Semin Musculoskelet Radiol 2005; 9(2): 116-124
DOI: 10.1055/s-2005-872337
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.

MR Imaging and MR Arthrography for Diagnosis of Recurrent Tears in the Postoperative Meniscus

Arthur A. De Smet1
  • 1Department of Radiology, University of Wisconsin Medical School, Madison, Wisconsin
Further Information

Publication History

Publication Date:
26 July 2005 (online)

ABSTRACT

The accuracy, pitfalls, and limitations of magnetic resonance (MR) imaging for diagnosing a tear in the nonoperated knee are well known. However, the diagnosis of a recurrent tear can be more difficult in the postoperative meniscus. Resection or meniscal repair results in postoperative changes that can mimic a recurrent tear. To serve as a foundation, the techniques of treatment for meniscal tears are reviewed. This is followed by a detailed review of the literature on the accuracy of diagnosis of a recurrent meniscal tear using MR imaging and MR arthrography. Finally, recommendations are given as to the circumstances in which MR imaging or MR arthrography should be used for evaluation of the postoperative meniscus.

REFERENCES

  • 1 Hodler J, Haghighi P, Pathria M N, Trudell D, Resnick D. Meniscal changes in the elderly: correlation of MR imaging and histologic findings.  Radiology. 1992;  184 221-225
  • 2 Stoller D W, Martin C, Crues II I JV, Kaplan L, Mink J H. Meniscal tears: pathologic correlation with MR imaging.  Radiology. 1987;  163 731-735
  • 3 Rubin D A, Paletta Jr G A. Current concepts and controversies in meniscal imaging.  Magn Reson Imaging Clin N Am. 2000;  8 243-270
  • 4 Applegate G R, Flannigan B D, Tolin B S, Fox J M, Del Pizzo W. MR diagnosis of recurrent tears in the knee: value of intra-articular contrast material.  AJR Am J Roentgenol. 1993;  161 821-825
  • 5 Lim P S, Schweitzer M E, Bhatia M et al.. Repeat tear of postoperative meniscus: potential MR imaging signs.  Radiology. 1999;  210 183-188
  • 6 Sciulli R L, Boutin R D, Brown R R et al.. Evaluation of the postoperative meniscus of the knee: a study comparing conventional arthrography, conventional MR imaging, MR arthrography with iodinated contrast material, and MR arthrography with gadolinium-based contrast material.  Skeletal Radiol. 1999;  28 508-514
  • 7 White L M, Schweitzer M E, Weishaupt D, Kramer J, Davis A, Marks P H. Diagnosis of recurrent meniscal tears: prospective evaluation of conventional MR imaging, indirect MR arthrography, and direct MR arthrography.  Radiology. 2002;  222 421-429
  • 8 Smith D K, Totty W G. The knee after partial meniscectomy: MR imaging features.  Radiology. 1990;  176 141-144
  • 9 Bronstein R, Kirk P, Hurley J. The usefulness of MRI in evaluating menisci after meniscus repair.  Orthopedics. 1992;  15 149-152
  • 10 Farley T E, Howell S M, Love K F, Wolfe R D, Neumann C H. Meniscal tears: MR and arthrographic findings after arthroscopic repair.  Radiology. 1991;  180 517-522
  • 11 Deutsch A L, Mink J H, Fox J M et al.. Peripheral meniscal tears: MR findings after conservative treatment or arthroscopic repair.  Radiology. 1990;  176 485-488
  • 12 Muellner T, Egkher A, Nikolic A, Funovics M, Metz V. Open meniscal repair: clinical and magnetic resonance imaging findings after twelve years.  Am J Sports Med. 1999;  27 16-20
  • 13 Arnoczky S P, Cooper T G, Stadelmaier D M, Hannafin J A. Magnetic resonance signals in healing menisci: an experimental study in dogs.  Arthroscopy. 1994;  10 552-557
  • 14 Boyd K T, Myers P T. Meniscus preservation; rationale, repair techniques and results.  Knee. 2003;  10 1-11
  • 15 Sgaglione N A, Steadman J R, Shaffer B, Miller M D, Fu F H. Current concepts in meniscus surgery: resection to replacement.  Arthroscopy. 2003;  19 161-188
  • 16 van Trommel M F, Potter H G, Ernberg L A, Simonian P T, Wickiewicz T L. The use of noncontrast magnetic resonance imaging in evaluation meniscal repair: comparison with conventional arthrography.  Arthroscopy. 1998;  14 2-8
  • 17 Magee T, Shapiro M, Rodriguez J, Williams D. MR arthrography of postoperative knee: for which patients is it useful?.  Radiology. 2003;  229 159-163

Arthur A De SmetM.D. 

E3/311 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792-3252

    >