Lateral Gutter Knee Mri

Diagnostic arthroscopy is a crucial skill for diagnosing intra articular disorders of the knee including meniscal synovial ligamentous and articular cartilage pathology.

Lateral gutter knee mri.

While a detailed explanation of mri protocols and mr physics is beyond the scope of this text fast spin echo fse mri is most commonly utilized for mri of the knee. There are other synovial structures in the lateral gutter the lateral alar fold superolateral fold and transverse synovial arcuate fold that should not be confused with a lateral patellar plica fig 13. The popliteal hiatus should be identified in this area fig. 54 7 and a gentle milking maneuver should be performed to assess for the presence of loose bodies that may move back and forth within the popliteal hiatus.

Pouch medial gutter lateral gutter medial compart ment lateral compartment intercondylar notch and posterior medial and posterior lateral compartments. Clinically the meniscotibial ligament is responsible for the segond fracture an avulsion of the lateral tibial plateau. A segond fracture can easily be seen on radiographs and magnetic resonance imaging mri and is indicative of ligamentous injury to the knee. Unenhanced mri indirect mr arthrography direct mr arthrography and ct arthrography are each currently used to evaluate patients with recurrent knee pain after meniscus surgery.

The purpose of this study is to review the evidence for the use of these examinations in patients with suspected recurrent meniscus tear. Lateral gutter the lateral gutter should be visualized and again a similar inspection to the medial gutter should be performed looking for synovitis loose bodies and marginal osteophytes.