Abstract:
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Purpose: To demonstrate the presence of cruciate ligament tears following the avulsion injuries by cruciate ligaments of the knee on MR imaging and correlate with surgical findings.
Methods and Materials: From March 1997 to March 2003, twenty-four patients were diagnosed as an avulsion fractures by the ACL or PCL. Eleven patients who had undergone surgery were included in the study. They were 8 men and 3 women with an average age of 30 years(age range, 10-51 years). We evaluated the presence of cruciate ligament tears on MR imaging and correlated them with surgical findings. Associated intraarticular injuries were also assessed.
Results: Of the 7 patients with an ACL avulsion injury, ACL was assessed as complete tear(n=1), partial tear(n=5), intact(n=1) on MR imaging. MR imagings of PCL avulsion injury(n=4) showed partial tear of the PCL(n=3) and intact PCL(n=1). All MR imaging findings corresponded with the surgical findings. Four patients had an associated knee injury; tears of the medial meniscus, lateral meniscus, PCL and MCL, popliteal ligament, respectively.
Conclusion: The results indicated that most patients with avulsion fractures by the cruciate ligaments in the knee had a partial or a complete tear of the ligaments. MR imaging accurately assesses the status of the ligament in patients who had the avulsion fractures by cruciate ligaments.
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Kim MD, S,
Avulsion Fractures by the Cruciate Ligaments in the Knee: Are the Ligaments Intact or Not?. Radiological Society of North America 2003 Scientific Assembly and Annual Meeting, November 30 - December 5, 2003 ,Chicago IL.
http://archive.rsna.org/2003/3103026.html