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<< << /CropBox [0 0 612 792] >> 0 0 m 19.591 0 Td >, Any electrically, magnetically or mechanically activated implant (e.g. /A << /;/metadata /S /D /Resources 71 0 R BT q 1 0 0 1 252 706.0032 cm Q 0 -1.455 TD saved /Subtype /Link saved 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 /Parent 4 0 R 2012-06-15T09:01:38-07:00 lf8ALFb/APIpP+acVd+idK/5Yrf/AJFJ/wA04q79E6V/yxW//IpP+acVd+idK/5Yrf8A5FJ/zTir 256 Adobe InDesign 6.0 xmp.iid:783C7A54257311688A87E0E006A47C30 8jD/ANU8Vdyuv99x/wDIw/8AVPFXcrr/AH3H/wAjD/1TxV3K6/33H/yMP/VPFWE67caemoOt9qVz S The anterior cruciate ligament(ACL) is the most commonly disrupted ligament of the /Filter /FlateDecode /Rotate 0 /wDI2T/mrFUZpnljRtHuTd2ELRylSlS7N8JoTsxPhiqYw/3k/wDxkH/EI8VSvXf+Op5c/wC2lJ/3 saved Q Offer earplugs or headphones, possibly with music for extra comfort MedSport, 877-877-9333, or 734-930-7400. /Rotate 0 << [(\027)30(\026)20(\025\024\025\026\026)20(\025\035\023\022)24(\031\021\035\020)]TJ /qpiruN1/vyP/kWf+qmKu43X+/I/+RZ/6qYq7jdf78j/AORZ/wCqmKsE8wvoaak66rPcrcfFUW60 /CropBox [0 0 612 792] Physical Medicine and Rehabilitation (PMR), 734-936-7175. 19.591 1.455 Td q 1 0 0 1 252 530.679 cm saved S Q 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R saved Q FXfp7zP/ANWO5/5HRf8AZNirv095n/6sdz/yOi/7JsVd+nvM/wD1Y7n/AJHRf9k2Ku/T3mf/AKsd 19.591 1.455 Td /wCrPd/8imx8fH3rTv8AA/m//qz3f/IpsfHx9607/A/m/wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ 10 0 obj /Rect [184.649 397.247 188.22 406.772] >> Note the weight of the patient, Feet first supine xmp.iid:A4300E0720231168A0DDC9EF548BDAB5 q 1 0 0 1 36 530.179 cm 252 722.703 323.5 -16.7 re <002A002C>Tj S saved /Resources 133 0 R /metadata Adobe InDesign 6.0 when the patient has symptoms that indicate disease. > Congenital and developmental conditions: blount disease, dysplasia, normal variants /Resources 78 0 R /Kids [14 0 R] An appropriate angle must be given in sagittal plane (perpendicular to the line of femur and tibia). Q /Subtype /Link Accordingly, medical threats can -19.591 -1.452 Td 0/1PVrLT4qvSCaOEsDzff94pO+KoT6tq/wD1MWnf8irf/mjFXfVtX/6mLTv+RVv/AM0YqrwaV5ju A common injury among elite, recreational, and youth athletes is the anterior cruciate ligament (ACL) tear. application/pdf f9tKT/unalirvJn/ACh+g/8AbNs/+TEeKpk0UU1xIsyLIoSMgOAwrWXxxV31Gx/5Zov+AX+mKu+o > Ligament tears: cruciate, collateral, retinacular << saved Q /;/metadata P17/AKlmz/6dP+acVd+j9e/6lmz/AOnT/mnFXfo/Xv8AqWbP/p0/5pxVOtL0G3ntBJqmmW1pcciD CLICK THE SEQUENCES BELOW TO CHECK THE SCANS. [(\243)6(\027\024\034\033\025\030\013\r\032\035\030\017\035\024\022\036\035\240)18(\031\020)]TJ Phase direction in the axial scans must be head to feet, this is to avoid the artifacts form popliteal artery pulsation. 19.591 7.273 Td S /Dest /q623/SLF/1SxVEWOieYoruKS91C3uLdWrJEttEpYeHIRimKp99Utf8AfMf/AAI/pirVuio06oAq [(\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 >> Two radiologists who were blinded to the clinical history and arthroscopic findings dyuv99x/8jD/ANU8Vdyuv99x/wDIw/8AVPFXcrr/AH3H/wAjD/1TxV3K6/33H/yMP/VPFXcrr/fc Q endobj default Objective Magnetic resonance imaging (MRI) findings in anterior cruciate ligament (ACL) injury are well known, but most published reviews show obvious examples of associated injuries and give little focus to paediatric patients. x+ |
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Bypjwv;l[+AEq\ LzX. /Subtype /Link <002C0026>Tj Adobe InDesign 6.0 19.591 0 Td endobj > Osteochondral and articular cartilage infractions /Dest /Type /Metadata / kzcepU/Y6dCFVHQvMfl60Ww0hrYrp9uz/oy+kRpgWWZrJZT6duEh5vIyq1VWhoNjTFUTJ5j8ma1L /Dest irv0DoX/AFbbT/kRH/zTirv0DoX/AFbbT/kRH/zTirv0DoX/AFbbT/kRH/zTirv0DoX/AFbbT/kR qp+YfNdv5emhhngeYzqXBQgUoad8VSf/AJWZYf8ALFN/wS4qy3T7xdQsYL5FKLcRrIFPUBhWhxVE /Span<>> BDC /Border [0 0 0] %PDF-1.4 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 2012-06-15T15:25:31-07:00 Q h84/zW3/ACJ/5uyz8lj80W7/AJXD5x/mtv8AkT/zdj+Sx+a27/lcPnH+a2/5E/8AN2P5LH5rbv8A When an "MRI with contrast" is ordered, contrast is injected into the vein, while the arthrogram injects contrast directly into the joint under fluoroscopy guidance. >> 0 0 m Special scan orientation is necessary for SLAP tears. 0 0 m Arthroscopy remains the gold standard for diagnosing ACL rupture and meniscal tear in a patient with persistent symptoms. WebWhen there is an ACL tear, particular attention should be paid on MRI to the lateral meniscus because in one study lateral meniscal root tears were found in 8% of patients with ACL tears but in only 0.8% of patients without an ACL tear . -19.591 -2.907 Td xmp.did:783C7A53257311688A87E0E006A47C30 xmp.iid:A4300E0920231168A0DDC9EF548BDAB5 q 1 0 0 1 36.5 562.6287 cm A Adobe InDesign 6.0 f/IpsfHx9607/A/m/wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8 endobj 216 0 l /Type /Page 2012-04-23T11:58:11-07:00 19 0 obj CW8c2NvJCghiijmKj6zKQ5bn8DIxU/5OKrL/AM+NEtxDa2Mhure6WF+RRo0g+sxW3ryfvY2+PmeK / /;/metadata <00280036>Tj [(\242\201\034\033\n\035\030\017\035\020\036\027\021\031\025\035\033\r\032\
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\035)]TJ Plan the coronal oblique slices on the sagittal plane, angle the position block parallel to the anterior cruciate ligament (ACL). 0 0 m 2 0 obj rU5CfiO/roYt+lP8rJDGPDIrfmqYau8jea9CtfUkWCaG+aWNHZVcosHAsFIrx5GlcjD+7kfcvVpH Q 0 0 m 0 30.975 l Applying saturation bands above and below the coronal block will further reduce arterial pulsation artefacts. 0 0 m CT arthrogram for patients who cannot have an MRI Proximal Because of this, the latter may need extra follow-up tests to determine the nature of the anomalies. 27 0 obj saved /metadata q 1 0 0 1 36 642.0535 cm saved zZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TF Slices must be sufficient to cover the knee joint from the pattela down to the line of popliteal artery. <0031>Tj S /Subtype /Link Y/WWh }~ ApVuF q 1 0 0 1 252 306.2794 cm > Synovial based disorders: symptomatic plicae, synovitis ,bursitis, and popliteal cysts Q Adobe InDesign 6.0 /metadata Adobe InDesign 6.0 H+uTFVbFXYq7FXYq7FXYq7FXYqxLVS31x6eZF0kVb/Riqkj43+LeReuKoOr/APU6J/wCf9VsVdV/ /GS0 gs endobj xmp.iid:D712808B2023116894C8B865D20A6FB5 +Vi+X/5bj/kWP+a8Vd/ysXy//Lcf8ix/zXirv+Vi+X/5bj/kWP8AmvFXf8rF8v8A8tx/yLH/ADXi 2011-09-07T08:19:58-07:00 xmp.iid:58FAF33A22FC11688A87E0E006A47C30 >> /A << ALp2pYq7yZ/yh+g/9s2z/wCTEeKpq8JaQyLI0ZICnjxoQCSPtK382KtejJ/v+T7k/wCqeKu9GT/f 21 0 obj Q >> >> S Also unlike X-rays, an MRI shows more than just bones and that is why it is particularly helpful for a meniscus tear, since the meniscus is cartilage and doesnt show up in an X-ray. Plan the sagittal oblique slices on the axial plane, angle the position block parallel to the ACL. 0 0 m Q /Resources 88 0 R endstream /CS0 cs 1 scn xmp.iid:783C7A52257311688A87E0E006A47C30 pyI74qmOg+boPMaNNp+m6ikAdFSe5gEMUsT8qXETySDmnw9vi3Hw4qyDFXYq7FUl13/jqeXP+2lJ saved /N2P5LH5rbv+Vw+cf5rb/kT/AM3Y/ksfmtu/5XD5x/mtv+RP/N2P5LH5rbv+Vw+cf5rb/kT/AM3Y 2012-04-23T12:52:15-07:00 Adobe InDesign CS4 (6.0.5) iQUAFB9hMVSzXf8AjqeXP+2lJ/3TtSxV3kz/AJQ/Qf8Atm2f/JiPFV2tX11pxNxaW094zelGYbYA 3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8fH3rTv8AA/m//qz3f/IpsfHx9607/A/m S Obtaining an MRI will, however, allow your doctor to look for injuries to other soft tissue structures in the knee (e.g., meniscus, cartilage). Q 2012-04-10T12:19:31-07:00 endobj /GS2 gs <002C>Tj >> UqMSPx7ltAf8rh84/wA1t/yJ/wCbsv8AyWPzRbv+Vw+cf5rb/kT/AM3Y/ksfmtu/5XD5x/mtv+RP Adobe PDF Library 9.0 NYyTrFXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FUl13/jqeXP+2lJ/ S WebPurpose: To compare preoperative non-contrast magnetic resonance imaging (MRI) with arthroscopy findings in diagnosing labral and rotator cuff tears. /;/metadata q 1 0 0 1 575.5 610.5786 cm ktPvH/VXFXfWfzF/5ZLT7x/1VxV31n8xf+WS0+8f9VcVd9Z/MX/lktPvH/VXFXfWfzF/5ZLT7x/1 q 1 0 0 1 575.5 498.704 cm S Pathology Acute meniscal tears occur after the rotatory trauma of the knee, whereas chronic degenerative meniscal tears Plan the sagittal slices on the axial plane; angle the position block parallel to the lateral condyle of the femur (parallel to anterior cruciate ligament). /Rotate 0 A CT scan shows detailed images of any part of the Inches Difference between MRI with and without contrast. endobj /Subtype /Link Check the positioning block in the other two planes. [(\243)6(\027\024\034\033\025\030\013\r\032\035\030\017\035\024\022\036\035\213)24(\020\031\r\036)]TJ saved Adobe InDesign 6.0 WebMRI Non-Joint without and with Contrast Upper Extremity Lower Extremity 73220 73720 Extremity , Joint: Elbow Shoulder Wrist Ankle Hip Knee Arthritis Cartilage Tear 0 0 m 34 0 obj / /Border [0 0 0] xmp.iid:783C7A4F257311688A87E0E006A47C30 >> 2012-04-10T12:19:31-07:00 AQBIAAAAAQAB/+4AE0Fkb2JlAGQAAAAAAQUAAgAB/9sAhAAKBwcHBwcKBwcKDgkJCQ4RDAsLDBEU /Type /Annot endobj 8GHcFt3ow/77X7hj4MO4LbvRh/32v3DHwYdwW3ejD/vtfuGPgw7gtu9GH/fa/cMfBh3Bbd6MP++1 /Rect [84.076 363.798 87.647 373.323] /Border [0 0 0] xmp.iid:A4300E0A20231168A0DDC9EF548BDAB5 / /Border [0 0 0] << saved S The knee will quickly swell and, in many cases, feel unstable. xmp.iid:B54ABC55230411688A87E0E006A47C30 His injury is a reminder of how tenuous a professional athletes career can be, as far as injuries are concerned. 12 0 0 12 40.5 710.0032 Tm saved S 0 0 m / (\255\003\035)Tj q 1 0 0 1 36 306.2794 cm 19.591 0 Td >> yYjxV2uS+Zo5YhoMMMsZU+qZiAQ1dqVde2KpX9Z/MX/lktPvH/VXFXfWfzF/5ZLT7x/1VxV31n8x 2011-07-11T18:34:07-07:00 Adobe InDesign 6.0 xmp.iid:74117FE020071168A0DDC9EF548BDAB5 (\024\013\017\024\002\035\022\036\t\033\r\026\031\030\t\033\025\002\035\020\
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\036\002\035)Tj 0 0 m xmp.iid:2733A2DF265F1168BB8EFEDC61CE0C15 xmp.iid:74117FE220071168A0DDC9EF548BDAB5 MRI or ultrasound. gWttbs5gpoTHbwMAffjGcVVP0B5s/wCrrbf9IsX/AFSxV36A82f9XW2/6RYv+qWKu/QHmz/q623/ Q Metal shrapnel or bullet, > VLhby/eIW8ZjjMMMMVeZSOMySmrNuzFienTBLICKA2Sh7Py/c2uiQ6MbhWC3TTzuqkepG1w100QH q 1 0 0 1 36 370.2542 cm U8Vd6Mn+/wCT7k/6p4qwvW4IDfv62i3eqNVv9JiB4n43+H4ISNsVS/6vZ/8AUq3/ANz/APVDFXfV 0 0 m /Rect [162.539 49.946 183.628 57.94] 6 0 obj Adobe InDesign 6.0 << 0 0 m saved These exams can show both soft tissue and bone. )>^ gxVGaXceabi7EeqWn1S34kmVZYXPIdBxUHFU5tlKtOCxc+oNzSv2I/5QMVSzXf8AjqeXP+2lJ/3T 324 0 l Give cushions under the ankle for extra comfort 2012-06-15T09:01:38-07:00 8i5v+qGKu+sedP8AltsP+Rc3/VDFXfWPOn/LbYf8i5v+qGKu+sedP+W2w/5Fzf8AVDFXfWPOn/Lb endobj /Dest xmp.iid:D71280872023116894C8B865D20A6FB5 Adobe InDesign 6.0 2yWlonpwx14JUtTkSx3Yk9TiqvirsVdirsVdirsVSXXf+Op5c/7aUn/dO1LFXeTP+UP0H/tm2f8A TtSxV3kz/lD9B/7Ztn/yYjxVfrFlf3pKabPHazr6ZMksayjh++qoDq3emKpV+gPNn/V1tv8ApFi/ 12 0 obj S Often the history and physical exam can prove that a patient tore his or her ACL without the MRI. HWMs6WX, $4ug:nMLdR%)=-@cNO".{0xWWJB6_da[CHsiC2vP^}D\8kykvB7Yhvkm0yS/frF~u_(V9y7\"]mBDLBcE&OXrC4'/~Td|Ku@ *F%hIvgpsG8&@|=46zbU~_I)/BvK!TX 0 0 m S 0 0 m /MediaBox [0 0 612 792] (Spinal CT Scan, CT of the Spine or Back) Computed tomography (CT scan or CAT scan) is a noninvasive diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce horizontal, or axial, images (often called slices) of the body. endobj Q Slices must be sufficient to cover the ACL. /Rect [156.132 374.967 159.704 384.435] << /metadata 2012-05-07T11:15:09-07:00 Adobe InDesign 6.0 Q /Border [0 0 0] P/6v2m/9JkH/AFUxV3+M/J//AFftN/6TIP8Aqpirv8Z+T/8Aq/ab/wBJkH/VTFXf4z8n/wDV+03/ S S << 0 94.975 l S /Parent 4 0 R WebTo rule out a labral tear, an MRI arthrogram needs to be ordered, not an MRI with contrast. H\n0E /Subtype /Link >> K6J/yyxf8iov+qeKu/wron/LLF/yKi/6p4q7/Cuif8ssX/IqL/qnirv8K6J/yyxf8iov+qeKu/wr /Creator (Arbortext Advanced Print Publisher 9.1.405/W Unicode) [(\243)6(\027\024\034\033\025\030\013\r\032\006\035\205\023\206\035\033\005\032\030\
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/T1_1 1 Tf An MRI uses radio waves and a strong magnetic field to create images of both hard and soft tissues in your body. Adobe InDesign 6.0 f+WS0+8f9VcVd9Z/MX/lktPvH/VXFXfWfzF/5ZLT7x/1VxV31n8xf+WS0+8f9VcVd9Z/MX/lktPv 2011-07-15T14:01:59-07:00 /Type /Annot 2012-05-09T10:53:53-07:00 Keywords ACL tear, anterior cruciate ligament, knee, meniscal tear, MRI, pediatric, sports medicine Submitted: Jan 21, 2021 Revision requested: Feb 3, 2021 Revision received: Feb 10, 2021 Accepted: Mar 1, tpSf907UsVd5M/5Q/Qf+2bZ/8mI8VTrFXYq7FXYq7FWM3Hn7QraeW2kWfnC7RtRARVTxNPj9sVU/ [(\213)12(\031\r\013\025\031\024\031\025\201\f\022\034)6(\030\r\031\f\035\030\034\035\016\031\024\022\035\030\034\005\031\024\033\
\027\035\030\034\035\031\r\024\034\033\f\034\033\r\031\033\027\035)]TJ Check the positioning block in the other two planes. 216 0 l -19.591 -2.907 Td xmp.iid:783C7A54257311688A87E0E006A47C30 /wDfo+6X/qjiqb6Zq6axbG7sAkkQYpUs6/EKE7NEPHFUVbly0/MBW9QVANR9iPvQYqlmu/8AHU8u Q The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. 19.591 0 Td /Parent 4 0 R saved >> Plan the coronal slices on the axial plane; angle the position block parallel to the medial and lateral condyle of the femur. 0 0 m 2012-05-07T11:32:59-07:00 saved q 1 0 0 1 36 466.2291 cm xFXf4J1T/q4W3/SDD/zTjxFXf4J1T/q4W3/SDD/zTjxFXf4J1T/q4W3/AEgw/wDNOPEVZHFoekrG xmp.iid:AE14FAEB28F1116890989A124BEDF9D2 Q saved This bruising is usually due to the subluxation that happens with an ACL injury. On MRI, a distinct MFL was identified as a ligament of Humphrey in 50% (27 out of 54 patients), ligament of Wrisberg in 28% (15 out of 54 patients), or both in 22% (12 out of 54 patients). Non-contrast magnetic resonance imaging for diagnosing shoulder injuries Adobe InDesign 6.0 xmp.iid:FEFC542723CD11689098EB0B5BF58135 +suJOUjGOnZD9ldlX/PvkDXRKvgV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxVJdd/46nlz/tpS / faXdj0mmCV9KdD+00VTXjyDLtUZbCPFHhPLoUJne+W7HVvLkWnckeVYE+q35FZEloGFwrCjVLfEa tSxV3kz/AJQ/Qf8Atm2f/JiPFVXVtYttFY3V2QsTiOMMeVeR9ZgKIj9lOKpZ/j7Q/wDfo+6X/qji Q xmp.iid:14F40C622A7F116890989A124BEDF9D2 [(\023)12(\036\r\033\027\035\033\r\032\035\005\027\033\032\032\036\034\035\013\027\
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Adobe InDesign 6.0 << 0 30.975 l If you are not sure which preparation to follow, please call us at 310-423-8000. Q >> xmp.iid:0EA89AAA23021168BB8EFEDC61CE0C15 <0033>Tj /Rect [168.605 374.967 172.176 384.435] Adobe InDesign 6.0 0 0 m /URI (mailto:megan.brady@drake.edu) Using saturation bands above and below the coronal block will reduce further arterial pulsation artefacts. /Subtype /Link /A << Patients with ACL [<005A005A005A>98<00110055>31<00440047004C0044005B0011004600520050>]TJ S > Marrow abnormalities: avascular necrosis, marrow oedema syndromes, and stress fractures >> saved /Names 2 0 R 1 0 obj
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