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Imaging
Findings
QUADRICEPS TENDON INJURY
Brief Discussion
- Forced muscle contraction /
direct trauma.
- MRI – sensitive to both
acute & chronic haemorrhages
- Sagittal – longitudinal
extent of tear.
- Axial - muscle group involved
& adjacent anatomic relations, to differentiate complete
and partial tears.
- Atrophy - best on T1WI
- I V. Gd - to differentiate
hematoma from mass.
Hematoma - peripheral enhancement
Mass –central enhancement.
- Edema & areas of fraying
in the muscle – intermediate on T1& increased signal on T2
- Increase in the signal intensity
within the quadriceps muscle
Increase in signal may be due to edema /h`rage sometimes due to degeneration
/
tendinitis.
- Patella - inferior tilting
& redundancy
- Laxity of patellar tendon .
- Treatment - surgical fixation.
Contribution
MRI CENTRE, NANAVATI HOSPITAL, MUMBAI
DR DEEPAK PATKAR, DR MALINI LAWANDE, DR SONA PUNGAVKAR,
DR SHILPA SANKHE, DR ANKIT TANDON & DR NISHA SAINANI
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