saved endobj p5c/7aUn/dO1LFXeTP8AlD9B/wC2bZ/8mI8VY7+YHm3V/L2oWVrp09vbx3EMkrtcIGqysqgCrL/N /CropBox [0 0 612 792] Pregnancy (risk vs benefit ratio to be assessed) Q Slices must be sufficient to cover the ACL. VkQIR6J3KtViBTFUPrHn9bTSLi80/T7l7n0r17QTCH03FjVJpnAulb00egI+0a/CDiqrD+YFjcTS 0 0 m Adobe InDesign 6.0 With Contrast: Only one CT contrast study should be scheduled within a 48 hour period. saved Q created / 216 0 l 2z/5MR4qnWKuxV2KuxV2KuxVDXdhZ35gN3EJvqsq3EPKvwyqGVW29mOKoJfK+hLbxWqWgWGCKOCN q 1 0 0 1 36 466.2291 cm 'GS~Y3+r=8NTx3[[vY+mj$mg vZ{R,/}B8d:Vrt5R"g04 Centre the laser beam localiser over the lower border of patella, Suggested protocols, parameters and planning. 2012-06-18T11:08:08-07:00 Adobe InDesign 6.0 The remaining 3 major ligaments MRI L Knee w/o Contrast T2 FS Coronal ACL tear - Lack of continuity between anteromedial bundle and posterolateral MRI for Detection of ACL Tear In reference to arthroscopy:6 Sensitivity of 97.46% /Subtype /Link q 1 0 0 1 252 562.6287 cm >> Applying saturation bands above and below the coronal block will further reduce arterial pulsation artefacts. /GS2 gs q 1 0 0 1 36.5 642.5535 cm 0 0 m 8 0 obj >> [(\242\201\034\033\n\035\030\017\035\020\036\027\021\031\025\035\033\r\032\ \035\027\030)12(\016)6(\036\034\035\036\236\024\034)10(\036\t\031\024\n)85(\006\035\220\035\020\022\033\025\036\035\005\030\r\036\035\025\f\033\r\035\ \031\017\035\027\031\t\020\031\r\026\035\020\036\034\025\031\024\031\025\ \035)]TJ [(\213)12(\031\r\013\025\035\255\003)120(\006\035\205\023\206\035\030\034\005\031\024\025\207\022\036\033\032\035\ )]TJ Check the positioning block in the other two planes. 2011-07-15T14:01:59-07:00 xmp.iid:B54ABC55230411688A87E0E006A47C30 XNxYW0s8Uv1iOV4UZ1m+H96rFSQ/wL8XXYYq5tF0d5LeV7C2aSzZpLZzDGWhd25u0Z4/CS25I74q Give cushions under the ankle for extra comfort > Meniscal disorders: nondisplaced and displaced tears, discoid menisci, -19.591 -1.452 Td 1b7b/kTH/wA048RV36F0b/q323/ImP8A5px4irv0Lo3/AFb7b/kTH/zTjxFXfoXRv+rfbf8AImP/ qJpunRqqR2kKKkRt1CxqAIWILRCg+wabr0xVinnibRtH04W0+mRNDdRTCB4YrdpDcBrcpAkVxbTx S /Resources 78 0 R 0 0 m S The scan is also useful for evaluating the cartilage or meniscus tissue in the knee if this information is necessary to make decisions regarding the best treatment for a specific patient. xmp.iid:0EA89AA823021168BB8EFEDC61CE0C15 Adobe InDesign 6.0 Phase direction in the axial scans must be head to feet, this is to avoid the artifacts form popliteal artery pulsation. swelling. xmp.iid:D71280882023116894C8B865D20A6FB5 Using saturation bands above and below the sagittal block will reduce further arterial pulsation artefacts. Adobe InDesign 6.0 /Length 10 0 0 m << Bbd6MP8AvtfuGPgw7gtu9GH/AH2v3DHwYdwW3ejD/vtfuGPgw7gtu9GH/fa/cMfBh3Bbd6MP++1+ 0 0 m /Subtype /Link 0 0 m saved S /Dest mOl2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KpLrv/HU8uf8AbSk/7p2pYq7yZ/yh+g/9s2z/ An MRI uses radio waves and a strong magnetic field to create images of both hard and soft tissues in your body. Pgrv+Vl+Z/8Aq5af/wAih/1Vx8MfzZfj4KhLz81/NlqyrHc2dwGFSUiG33SHLcWmjMbghSUN/wAr Nothing but clear liquid after midnight before the scan. 0 30.975 l 216 0 l 3TtSxV3kz/lD9B/7Ztn/AMmI8VUPNF09rdaIw9UxyX4SWOEMzOpguTxKJuwqAae2XYRYl7kFT8s3 xmp.iid:B54ABC52230411688A87E0E006A47C30 saved /;/metadata Metallic foreign body in the eye /CS0 cs 1 scn 8FL/ANUMVd/jPRP+WuD/AIKX/qhirv8AGeif8tcH/BS/9UMVd/jPRP8Alrg/4KX/AKoYq7/Geif8 MWoxW19NyJ9X6tGnwmlFoFx4iqN/Qujf9W+2/wCRMf8AzTjxFXfoXRv+rfbf8iY/+aceIq79C6N/ 0Pxb98VWnyvoX1aS0S19KGVoXIhkkiKtbKkcDRtE6tGUWNacCMVUofKGgW6vHBBKkc0DW00Yubjh Below: an MRI arthrogram showing injection of contrast into the shoulder joint. MRI without contrast means we do not give the gadolinium based contrast through an IV. / /Rect [160.384 408.416 163.956 417.883] /S /D CW8c2NvJCghiijmKj6zKQ5bn8DIxU/5OKrL/AM+NEtxDa2Mhure6WF+RRo0g+sxW3ryfvY2+PmeK xmp.iid:A4300E0720231168A0DDC9EF548BDAB5 /T1_1 1 Tf Q ZT/gPyz/AMsz/wDI2T/mrFXf4D8s/wDLM/8AyNk/5qxV3+A/LP8AyzP/AMjZP+asVd/gPyz/AMsz /Border [0 0 0] Contrast MRIs use a contrast dye such as gadolinium or iodine, while non-contrast MRIs dont. Q / NPO four hours prior to exam (no food or drink). WebIt is possible to perform brain MRIs with and without contrast. S An appropriate angle must be given in coronal plane parallel to the medial and lateral condyle of the femur. /metadata >> An appropriate angle must be given in the coronal plane parallel to the ACL. xmp.iid:74117FDE200711688AFBDF57A7AE916E 2012-04-12T12:06:10-07:00 xmp.iid:FEFC542623CD11689098EB0B5BF58135 0 14.975 l JPEG tpSf907UsVd5M/5Q/Qf+2bZ/8mI8VTrFXYq7FXYq7FWM3Hn7QraeW2kWfnC7RtRARVTxNPj9sVU/ /;/metadata endobj xmp.iid:D71280892023116894C8B865D20A6FB5 endobj x/yLH/NeKu/5WL5f/luP+RY/5rxV3/KxfL/8tx/yLH/NeKu/5WL5f/luP+RY/wCa8VR2j+bdK1u7 2012-06-18T16:13:35-07:00 /Type /Annot 216 0 l 2012-06-15T08:48:17-07:00 q 1 0 0 1 252 530.679 cm WWl5iZmpucnZ6fkqOkpaanqKmqq6ytrq+hEAAgIBAgMFBQQFBgQIAwNtAQACEQMEIRIxQQVRE2Ei xmp.iid:783C7A55257311688A87E0E006A47C30 xmp.iid:F7131B283DC81168BB8EFEDC61CE0C15 /Rotate 0 Adobe InDesign 6.0 WebBone bruising is usually present with an ACL tear on the anterior aspect of the lateral femoral condyle and the posterior aspect of the lateral tibial plateau. 2011-09-12T12:01:22-07:00 0 -1.455 TD WebTo rule out a labral tear, an MRI arthrogram needs to be ordered, not an MRI with contrast. /Annots [89 0 R 90 0 R 91 0 R 92 0 R 93 0 R 94 0 R 95 0 R 96 0 R 97 0 R 98 0 R Initial sharp pain. Swelling after the injury. Deep, aching pain in the knee. A feeling the knee is giving out. Instability may be especially noticeable during activities that strain the knee joint, such as walking downstairs and pivoting on one leg. 2012-05-07T11:04:30-07:00 WebThere are some injuries, like ACL tears, that dont always need an MRI. 2011-09-12T12:00:56-07:00 /Resources 88 0 R P/kxHiqZz2dndENcwRzFdgZEViB7cgcVUv0TpX/LFb/8ik/5pxV36J0r/lit/wDkUn/NOKu/ROlf [(\240)18(\036\t\033\024\013\034\031\033\035)]TJ lcPnH+a2/wCRP/N2P5LH5rbv+Vw+cf5rb/kT/wA3Y/ksfmtu/wCVw+cf5rb/AJE/83Y/ksfmtu/5 /metadata S Q /Rect [189.978 397.247 193.55 406.772] A << /Parent 4 0 R saved KzIrKysrMjIyMjIyMjIyMjIyMjIyMjI+Pj4+PjJAQEBAQEBAQEBAQEBAQEBAQEBAQED/wAARCAEA YjxVrXdHfV24W8kUE0Yjb1ZYUm+D99VAJAaVND9GEEhUn/wTqn/Vwtv+kGH/AJpx4iqcaV5btrS1 (\255\003\035\030\034\035\205\023\206\035\022\036\033\032\035\016\031\024\ \022\030\013\024\035\f\030\r\024\034\033\025\024\035)Tj /Count 5 JNvp9rCTN9ZJjhjWswBHq/Co+P4j8XXFUdirsVdiqS67/wAdTy5/20pP+6dqWKu8mf8AKH6D/wBs <00280036>Tj MedSport, 877-877-9333, or 734-930-7400. 0 0 m uuid:2ddc12e7-9bf4-4258-8f3e-ab76721ec77f If your doctor suspects you have an ACL tear, they will /Rotate 0 << /Span<>> BDC saved /wAofoP/AGzbP/kxHiq/WLq/syZtPtpL2QiNGhjZUIU+seZLxydCKfTiqWJrnmZmCtolyoJAJ9aL /URI (https://doi.org/10.1123/jsr.2016-0188) /Type /Pages q 1 0 0 1 36 594.1036 cm 10 0 0 10 36 36.627 Tm 0 0 m /;/metadata 0Yf99r9wx8GHcFt3ow/77X7hj4MO4LbvRh/32v3DHwYdwW3ejD/vtfuGPgw7gtu9GH/fa/cMfBh3 /GS1 gs kzcepU/Y6dCFVHQvMfl60Ww0hrYrp9uz/oy+kRpgWWZrJZT6duEh5vIyq1VWhoNjTFUTJ5j8ma1L Yf8AIub/AKoYq76x50/5bbD/AJFzf9UMVd9Y86f8tth/yLm/6oYq76x50/5bbD/kXN/1QxV31jzp /S /URI 0 14.975 l / stream << Adobe InDesign 6.0 An appropriate angle must be given in coronal plane (parallel to the mid line of femur and tibia). The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. Adobe InDesign 6.0 Adobe InDesign 6.0 [<005A005A005A>98<00110055>31<00440047004C0044005B0011004600520050>]TJ /Type /Annot qLjI2Oj4OUlZaXmJmam5ydnp+So6SlpqeoqaqrrK2ur6/9oADAMBAAIRAxEAPwDlkUURiQlFJKip [(\r\036\013\034)6(\030\027\030\026\031\f\033\027\035\025\031\026\r\025\035\033\r\032\035\025\ \n\t\020\024\030\t\025\035)]TJ Q endobj xmp.iid:783C7A54257311688A87E0E006A47C30 Methods: This prospective comparative study was conducted from 2009 to 2012. Webpopping sound at the time of injury. 324 0 l saved The insertion point of the anterior root of the medial meniscus shows greater variability and can insert onto the anterior cortex of the tibia and be mistaken for anterior subluxation or hypermobility of the medial meniscus [ 10 ]. 256 Q About 70% of people 0 -1.455 TD WebIn contrast, the anterior root of the medial meniscus has a more homogeneous MRI appearance. xmp.iid:AE7C1138256B11688A87E0E006A47C30 q 1 0 0 1 252 466.7291 cm jdIZGl+EV4DwrSgriqpdzaQFs5NA0my1G41stdxswS3jkEcZLTSSiCVufGXiPhr8RrQVxVC6XrXk /Type /Annot Adobe InDesign 6.0 Adobe InDesign 6.0 endobj 324 0 l There are some injuries, like ACL tears, that dont always need an MRI. Often the history and physical exam can prove that a patient tore his or her ACL without the MRI. In other situations, we might need the MRI for an ACL tear. /Names 2 0 R [(\243)36(\034\031\r\033\034)-18(\n\035\024\034\033\f\024\035\031\r\017\036\f\024\031\030\r\035)]TJ Using saturation bands above and below the coronal block will reduce further arterial pulsation artefacts. 324 0 l WebComputed tomography scan (CT or CAT scan) is a non-invasive diagnostic imaging procedure that uses a combination of special X-ray equipment and sophisticated -19.591 -1.452 Td f907UsVd5M/5Q/Qf+2bZ/wDJiPFU6xVD3lhZ6hCYL2FZo+wYbg+KnqD8sMZGJ2Vj2iprVnHNb28q VLhby/eIW8ZjjMMMMVeZSOMySmrNuzFienTBLICKA2Sh7Py/c2uiQ6MbhWC3TTzuqkepG1w100QH WebAn MRI creates better images than X-rays of soft tissues like the anterior cruciate ligament. 16 0 0 16 188.4531 744.2031 Tm % / xmp.iid:58FAF33A22FC11688A87E0E006A47C30 20 0 obj saved xmp.iid:74117FE120071168A0DDC9EF548BDAB5 << 19.591 1.455 Td Plan the coronal oblique slices on the sagittal plane, angle the position block parallel to the anterior cruciate ligament (ACL). faXdj0mmCV9KdD+00VTXjyDLtUZbCPFHhPLoUJne+W7HVvLkWnckeVYE+q35FZEloGFwrCjVLfEa ET /Dests 7 0 R 0 0 m endobj /;/metadata <0003002A0038002C00270028002F002C>Tj [(\240)18(\036\033\032\033\f\022\036\002\035\033\f\013\024\036\035\016\031\024\022\ \035\030\034\035\016\031\024\022\030\013\024\035\020\030\025\031\024\031\ \021)6(\036\035)]TJ /Dest T* In contrast, the inner two-thirds of the meniscus lacks a significant blood supply. << His injury is a reminder of how tenuous a professional athletes career can be, as far as injuries are concerned. BT AFMcv/Igf9VcVV7HQtctruKe512S6ijarwtCFDjwr6hxVOYf7yf/AIyD/iEeKpXrv/HU8uf9tKT/ Q q 1 0 0 1 36.5 706.5032 cm Phase direction in these sagittal oblique scans should be right to left to avoid pulsation artefacts from the popliteal artery. [(\037)12(\036\035\034\033\032\031\034\030\036)]TJ /Subtype /Link stream S xmp.iid:FEFC542523CD11689098EB0B5BF58135 /Contents [85 0 R 86 0 R 87 0 R] irv0DoX/AFbbT/kRH/zTirv0DoX/AFbbT/kRH/zTirv0DoX/AFbbT/kRH/zTirv0DoX/AFbbT/kR > EMC An appropriate angle must be given in coronal plane (parallel to the mid line of femur and tibia). > Neoplasms of bone, joint or soft tissue FdwFjikW4jXZ+0ig4qo2nk3y7YvBJaW8kT2zxywstzcVUxKyItTN9gK5Xh9kjYigGKq975a0e/uJ /Metadata 3 0 R 0 14.975 l saved 2011-07-12T07:31:20-07:00 WebThe medial collateral ligament, or MCL, is a thick ligament on the medial side of the knee the side closest to the midline of the body. 0 0 m endstream endobj 26 0 obj <> endobj 28 0 obj <> endobj 27 0 obj <> endobj 40 0 obj <> endobj 41 0 obj <> endobj 42 0 obj <>stream Cf8AqnirvR8l/wDV4vv+BP8A1TxVVtdP8o3tzFaW+rXrSzMEQFSKsdhuY8VT3/lXtj/y33f/AAS/ S Q Slices must be sufficient to cover the knee joint from the pattela down to the line of popliteal artery. saved 72.00 Orthopaedics, 734-936-5780. 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Adobe InDesign 6.0 (\255\003\035)Tj 72s9Iu9361btZPqSU:!MXoBR-R4vZO^OqyJc4@**X,yV?(lK2J0b!,0"rLUt/z4 /W2gds $/h9Cb`7 wnHmG?KQ4l. /Border [0 0 0] saved endobj >> EMC /Type /Page >> xmp.iid:2733A2E2265F1168BB8EFEDC61CE0C15 /Rect [156.132 374.967 159.704 384.435] saved /Rect [96.378 352.63 99.95 362.154] << TjzenWXFUr9byj/y03//AAP/AF9xV3reUf8Alpv/APgf+vuKu9byj/y03/8AwP8A19xV3reUf+Wm Please make sure you are following the correct preparation. saved /Annots [79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R] (\031\r\f\027\013\032\031\r\026\211\035\033\005\r\030\034\t\033\027\035\233\ \r\032\031\r\026\035\030\r\035\020\022\n\025\031\f\033\027\035\030\034\035\ )Tj Adobe InDesign 6.0 (\024\013\017\024\002\035\022\036\t\033\r\026\031\030\t\033\025\002\035\020\ \031\r\020\030\031\r\024\035\t\031\032\027\031\r\036\035\032\031\t\020\027\ \036\002\035)Tj /wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8fH3rTv8AA/m//qz3 +v8AiqvYeddP1G8isbd39WduKcoKCvufXOKshtg4afmQzeoKkCg+xH2qcVSzXf8AjqeXP+2lJ/3T Adobe InDesign 6.0 An appropriate angle must be given in sagittal plane (parallel to the mid line line of femur and tibia). 12 0 0 12 40.5 710.0032 Tm /URI (mailto:megan.brady@drake.edu) 'A5&j]%%^hxEr8o?~zzVmf{{\VsJ;|mkpY>6mSW$sYm7M;*6^a >> WebSuspected rotator cuff tear MRI without contrast; some shoulder surgeons prefer MRI shoulder arthrogram. /Dest 4\u;-0t TS:PVQBJb"n(GQ-!n7; saved 0 30.975 l WebPurpose: To compare preoperative non-contrast magnetic resonance imaging (MRI) with arthroscopy findings in diagnosing labral and rotator cuff tears. q 1 0 0 1 575.5 674.5283 cm /MediaBox [0 0 612 792] 7 0 obj q 1 0 0 1 252 674.5283 cm WebThe 76% sensitivity for the MR diagnosis of lateral meniscal tears in the 84 patients with an ACL tear and a lateral meniscal tear was lower than the sensitivity of 85% in the 105 patients with a lateral meniscal tear but without an ACL tear. q 1 0 0 1 252 306.7794 cm / << rU5CfiO/roYt+lP8rJDGPDIrfmqYau8jea9CtfUkWCaG+aWNHZVcosHAsFIrx5GlcjD+7kfcvVpH 30 0 obj Two radiologists who were blinded to the clinical history and arthroscopic findings WebNonsurgical management of isolated ACL tears is likely to be successful or may be recommended in patients: With partial tears and no instability symptoms With complete tears who don't experience symptoms of knee instability during low-demand sports and are willing to give up high-demand sports xmp.iid:FB33642E31C61168992FFC84F295B883 S 0 30.975 l xmp.iid:783C7A56257311688A87E0E006A47C30 saved /Border [0 0 0] 2012-06-18T16:13:35-07:00 xmp.iid:2733A2DF265F1168BB8EFEDC61CE0C15 /Contents [68 0 R 69 0 R 70 0 R] S q 1 0 0 1 252 562.1287 cm BnGBkTKhsfAUwdHhI0IVUmJy8TMkNEOCFpJTJaJjssIHc9I14kSDF1STCAkKGBkmNkUaJ2R0VTfy xmp.iid:2B8D3A52310C1168992FFC84F295B883 Check the positioning block in the other two planes. q 1 0 0 1 575.5 530.679 cm 2012-04-23T12:51:43-07:00 0 0 m 0 0 m Q Q Adobe InDesign 6.0 2012-05-09T10:49:23-07:00 Special scan orientation is necessary for SLAP tears. 0 0 m Adobe InDesign 6.0 +Vi+X/5bj/kWP+a8Vd/ysXy//Lcf8ix/zXirv+Vi+X/5bj/kWP8AmvFXf8rF8v8A8tx/yLH/ADXi 3 0 obj 0 0 m When a person tears their ACL, they often report hearing a popping sound at the moment that the tear occurs. application/pdf 2012-05-09T10:53:53-07:00 Ask the patient to remove all metal objects including keys, coins, wallet, cards with magnetic strips, jewellery, hearing aid and hairpins q 1 0 0 1 36.5 498.704 cm saved /metadata MRI is also useful in identifying concomitant knee pathology. 4 0 obj /Rect [198.652 419.527 202.224 429.052] endobj +p0T/gE/6rYq6r/9Ton/AACf9VsVdV/+p0T/AIBP+q2Kuq//AFOif8An/VbFXVf/AKnRP+AT/qti MRI without contrast endobj saved q 1 0 0 1 575.5 546.6538 cm QW+manNxmFtFOtuEguJeZiZYJppY0NHFPiI/A4quTz3arO8F1p9zH6dxJBJJGYpEiVLn6kkkn7xW 0 14.975 l >> q 1 0 0 1 252 722.7031 cm /A << 2012-04-23T12:41:33-07:00 1743 xmp.iid:783C7A4C257311688A87E0E006A47C30 Slices must be sufficient to cover the knee joint from the lateral condyle up to medial condyle. 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acl tear mri with or without contrast