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[Anterior cruciate ligament rupture: MT versus arthroscopy]
U Tosch1, W Schauwecker, B Dreithaler
1Strahlenklinik und Poliklinik, Universitätsklinik Rudolf Virchow, Freie Universität, Berlin.
Abstract:
Because of suspected rupture of the anterior cruciate ligament sixteen acute traumatised patients were investigated by MR and arthroscopy. The MR diagnosis of a lesion of the anterior cruciate ligament proved to be correct by arthroscopy in fifteen of sixteen cases. Diagnostic criteria for lesions of the anterior cruciate ligament were: Increased signal intensity in T1- and T2 weighted images, increased volume and discontinuity of ligamentous structures. Additional MR findings of meniscal tears were correct in three of four cases laterally and in four of four cases medially. Femoral cartilage lesion were correctly identified by MR in three cases. MR normal findings proved to be correct by arthroscopy in another five cases.