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Indications for The Use of MRI of the Knee

Trauma

bulletSuspected meniscal injury. For an algorithm on the use of MRI scanning in suspected acute meniscal injury click here.
bulletSuspected cruciate or collateral ligament injury.
bulletSuspected patellar or quadriceps tendon injury and/or muscle tear.
bulletSuspected retinacular injury and assessment of patella subluxation/dislocation.
bulletSuspected bony injury not visible on plain radiograph. Suspected stress fracture. Assessment of extent of fractures visible on plain radiograph together with evaluation of associated soft tissue injury.
bulletSuspected osteochondral fracture.

Other

bulletAssessment of chondromalacia.
bulletEarly diagnosis and assessment of spontaneous osteonecrosis and osteochondritis dissecans.
bulletSuspected osteomyelitis.
bulletAssessment of arthritis and JRA. MRI allows evaluation of articular cartilage thickness, joint effusions, synovial reactions, popliteal cysts and osteonecrosis. Erosions are depicted early. Assessment of extent, progression, and therapeutic response is thus enhanced by MR imaging.
bulletAssessment of bursal inflammation/rupture.
bulletSuspected bone or soft tissue tumour.
bulletAssessment of compartment syndrome.
bulletAssessment of ACL reconstruction.

MRI is also useful in the diagnosis and assessment of PVNS and haemophilic arthritis.