[Magnetic resonance imaging of the knee menisci. Normal aspects. Misleading images. Meniscus degeneration. Anatomic correlations].
The authors report the result of a study on 5 knees of fresh corpses explored with magnetic resonance imaging, including 1 examined before and after intraarticular contrast injection, and on 15 asymptomatic subjects examined with the same procedure. A very thorough study of the menisci and of their attachment, ie. The tibial insertion of the menisceal horns, the transverse ligament, and the meniscofemoral ligament, is possible with T1-weighted MR sequences. The T2-weighted sequences, either following intraarticular contrast injection or in cases of articular effusion, allow analyzing the capsular attachments of the posterior horn of the lateral meniscus and its relationships with the tendon of the popliteal muscle. Five misleading images must be known for the exploration of the menisci, in order to avoid a number of interpretation problems. Images of type I and II initial meniscus degeneration are observed in 47% of all cases (control group). One case of menisceal cyst developing in the anterior horn of the lateral meniscus, with anatomical correlation, is also reported.
Hélénon
O
O
Service de Radiologie, Hôpital Saint-Louis, Vellefaux, Paris.
Bastian
D
D
Laval-Jeantet
M
M
D000328:Adult; D005260:Female; D006801:Humans; D008023:Ligaments, Articular; D008279:Magnetic Resonance Imaging; D008297:Male; D008592:Menisci, Tibial / Q000033:anatomy & histology / Q000473:pathology
Imagerie par résonance magnétique des ménisques du genou. Aspects normaux. Images pièges. Dégénérescence méniscale. Corrélations anatomiques.