Is magnetic resonance imaging reliable for the evaluation of the ruptured or healed anterior cruciate ligament?


Atik O. S. , ÇAVUŞOĞLU A. T. , Ayanoglu T.

EKLEM HASTALIKLARI VE CERRAHISI-JOINT DISEASES AND RELATED SURGERY, vol.26, no.1, pp.38-40, 2015 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 26 Issue: 1
  • Publication Date: 2015
  • Doi Number: 10.5606/ehc.2015.09
  • Journal Name: EKLEM HASTALIKLARI VE CERRAHISI-JOINT DISEASES AND RELATED SURGERY
  • Journal Indexes: Science Citation Index Expanded, Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.38-40
  • Keywords: Healed anterior cruciate ligament, magnetic resonance imaging, ruptured anterior cruciate ligament, KNEE, INJURIES

Abstract

Magnetic resonance imaging (MRI) is the preferred imaging technique to evaluate the intact, ruptured or healed anterior cruciate ligament (ACL). However, its effectiveness in the diagnosis of chronic tears with synovialization has not been searched. During conservative treatment of torn ACL, there is a reparative process with proliferation of synovial scar tissue which may produce a bridge. This healing, so called synovialization, may cause ACL to be misdiagnosed as intact on MRI. This is true for old ruptures of ACL. Magnetic resonance imaging is reliable in the evaluation of acute ACL ruptures. However, MRI is not reliable to evaluate the stability of the healed ACL after conservative treatment, and the ruptures due to degenerated ACLs.