Skip to main content
Erschienen in: Skeletal Radiology 4/2009

01.04.2009 | Review Article

Synovial recesses of the knee: MR imaging review of anatomical and pathological features

verfasst von: S. Fenn, A. Datir, A. Saifuddin

Erschienen in: Skeletal Radiology | Ausgabe 4/2009

Einloggen, um Zugang zu erhalten

Abstract

The knee joint is a complex anatomical structure playing host to a wide variety of pathological processes. Knowledge of the anatomy of the synovial recesses and plicae relating to the knee is important, as the appearance of pathology in these unusual locations may, even for commonly encountered conditions, lead to diagnostic uncertainty. This review article discusses the magnetic resonance imaging (MRI) anatomy of the knee joint with an emphasis on the synovial recesses and plicae. The MRI appearance of a variety of synovial and osteochondral diseases that may involve these sites is illustrated.
Literatur
1.
Zurück zum Zitat Aydingoz U, Oguz B, Aydingoz O, et al. Recesses along the posterior margin of the infrapatellar (Hoffa’s) fat pad: prevalence and morphology on routine MR imaging of the knee. Eur Radiol 2005;15: 988–994.PubMedCrossRef Aydingoz U, Oguz B, Aydingoz O, et al. Recesses along the posterior margin of the infrapatellar (Hoffa’s) fat pad: prevalence and morphology on routine MR imaging of the knee. Eur Radiol 2005;15: 988–994.PubMedCrossRef
2.
Zurück zum Zitat Garcia-Valtuille R, Abascal F, Cerezal L, et al. Anatomy and MR imaging appearances of synovial plicae of the knee. Radiographics 2002;22: 775–784.PubMed Garcia-Valtuille R, Abascal F, Cerezal L, et al. Anatomy and MR imaging appearances of synovial plicae of the knee. Radiographics 2002;22: 775–784.PubMed
3.
Zurück zum Zitat Patel SJ, Kaplan PA, Dussault RG, Kahler DM. Anatomy and clinical significance of the horizontal cleft in the infrapatellar fat pad of the knee: MR imaging. AJR Am J Roentgenol 1998;170: 1551–555.PubMed Patel SJ, Kaplan PA, Dussault RG, Kahler DM. Anatomy and clinical significance of the horizontal cleft in the infrapatellar fat pad of the knee: MR imaging. AJR Am J Roentgenol 1998;170: 1551–555.PubMed
4.
Zurück zum Zitat Lee SH, Petersilge CA, Trudell DJ, Haghighi P, Resnick DL. Extrasynovial spaces of the cruciate ligaments: anatomy, MR imaging, and diagnostic implications. AJR Am J Roentgenol 1996;166: 1433–1437.PubMed Lee SH, Petersilge CA, Trudell DJ, Haghighi P, Resnick DL. Extrasynovial spaces of the cruciate ligaments: anatomy, MR imaging, and diagnostic implications. AJR Am J Roentgenol 1996;166: 1433–1437.PubMed
5.
Zurück zum Zitat Kimura K, Takahashi Y. M. articularis genus. Observations on arrangement and consideration of function. Surg Radiol Anat 1987;9: 231–239.PubMedCrossRef Kimura K, Takahashi Y. M. articularis genus. Observations on arrangement and consideration of function. Surg Radiol Anat 1987;9: 231–239.PubMedCrossRef
6.
Zurück zum Zitat De Maeseneer M, Van Roy P, Shahabpour M, Gosselin R, De Ridder F, Osteaux M. Normal anatomy and pathology of the posterior capsular area of the knee: findings in cadaveric specimens and in patients. AJR Am J Roentgenol 2004;182: 955–962.PubMed De Maeseneer M, Van Roy P, Shahabpour M, Gosselin R, De Ridder F, Osteaux M. Normal anatomy and pathology of the posterior capsular area of the knee: findings in cadaveric specimens and in patients. AJR Am J Roentgenol 2004;182: 955–962.PubMed
7.
Zurück zum Zitat Nemeth WC, Sanders BL. The lateral synovial recess of the knee: anatomy and role in chronic iliotibial band friction syndrome. Arthroscopy 1996;12: 574–580.PubMed Nemeth WC, Sanders BL. The lateral synovial recess of the knee: anatomy and role in chronic iliotibial band friction syndrome. Arthroscopy 1996;12: 574–580.PubMed
8.
Zurück zum Zitat Boles CA, Butler J, Lee JA, Reedy ML, Martin DF. Magnetic resonance characteristics of medial plica of the knee: correlation with arthroscopic resection. J Comput Assist Tomogr 2004;28: 397–401.PubMedCrossRef Boles CA, Butler J, Lee JA, Reedy ML, Martin DF. Magnetic resonance characteristics of medial plica of the knee: correlation with arthroscopic resection. J Comput Assist Tomogr 2004;28: 397–401.PubMedCrossRef
9.
Zurück zum Zitat Sakakibara J. Arthroscopic study on Iino’s band (plica synovialis mediopatellaris). J Jpn Orthop Assoc 1974;50: 513–522. Sakakibara J. Arthroscopic study on Iino’s band (plica synovialis mediopatellaris). J Jpn Orthop Assoc 1974;50: 513–522.
10.
Zurück zum Zitat Schweitzer ME, Falk A, Berthoty D, Mitchell M, Resnick D. Knee effusion: normal distribution of fluid. AJR Am J Roentgenol 1992;159: 361–363.PubMed Schweitzer ME, Falk A, Berthoty D, Mitchell M, Resnick D. Knee effusion: normal distribution of fluid. AJR Am J Roentgenol 1992;159: 361–363.PubMed
11.
Zurück zum Zitat Kaneko K, De Mouy EH, Robinson AE. Distribution of joint effusions in patients with traumatic knee joint disorders: MRI assessment. Clin Imaging 1993;17(3): 176–178.PubMedCrossRef Kaneko K, De Mouy EH, Robinson AE. Distribution of joint effusions in patients with traumatic knee joint disorders: MRI assessment. Clin Imaging 1993;17(3): 176–178.PubMedCrossRef
12.
Zurück zum Zitat Kolman BH, Daffner RH, Sciulli RL, Soehnlen MW. Correlation of joint fluid and internal derangement on knee MRI. Skelet Radiol 2004;33: 91–95.CrossRef Kolman BH, Daffner RH, Sciulli RL, Soehnlen MW. Correlation of joint fluid and internal derangement on knee MRI. Skelet Radiol 2004;33: 91–95.CrossRef
13.
Zurück zum Zitat Graham J, Goldman JA. Fat droplets and synovial fluid leukocytes in traumatic arthritis. Arthritis Rheum 1978;21: 76.PubMedCrossRef Graham J, Goldman JA. Fat droplets and synovial fluid leukocytes in traumatic arthritis. Arthritis Rheum 1978;21: 76.PubMedCrossRef
14.
Zurück zum Zitat Gregg JR, Nixon JE, DiStefano V. Neutral fat globules in traumatized knees. Clin Orthop 1978;132: 219.PubMed Gregg JR, Nixon JE, DiStefano V. Neutral fat globules in traumatized knees. Clin Orthop 1978;132: 219.PubMed
15.
Zurück zum Zitat Narvaez JA, Narvaez J, Ortega R, De Lama E, Roca Y, Vidal N. Hypointense synovial lesions on T2-weighted images: differential diagnosis with pathologic correlation. AJR Am J Roentgenol 2003;181: 761–769.PubMed Narvaez JA, Narvaez J, Ortega R, De Lama E, Roca Y, Vidal N. Hypointense synovial lesions on T2-weighted images: differential diagnosis with pathologic correlation. AJR Am J Roentgenol 2003;181: 761–769.PubMed
16.
Zurück zum Zitat Williams AM, Myers PT. Localized pigmented villonodular synovitis: a rare cause of locking of the knee. Arthroscopy 1997;13: 515–516.PubMedCrossRef Williams AM, Myers PT. Localized pigmented villonodular synovitis: a rare cause of locking of the knee. Arthroscopy 1997;13: 515–516.PubMedCrossRef
17.
Zurück zum Zitat Dorwart RH, Genant HK, Johnston WH, Morris JM. Pigmented villonodular synovitis of synovial joints: clinical, pathologic, and radiologic features. AJR Am J Roentgenol 1984;143: 877–885.PubMed Dorwart RH, Genant HK, Johnston WH, Morris JM. Pigmented villonodular synovitis of synovial joints: clinical, pathologic, and radiologic features. AJR Am J Roentgenol 1984;143: 877–885.PubMed
18.
Zurück zum Zitat Dawson JS, Dowling F, Preston BJ, Newmann L. Case report: lipoma arborescens of the sub-deltoid bursa. Br J Radiol 1995;68: 197–199.PubMedCrossRef Dawson JS, Dowling F, Preston BJ, Newmann L. Case report: lipoma arborescens of the sub-deltoid bursa. Br J Radiol 1995;68: 197–199.PubMedCrossRef
19.
Zurück zum Zitat Hallel T, Lew L, Bansal M. Villous lipomatous proliferation of the synovial membrane (lipoma arborescens). J Bone Jt Surg Am 1988;70: 264–270. Hallel T, Lew L, Bansal M. Villous lipomatous proliferation of the synovial membrane (lipoma arborescens). J Bone Jt Surg Am 1988;70: 264–270.
20.
21.
Zurück zum Zitat McCarthy CL, McNally EG. The MRI appearances of cystic lesions around the knee. Skelet Radiol 2004;33: 187–209.CrossRef McCarthy CL, McNally EG. The MRI appearances of cystic lesions around the knee. Skelet Radiol 2004;33: 187–209.CrossRef
22.
Zurück zum Zitat Kim MG, Kim BH, Choi JA, et al. Intra-articular ganglion cysts of the knee: clinical and MR imaging features. Eur Radiol 2001;11: 834–840.PubMedCrossRef Kim MG, Kim BH, Choi JA, et al. Intra-articular ganglion cysts of the knee: clinical and MR imaging features. Eur Radiol 2001;11: 834–840.PubMedCrossRef
23.
Zurück zum Zitat Kim JY, Jung SA, Sung MS, Park YH, Kang YK. Extra-articular soft tissue ganglion cyst around the knee: focus on associated findings. Eur Radiol 2004;14: 106–111.PubMedCrossRef Kim JY, Jung SA, Sung MS, Park YH, Kang YK. Extra-articular soft tissue ganglion cyst around the knee: focus on associated findings. Eur Radiol 2004;14: 106–111.PubMedCrossRef
24.
Zurück zum Zitat Malghem J, Vande berg BC, Lebon C, Lecouvet FE, Maldague BE. Ganglion cysts of the knee: articular communication revealed by delayed radiography and CT after arthrography. AJR Am J Roentgenol 1998;170: 1579–1583.PubMed Malghem J, Vande berg BC, Lebon C, Lecouvet FE, Maldague BE. Ganglion cysts of the knee: articular communication revealed by delayed radiography and CT after arthrography. AJR Am J Roentgenol 1998;170: 1579–1583.PubMed
25.
Zurück zum Zitat Lektrakul N, Skaf A, Yeh L, Roger B, Schweitzer M, Blasbalg R, Resnick D. Pericruciate meniscal cysts arising from tears of the posterior horn of the medial meniscus: MR imaging features that simulate posterior cruciate ganglion cysts. AJR Am J Roentgenol 1999;172: 1575–1579.PubMed Lektrakul N, Skaf A, Yeh L, Roger B, Schweitzer M, Blasbalg R, Resnick D. Pericruciate meniscal cysts arising from tears of the posterior horn of the medial meniscus: MR imaging features that simulate posterior cruciate ganglion cysts. AJR Am J Roentgenol 1999;172: 1575–1579.PubMed
26.
Zurück zum Zitat Chen CKH, Yeh LR, Pan HB, et al. Intra-articular gouty tophi of the knee: CT and MR imaging in 12 patients. Skeletal Radiol 1999;28: 75.PubMedCrossRef Chen CKH, Yeh LR, Pan HB, et al. Intra-articular gouty tophi of the knee: CT and MR imaging in 12 patients. Skeletal Radiol 1999;28: 75.PubMedCrossRef
27.
Zurück zum Zitat Soler R, Lopez-Fernandez F, Rodriguez E, et al. Hemophilic arthropathy: a scoring system for magnetic resonance imaging. Eur Radiol 2002;12: 836.PubMedCrossRef Soler R, Lopez-Fernandez F, Rodriguez E, et al. Hemophilic arthropathy: a scoring system for magnetic resonance imaging. Eur Radiol 2002;12: 836.PubMedCrossRef
28.
Zurück zum Zitat Cobby MJ, Adler RS, Swartz R, Martel W. Dialysis-related amyloid arthropathy: MR findings in four patients. AJR Am J Roentgenol 1991;157: 1023–1027.PubMed Cobby MJ, Adler RS, Swartz R, Martel W. Dialysis-related amyloid arthropathy: MR findings in four patients. AJR Am J Roentgenol 1991;157: 1023–1027.PubMed
29.
Zurück zum Zitat Weissman BN, Scott RD, Brick GW, Corson JM. Radiographic detection of metal-induced synovitis as a complication of arthroplasty of the knee. J Bone Jt Surg Am 1991;73: 1002–1007. Weissman BN, Scott RD, Brick GW, Corson JM. Radiographic detection of metal-induced synovitis as a complication of arthroplasty of the knee. J Bone Jt Surg Am 1991;73: 1002–1007.
30.
Zurück zum Zitat Wynne-Roberts CR, Cassidy JT. Juvenile rheumatoid arthritis with rice bodies: light and electron microscopic studies. Ann Rheum Dis 1979;38: 8–13.PubMedCrossRef Wynne-Roberts CR, Cassidy JT. Juvenile rheumatoid arthritis with rice bodies: light and electron microscopic studies. Ann Rheum Dis 1979;38: 8–13.PubMedCrossRef
31.
Zurück zum Zitat Popert AJ, Scott DL, Wainwright AC, Walton KW, Williamson N, Chapman JH. Frequency of occurrence, mode of development, and significance or rice bodies in rheumatoid joints. Ann Rheum Dis 1982;41: 109–117.PubMedCrossRef Popert AJ, Scott DL, Wainwright AC, Walton KW, Williamson N, Chapman JH. Frequency of occurrence, mode of development, and significance or rice bodies in rheumatoid joints. Ann Rheum Dis 1982;41: 109–117.PubMedCrossRef
32.
Zurück zum Zitat Bucki B, Lansaman J, Janson X, et al. Osteoarthritis with rice bodies rich in calcium microcrystals. 4 cases with ultrastructural study. Rev Rhum Ed Fr 1994;61: 415–420.PubMed Bucki B, Lansaman J, Janson X, et al. Osteoarthritis with rice bodies rich in calcium microcrystals. 4 cases with ultrastructural study. Rev Rhum Ed Fr 1994;61: 415–420.PubMed
Metadaten
Titel
Synovial recesses of the knee: MR imaging review of anatomical and pathological features
verfasst von
S. Fenn
A. Datir
A. Saifuddin
Publikationsdatum
01.04.2009
Verlag
Springer-Verlag
Erschienen in
Skeletal Radiology / Ausgabe 4/2009
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-008-0570-0

Weitere Artikel der Ausgabe 4/2009

Skeletal Radiology 4/2009 Zur Ausgabe

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

13.04.2024 Klinik aktuell Kongressbericht

Die Teilnehmer eines Forums beim DGIM-Kongress waren sich einig: Fehler in der Medizin sind häufig in ungeeigneten Prozessen und mangelnder Kommunikation begründet. Gespräche mit Patienten und im Team können helfen.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.