ORTHOPAEDICS


Case 16 :
Diagnosis please:
Click here for bigger Pic
Click here for bigger Pic
Click here for bigger Pic
Click here for bigger Pic
Fig 1
Fig 2
Fig 3
Fig 4

    

__________SCROLL FOR ANSWER__________
 


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


 

 


indianortho.gif (1190 bytes)