruciate Ligament Injury over 5 Years: The KANON Study. Radiology, 299(2), 383–393.

https://doi.org/10.1148/radiol.2021202954

Shu, H. T., Wegener, N. R., Connors, K. M., Yang, D. S., Lockey, S. D., Thomas, J. M., & Argintar, E. H. (2021). Accuracy of magnetic resonance imaging in predicting anterior cruciate ligament tear location and tear degree. Journal of Orthopaedics, 25, 129–133.

https://doi.org/10.1016/j.jor.2021.05.002

Song, Y., Yang, J. H., Choi, W. R., & Lee, J. K. (2018). Magnetic Resonance Imaging-Based Prevalence of Anterolateral Ligament Abnormalities and Associated Injuries in Knees with Acute Anterior Cruciate Ligament Injury. The Journal of Knee Surgery, 32(09), 866–871.

https://doi.org/10.1055/s-0038-1669449

Sumayya, Heema, Janan Orakzai, Z., Khan, M., Malik Awan, N., & Shakeel Babar, K. (2022). Diagnostic Accuracy of Magnetic Resonance Imaging in Carcinoma of Cervix Taking Histopathology as Gold Standard. Pakistan BioMedical Journal, 139–143.

https://doi.org/10.54393/pbmj.v5i6.548

Tran, A., Lassalle, L., Zille, P., Guillin, R., Pluot, E., Adam, C., Rizk, B. (2022). Deep learning to detect anterior cruciate ligament tear on knee MRI: multi-continental external validation. European Radiology, 32(12), 8394–8403.

https://doi.org/10.1007/s00330-022-08923-z

Vincken, P. W. J., ter Braak, A. P. M., van Erkel, A. R., Coerkamp, E. G., de Rooy, T. P. W., de Lange, S., Bloem, J. L. (2007). MR Imaging: Effectiveness and Costs at Triage of Patients with Nonacute Knee Symptoms. Radiology, 242(1), 85–93.

https://doi.org/10.1148/radiol.2421051368

Young, B. L., Ruder, J. A., Trofa, D. P., & Fleischli, J. E. (2020). Visualization of Concurrent Anterolateral and Anterior Cruciate Ligament Injury on Magnetic Resonance Imaging. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 36(4), 1086–1091.

https://doi.org/10.1016/j.arthro.2019.09.039

Zhao, M., Zhou, Y., Chang, J., Hu, J., Liu, H., Wang, S., Li, H. (2020). The accuracy of MRI in the diagnosis of anterior cruciate ligament injury. Annals of Translational Medicine, 8(24), 1657–1657.

https://doi.org/10.21037/atm-20-7391

How to cite this article

Jabbar, R. A. and Ghaith, R. F. (2024). Role of MRI in evaluation of a tear in the anterior cruciate ligament. Science Archives, Vol. 5(1), 1-7.

https://doi.org/10.47587/SA.2024.5101

Licence                  Article Metadata

This work is licensed under a Creative Commons Attribution 4.0 International License.

View Details