The Magnetic Resonance Imaging Evaluation of Knee Injuries in Footballers
MRI Evaluation of Knee Injuries in Footballers
DOI:
https://doi.org/10.54393/pbmj.v4i2.117Keywords:
Knee injuries, sports injuries, ligamentoust ears, football injuries and MRIAbstract
MRI findings are essential to diagnose the severity of ligament tears in knee injuries in footballers. By using Magnetic Imaging Resonance we can accurately make diagnose and can determine the extent of damage to tissues and ligaments by grading them according to injuries. Objective: The main objective of this study is to determine the MRI findings in patients of knee injuries in football players. MethodS: A multicenter descriptive study conducted at University of Lahore Teaching hospital and National hospital during 4 months period. All symptomatic football players of both genders and age ranging from 16-40 year are included in this study. Our calculated sample size is 80. 1.5T MRI machine used for scans. All images were Proton density and T2 weighted images. Results: This study includes 80 footballers complaining knee pain. Mean age of all subjects was 31.4 +, - 5.7 year. Among 80 patients who had knee injuries, 56 patients (70%) had ACL injuries, 14 patients (17.5%) had PCL injuries, 14 patients (17.5%) had LCL injuries, 8 patients (10%) had MCL injuries, 24 patients (30%) had LM injuries, and 31 patients (38.8%) had MM injuries. Conclusion: MRI is useful imaging modality for the detection of soft tissue injuries most commonly sports injuries. It gives more accurate and detailed information of ligaments and muscle tears than any other modalities. In our study most common injuries that are detected by MRI are ACL tear, bucket handle tear of medial meniscus and MCL injuries. PCL injuries are less common than ACL injuries.
References
Tumilty D. Physiological characteristics of elite soccer players. Sports Med 1993 16: 80-96
https://doi.org/10.2165/00007256-199316020-00002
Inklaar H Soccer injuries. I: Incidence and severity. Sports Med 1994 18: 55-73
https://doi.org/10.2165/00007256-199418010-00006
de Loes M. Epidemiology of sports injuries in the Swiss organization "Youth and Sports" 1987-1989. Injuries, exposure and risks of main diagnoses. Int J Sports Med 1995 16: 134-138
https://doi.org/10.1055/s-2007-972980
Hoy K, Lindblad BE, Terkelsen CJ, Helleland HE, and Terkelsen CJ. European soccer injuries. A prospective epidemiologic and socioeconomic study. Am J Sports Med 1992 20: 318-322
https://doi.org/10.1177/036354659202000314
P. Brinckmann, W. Frobin, G. Leivseth. Musculoskeletal biomechanics Thieme, New York, NY (2002)
B.P. Yawn, P. Amadio, W.S. Harmsen, J. Hill, D. Ilstrup, S. Gabriel. Isolated acute knee injuries in the general population. J Trauma, 48 (2000), pp. 716-723
https://doi.org/10.1097/00005373-200004000-00021
Warren P, Gabbe BJ, Schneider-Kolsky M, et al. Clinical predictors of time to return to competition and of recurrence following hamstring strain in elite Australian footballers. Br J Sports Med 2010;44:415-9.
https://doi.org/10.1136/bjsm.2008.048181
Gupta K, Sandhu P, Galhotra R, Guleria M. Correlation of clinical, MRI and arthroscopic findings in diagnosing meniscus and ligament injuries at knee joint: A prospective study. J Orthop Allied Sci [Internet]. 2013;1(1):2.
https://doi.org/10.4103/2319-2585.117379
4. Prickett WD, Ward SI, Matava MJ. Magnetic resonance imaging of the knee. Sports Med 2001;31(14):997-1019.
https://doi.org/10.2165/00007256-200131140-00004
Deacon A, Bennell K, Kiss ZS, et al. Osteoarthritis of the knee in retired, elite Australian rules footballers. Med J Aust 1997;166:187-90.
https://doi.org/10.5694/j.1326-5377.1997.tb140072.x
Soder RB, Simões JD, Soder JB, et al. MRI of the knee joint in asymptomatic adolescent soccer players: a controlled study. AJR Am J Roentgenol 2011;196:W61-5
https://doi.org/10.2214/AJR.10.4928
Standaert CJ, Herring SA. Expert opinion and controversies in musculoskeletal and sports medicine: stingers. Arch Phys Med Rehabil 2009;90:402-6.
https://doi.org/10.1016/j.apmr.2008.09.569
Livstone BJ, Parker L, Levin DC. Trends in the utilization of MR angiography and body MR imaging in the US Medicare population: 1993-1998. Radiology 2002;222:615-8.
https://doi.org/10.1148/radiol.2223010460
Turner DA, Prodromos CC, Petasnick JP, et al. Acute injury of the ligaments of the knee: magnetic resonance evaluation. Radiology 1985; 154(3):717-22.
https://doi.org/10.1148/radiology.154.3.3969476
D.A. Rubin, J.M. Kettering, J.D. Towers, et al. MR imaging of knees having isolated and combined ligament injuries. AJR Am J Roentgenol, 170 (1998), pp. 1207-1213
https://doi.org/10.2214/ajr.170.5.9574586
Waleed Hetta, Gamal Niazi. MRI in assessment of sports related knee injuries,The Egyptian Journal of Radiology and Nuclear Medicine,45,4,2014, 1153-1161,
https://doi.org/10.1016/j.ejrnm.2014.06.009
Beer D. Power through the algorithm? Participatory web cultures and the technological unconscious. New Media & Society. 2009;11(6):985-1002.
https://doi.org/10.1177/1461444809336551
Carey, JL, Huffman, GR, Parekh, SG, Sennett, BJ. Outcomes of anterior cruciate ligament injuries to running backs and wide receivers in the National Football League. Am J Sports Med. 2006;34:1911-1917.
https://doi.org/10.1177/0363546506290186
Z.F. Zairul-Nizam, M.Y. Hyzan, S. Gobinder, M.A. Razak The role of preoperative magnetic resonance imaging in internal derangement of the knee. Med J Malaysia, 5 (2000), pp. 433-438
V.S. Nikolaou, E. Chronopoulos, C. Savvidou, S. Plessas, P. Giannoudis, N. Efstathopoulos, et al. MRI efficacy in diagnosing internal lesions of the knee: a retrospective analysis J Trauma Manag Outcomes, 2 (2008), p. 4
https://doi.org/10.1186/1752-2897-2-4
T. Madhusudhan, T. Kumar, S. Bastawrous, A. Sinha. Clinical examination, MRI and arthroscopy in meniscus and ligamentous knee injuries - a prospective study. J Orthop Surg Res, 3 (2008), p. 19
https://doi.org/10.1186/1749-799X-3-19
S. Thomas, M. Pullagura, E. Robinson, A. Cohen, P. Banaszkiewicz. The value of magnetic resonance imaging in our current management of ACL and meniscus injuries. Knee Surg Sports Traumatol Arthrosc, 15 (2007), pp. 533-536
https://doi.org/10.1007/s00167-006-0259-7
B. Peleg, S. Ely, A. Hagai, A. Nachman, R. Arbel. Accuracy of magnetic resonance imaging of the knee and unjustified surgery. Clin Orthop Relat Res, 447 (2006), pp. 100-104
https://doi.org/10.1097/01.blo.0000203471.50808.b7
Nicholas E. Rose, Stuart M. Gold, A comparison of accuracy between clinical examination and magnetic resonance imaging in the diagnosis of meniscal and anterior cruciate ligament tears, Arthroscopy: The Journal of Arthroscopic & Related Surgery, 12,4,1996,398-405,
https://doi.org/10.1016/S0749-8063(96)90032-8
R. Mackenzie, C.R. Palmer, D.J. Lomas, A.K. Dixon. Magnetic resonance imaging of the knee: diagnostic performance studies. Clin Radiol, 51 (4) (1996), pp. 251-257
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