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[(\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 0 -1.455 TD endstream xmp.iid:74117FDF200711688AFBDF57A7AE916E 216 0 l 216 0 l 0 30.975 l Sometimes you need more detail and definition, though, and this is where contrast comes in. q 1 0 0 1 575.5 642.5535 cm /;/metadata Q -19.591 -1.452 Td (\255\003\035\030\034\035\205\023\206\035\022\036\033\032\035\016\031\024\ \022\030\013\024\035\f\030\r\024\034\033\025\024\035)Tj saved 0 0 m 119 0 R 120 0 R 121 0 R 122 0 R 123 0 R 124 0 R 125 0 R 126 0 R 127 0 R 128 0 R S MRI or ultrasound. saved WebIn many patients, an MRI scan of the knee may be ordered. YjxVrXdHfV24W8kUE0Yjb1ZYUm+D99VAJAaVND9GEEhUn/wTqn/Vwtv+kGH/AJpx4iqcaV5btrS1 /Subtype /Link > Muscle and tendon disorders: strains, partial and complete tears, tendonitis, tendonopathy. Adobe InDesign 6.0 <0003>Tj 19.591 1.455 Td << 0 0 m xmp.iid:8B5A95D521661168BB8EFEDC61CE0C15 endobj 0 0 m >> 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, xmp.iid:8B5A95D421661168BB8EFEDC61CE0C15 /T1_1 1 Tf 28 0 obj zcDdm7Kq/djmj+8oeX3KEF5W1LUk1i+0jWZvVnu401a1AYuIo5aRy2wPSkLgAeNa5LNCPCCPcoZb p3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1 saved uuid:FADC4727322211DD9153C84E3AB74198 Adobe InDesign 6.0 /Subtype /Link ZB/1UxV3+M/J/wD1ftN/6TIP+qmKu/xn5P8A+r9pv/SZB/1UxV3+M/J//V+03/pMg/6qYq7/ABn5 HgMVQGu/8dTy5/20pP8AunaliqU+U/NnlW28q6Lb3GtafDNDp9rHJHJdQq6OsMasrK0gIII3GKpt >> Adobe InDesign 6.0 saved A longitudinal tear is an example of this kind of tear. WebA tear in this "red" zone may heal on its own, or can often be repaired with surgery. Q /;/metadata /;/metadata saved 1743 S S /Border [0 0 0] 0 0 m /Span<>> BDC 0 -1.455 TD q 1 0 0 1 252 546.1538 cm /9j/4AAQSkZJRgABAgEASABIAAD/7QAsUGhvdG9zaG9wIDMuMAA4QklNA+0AAAAAABAASAAAAAEA 2012-06-18T16:13:27-07:00 Adobe InDesign 6.0 /Rect [84.076 363.798 87.647 373.323] Adobe InDesign 6.0 VXReZtYklSNtG1FA7BS5QUUE0qf9G7Yqyf0ZP9/yfcn/AFTxV3oyf7/k+5P+qeKu9GT/AH/J9yf9 0 0 m XS,` RVJJ5= -lbQN}U-/N7_U&J@.(z.PF.(g}2H$2qB 'd#x=)(C8I7O(W=iD&kx# QTq! Q zI86UA9KB/Ub12WvGvxe+Ko7ypoui6fZS3ejyG4t9U4zFjFDApAHED0be3tkX3qnLxxVEnyp5XMP saved /wCBb/qpirvR84/9WzSf+Bb/AKqYq70fOP8A1bNJ/wCBb/qpirvR84/9WzSf+Bb/AKqYq70fOP8A saved T* Direct or indirect contrast enhancement is recommended for more differentiation. 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. These exams can show both soft tissue and bone. /;/metadata 2011-09-01T09:19:26-07:00 /URI (mailto:megan.brady@drake.edu) 2012-04-23T10:51:11-07:00 /Limits [ ] 19.591 0 Td [<0003>18<0037>129<0052004F004F00030029005500480048001D0003001B001A001A0010001C001C001A00100015001600170015>]TJ Adobe InDesign 6.0 17 0 obj saved /Rect [198.652 419.527 202.224 429.052] q 1 0 0 1 252 674.0283 cm q 1 0 0 1 36.5 610.5786 cm / 0 0 m q 1 0 0 1 36 306.2794 cm > /Span<>> BDC q 1 0 0 1 36 674.0283 cm Special scan orientation is necessary for SLAP tears. Slices must be sufficient to cover the knee joint from the lateral condyle up to medial condyle. It is particularly good for hemorrhage, trauma or fracture to the skull and for hydrocephalus. 17.958 0 Td 0 30.975 l /CreationDate (D:20181019121051+05'30') However, the difference was not statistically significantly different (p = 0.14). 5 0 obj Using saturation bands above and below the sagittal block will reduce further arterial pulsation artefacts. ALaUn/dO1LFXeTP+UP0H/tm2f/JiPFVfUdUttKka4u3SKJ1jjDOWHxEzMB8CP2U4qgv8Z6J/y1wf Adobe InDesign 6.0 0 0 m 2012-06-18T16:11:32-07:00 /Rotate 0 PD fat sat coronal oblique 2mm for Anterior cruciate ligament. /Dest /Span<>> BDC AMYDAREAAhEBAxEB/8QBogAAAAcBAQEBAQAAAAAAAAAABAUDAgYBAAcICQoLAQACAgMBAQEBAQAA /Type /Catalog << /Names 2 0 R v0TpX/LFb/8AIpP+acVd+idK/wCWK3/5FJ/zTirv0TpX/LFb/wDIpP8AmnFXfonSv+WK3/5FJ/zT 2012-04-12T12:06:10-07:00 0 0 m / 0 0 m 2012-06-15T08:48:17-07:00 stream > Vascular conditions: entrapment, aneurysm, stenosis, occlusion 2012-05-02T09:56:23-07:00 Adobe InDesign 6.0 Slices must be sufficient to cover the ACL. Adobe InDesign 6.0 S /Type /Annot [(\243)6(\027\024\034\033\025\030\013\r\032\006\035\205\023\206\035\033\005\032\030\ \t\036\r\207\020\036\027\021\031\025\035\016\031\024\022\035\f\030\r\024\ \034\033\025\024\035\031\017\035\013\027\024\034\033\025\030\013\r\032\035\ \031\r\f\030\r\f\027\013\025\031\021)6(\036)]TJ An MRI uses radio waves and a strong magnetic field to create images of both hard and soft tissues in your body. 8GHcFt3ow/77X7hj4MO4LbvRh/32v3DHwYdwW3ejD/vtfuGPgw7gtu9GH/fa/cMfBh3Bbd6MP++1 q 1 0 0 1 575.5 466.7291 cm /Parent 4 0 R 2012-04-23T12:13:58-07:00 << q 1 0 0 1 252 594.6036 cm xmp.iid:B54ABC55230411688A87E0E006A47C30 CT arthrogram for patients who cannot have an MRI Proximal The main diagnostic criteria for a partial ACL tear on MRI are a hyperintense intraligamentary signal, sinuous path and/or localized thinning but continuous and well-oriented fibres [ 6, 24] on sagittal views, confirmed on coronal, axial and oblique views. saved 0 0 m Adobe InDesign 6.0 EsVs4AHQ8liOKpna6RZ2TM1mi2zOKMYYoUJHvxiGKoj0ZP8Af8n3J/1TxV3oyf7/AJPuT/qnirFt q 1 0 0 1 252 674.5283 cm Phase direction in the axial scans must be head to feet, this is to avoid the artifacts form popliteal artery pulsation. /Resources 133 0 R xmp.iid:783C7A54257311688A87E0E006A47C30 << /Border [0 0 0] /Type /Annot >> 2012-06-15T08:48:17-07:00 WebAn MRI creates better images than X-rays of soft tissues like the anterior cruciate ligament. 2011-09-12T12:00:56-07:00 10 0 0 10 36 36.627 Tm WebBone bruising is usually present with an ACL tear on the anterior aspect of the lateral femoral condyle and the posterior aspect of the lateral tibial plateau. xmp.did:D71280862023116894C8B865D20A6FB5 WebSuspected rotator cuff tear MRI without contrast; some shoulder surgeons prefer MRI shoulder arthrogram. S saved S A contrast MRI uses a contrast agent, while a non-contrast does not make use of one. [(\n)6(\036\033\034\025\035\030\027\032\035)]TJ Q /Type /Annot Orthopaedics, 734-936-5780. 0 30.975 l 6pYq79AebP8Aq623/SLF/wBUsVd+gPNn/V1tv+kWL/qliqYaRpGrW0ztq91BexFaIiQRxlWqN6qi /URI (mailto:megan.brady@drake.edu) saved 0 0 m [(\223)30(\036\f\004\035\t\033\025\025\002\035\027\n\t\020\022\033\032\036\r\030\020\ \033\024\022\n\035)]TJ endobj 2012-05-09T10:50:30-07:00 q 1 0 0 1 36 610.0786 cm /metadata endstream xmp.iid:A4300E0220231168A0DDC9EF548BDAB5 Pgrv+Vl+Z/8Aq5af/wAih/1Vx8MfzZfj4KhLz81/NlqyrHc2dwGFSUiG33SHLcWmjMbghSUN/wAr /Border [0 0 0] >> yzWuoIZIkEcgAYr8Q9ZeqkdmOKoS38leXrW4iuoLdllgdZIyZHNGQhl2LeIxVPsVdirsVdirsVdi /;/metadata The anterior cruciate ligament (ACL) is a structure that contributes to the restraints of anterior translation and internal rotation of the tibia relative to the femur [1,2,3,4,5,6].In addition to the integrity of the ACL itself, several additional signs have been proposed that can assist with the diagnosis of ACL tears on magnetic resonance imaging 0 -1.455 TD q 1 0 0 1 575.5 530.679 cm << AAAAAAABAAIDBAUGBwgJCgsQAAIBAwMCBAIGBwMEAgYCcwECAxEEAAUhEjFBUQYTYSJxgRQykaEH Initial sharp pain. Swelling after the injury. Deep, aching pain in the knee. A feeling the knee is giving out. Instability may be especially noticeable during activities that strain the knee joint, such as walking downstairs and pivoting on one leg. 8RDDIIDPNBJI8kID1UqSWFMVW6V5+lnkhg1DTbx7i+nm9KKytvVFtbxzNbJJdSR3Ew3dGqwA6Hal Adobe InDesign 6.0 /;/metadata /metadata saved xmp.iid:783C7A52257311688A87E0E006A47C30 0 30.975 l Q 8VYdrNwUvnWXXW0tqt/oyGQgfG/xfDH3xVAfW0/6myT75f8AmjFXfW0/6myT75f+aMVd9bT/AKmy T* If performed properly, a complete knee examination for ACL injury can be highly accurate, with a sensitivity and specificity of 82 and 94 percent, respectively. Plan the sagittal oblique slices on the axial plane, angle the position block parallel to the ACL. pohcr5g06a1a3Y1eEI0aCOG1mnRy0/PlF67Mx4gcRtU7YqiLrz9aRWtxdW1hcyrFBJcwPIYYorhY > Osteochondritis << saved 24 0 obj Bbd6MP8AvtfuGPgw7gtu9GH/AH2v3DHwYdwW3ejD/vtfuGPgw7gtu9GH/fa/cMfBh3Bbd6MP++1+ 8sVv/wAik/5pxV36J0r/AJYrf/kUn/NOKu/ROlf8sVv/AMik/wCacVd+idK/5Yrf/kUn/NOKu/RO q 1 0 0 1 36.5 674.5283 cm q 1 0 0 1 36 562.1287 cm /Dest BUN and creatinine must be done within 72 hours of the scan. > xmp.iid:783C7A4F257311688A87E0E006A47C30 WebBone bruising is usually present with an ACL tear on the anterior aspect of the lateral femoral condyle and the posterior aspect of the lateral tibial plateau. Q FXfp7zP/ANWO5/5HRf8AZNirv095n/6sdz/yOi/7JsVd+nvM/wD1Y7n/AJHRf9k2Ku/T3mf/AKsd Adobe InDesign 6.0 when the patient has symptoms that indicate disease. > Chondromalacia Contrast is a liquid made from the element gadolinium. Adobe InDesign 6.0 /Type /Annot zZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TF Adobe InDesign 6.0 [(\031\t\033\026\031\r\026\035\036\236\033\t\035\030\017\035\024\022\036\035\ \022\031\020)16(\002\035\t\030\r\031\024\030\034\031\r\026\035\030\017\035\020\033\024\031\ \036\r\024\025\035)]TJ endobj 2012-05-07T11:32:59-07:00 1Y6NYGHn6vpfVYeHOnHnx4U5U74qrz6DodzLHNc6baTSwuZY3kgjZkkYqS6llJDEqN/bFW4dF0a2 0 94.975 l /S /URI 2018-10-19T12:10:51+05:30 WebThis MRI case demonstrates many of the important injuries seen in association with complete ACL tear including; ACL instability - anterior tibial translation. [(\033\r\032\035\r\036\026\033\024\031\021)6(\036\035\236\201\034\033\n\025\035)]TJ saved Adobe InDesign 6.0 Adobe InDesign 6.0 saved -19.591 -1.452 Td 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). endobj S 2012-06-15T09:01:38-07:00 >> S 16 0 obj /A << Arthroscopy remains the gold standard for diagnosing ACL rupture and meniscal tear in a patient with persistent symptoms. Plan the coronal oblique slices on the sagittal plane, angle the position block parallel to the anterior cruciate ligament (ACL). /wCrPd/8imx8fH3rTv8AA/m//qz3f/IpsfHx9607/A/m/wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ WebTo rule out a labral tear, an MRI arthrogram needs to be ordered, not an MRI with contrast. %PDF-1.4 tcH/AAUv/VDFUXp2vWmqu8enyRTtGAzgO4oDt+1CMVR/K6/33H/yMP8A1TxV3K6/33H/AMjD/wBU /MediaBox [0 0 612 792] 0 0 m /Subtype /Link /;/metadata /MediaBox [0 0 612 792] > /wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8fH3rTv8AA/m//qz3 Applying saturation bands above and below the coronal block will further reduce arterial pulsation artefacts. /Kids [14 0 R] 3TtSxV3kz/lD9B/7Ztn/AMmI8VUPNF09rdaIw9UxyX4SWOEMzOpguTxKJuwqAae2XYRYl7kFT8s3 Adobe InDesign 6.0 / saved 6 0 obj 0 0 m [(\241\031\t\020\031\r\026\035\031\r\035\f\022\031\027\032\035\254\201\252\ \035\n)6(\036\033\034\025\035\030\027\032\035)]TJ Q S -19.591 -2.907 Td Tv8AA/m//qz3f/IpsfHx9607/A/m/wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v >> S bq5il9acxl3iuJ4Tyi2jdfRlTi4G3JaGm1aYq3ceXNHubK2094GjgsRxthBLLA8a8fTIWWCSOShU q 1 0 0 1 252 706.5032 cm relative or staff) S S Q saved /Subtype /Link 72.00 Q Check the positioning block in the other two planes. oPDNpixQMBsOTEld6MP++1+4ZPwYdwRbvRh/32v3DHwYdwW3ejD/AL7X7hj4MO4LbvRh/wB9r9wx Q [(\212\212\240\035\200\212)6(\036\021)6(\036\027\030\020\t\036\r\024\033\027\035\212\n\025\020\027\033\025\031\033\ \035\030\017\035\024\022\036\035\240)18(\031\020\204\002\035)]TJ Often the history and physical exam can prove that a patient tore his or her ACL without the MRI. Adobe InDesign 6.0 There was significant variation in the diagnostic performance of unenhanced MRI for detection of hip labral tears; both sensitivity and specificity ranged from zero to 100%. xmp.iid:4347592125601168BB8EFEDC61CE0C15 S Metal shrapnel or bullet, > 2011-07-12T08:15:05-07:00 Adobe InDesign 6.0 WebMRIs are generally very detailed and effective for medical imaging. A three plane localiser must be taken in the beginning to localise and plan the sequences. S saved saved xmp.iid:2B8D3A4F310C1168992FFC84F295B883 <002A002C>Tj saved 0 30.975 l saved <002C0026>Tj S /CropBox [0 0 612 792] /metadata A common injury among elite, recreational, and youth athletes is the anterior cruciate ligament (ACL) tear. [(\243)36(\034\031\r\033\034)-18(\n\035\024\034\033\f\024\035\031\r\017\036\f\024\031\030\r\035)]TJ [(\r\036\013\034)6(\030\t\013\025\f\013\027\033\034\035\f\030\r\032\031\024\031\030\r)]TJ Q Q << ET /metadata 15 0 obj q 1 0 0 1 252 562.1287 cm However, in some less severe tears, these symptoms may be mild. >, Any electrically, magnetically or mechanically activated implant (e.g. endobj S Q xmp.iid:FEFC542523CD11689098EB0B5BF58135 MRI of Lateral Meniscus Root Injury in Children Pediatric Imaging Original Research Nguyen JC, Baghdadi S, Lawrence JTR, et al. xmp.iid:783C7A56257311688A87E0E006A47C30 q 1 0 0 1 252 306.2794 cm 2011-07-12T07:31:20-07:00 >> saved endobj /metadata xmp.iid:2733A2E0265F1168BB8EFEDC61CE0C15 << Plan the sagittal slices on the axial plane; angle the position block parallel to the lateral condyle of the femur (parallel to ACL). xmp.iid:B54ABC4E230411688A87E0E006A47C30 /Subtype /Link q 1 0 0 1 36.5 642.5535 cm Explain the procedure to the patient (\020\033\034\033\t\036\032\031\033\r\035\032\036\036\020\035\032\031\t\020\ \027\036\025\002\035\033\024\n\020\031\f\033\027\035\032\031\t\020\027\036\ \025)Tj 324 0 l xmp.iid:A4300E0920231168A0DDC9EF548BDAB5 2.615 0 Td 216 0 l 252 722.703 323.5 -16.7 re Adobe InDesign CS4 (6.0.5) saved /wAofoP/AGzbP/kxHiq/WLq/syZtPtpL2QiNGhjZUIU+seZLxydCKfTiqWJrnmZmCtolyoJAJ9aL /metadata /Resources 88 0 R xmp.iid:0EA89AAC23021168BB8EFEDC61CE0C15 >> ReferenceStream x+ | JNvp9rCTN9ZJjhjWswBHq/Co+P4j8XXFUdirsVdiqS67/wAdTy5/20pP+6dqWKu8mf8AKH6D/wBs S AAS/804qyHSdMj0ixSxikeZYyxDykFjyJbelPHFUFrv/AB1PLn/bSk/7p2pYq7yZ/wAofoP/AGzb >> q 1 0 0 1 36 466.2291 cm GZVFr55imtlntdJvpWltZr6FWNsgaCEJWQsbo8QWcKB9r2piqifzG0uGBp7qyuoVVfhf9z6cjq1u q 1 0 0 1 575.5 306.7794 cm S xmp.iid:F7131B273DC81168BB8EFEDC61CE0C15 -19.591 -1.452 Td UqMSPx7ltAf8rh84/wA1t/yJ/wCbsv8AyWPzRbv+Vw+cf5rb/kT/AM3Y/ksfmtu/5XD5x/mtv+RP /Type /Annot Phase direction in the axial scans must be head to feet, this is to avoid the artifacts form popliteal artery pulsation. WebThe 76% sensitivity for the MR diagnosis of lateral meniscal tears in the 84 patients with an ACL tear and a lateral meniscal tear was lower than the sensitivity of 85% in the 105 patients with a lateral meniscal tear but without an ACL tear. 0 0 m If possible provide a chaperone for claustrophobic patients (e.g. 'A5&j]%%^hxEr8o?~zzVmf{{\VsJ;|mkpY>6mSW$sYm7M;*6^a Slices must be sufficient to cover the knee joint from the pattela down to the line of popliteal artery. EMC 12 0 obj The time estimate below is for your total time in 324 0 l 4 0 obj q 1 0 0 1 36.5 466.7291 cm 19.591 0 Td /Cuif8ssX/IqL/qnirv8K6J/yyxf8iov+qeKu/wron/LLF/yKi/6p4q7/Cuif8ssX/IqL/qnirv8 12 0 0 12 40.5 710.0032 Tm /MediaBox [0 0 612 792] 1 Approximately 200,000 ACL injuries occur every year. f/Iw/wDVPFXcrr/fcf8AyMP/AFTxVq2Llp+YCt6gqAaj7EfegxVLNd/46nlz/tpSf907UsVd5M/5 S 0 0 m q 1 0 0 1 36.5 498.704 cm fcn/AFTxV3oyf7/k+5P+qeKu9GT/AH/J9yf9U8VYjq9pI965/Qb6ru3+k841r8b/AA09BumKoH6l 0 0 m VLhby/eIW8ZjjMMMMVeZSOMySmrNuzFienTBLICKA2Sh7Py/c2uiQ6MbhWC3TTzuqkepG1w100QH /Type /Page m/8ASZB/1UxV3+M/J/8A1ftN/wCkyD/qpirv8Z+T/wDq/ab/ANJkH/VTFXf4z8n/APV+03/pMg/6 BnGBkTKhsfAUwdHhI0IVUmJy8TMkNEOCFpJTJaJjssIHc9I14kSDF1STCAkKGBkmNkUaJ2R0VTfy WebFirst Look MRI 10K subscribers Dr. Brian Gay from First Look MRI, explains how to troubleshoot a Knee MRI scan for ACL (Anterior Cruciate Ligament). saved Adobe InDesign 6.0 >> 216 0 l Q 0 0 0 0 k [(\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 q 1 0 0 1 252 466.2291 cm Adobe InDesign 6.0 0 30.975 l +Vi+X/5bj/kWP+a8Vd/ysXy//Lcf8ix/zXirv+Vi+X/5bj/kWP8AmvFXf8rF8v8A8tx/yLH/ADXi /Dest Brain mass/tumor. WebThe medial collateral ligament, or MCL, is a thick ligament on the medial side of the knee the side closest to the midline of the body. 2012-05-09T10:53:53-07:00 2012-06-18T16:11:32-07:00 H\n0E I05cuB67fPDLKDO6RSrfeX4ZtWsdbsVitry1dvXkCbzwuhRon48a9ipNaEdMEcpETE8lpMrZLlPV Adobe InDesign 6.0 2012-06-15T15:25:31-07:00 Localisers are usually less than 25sec. Adobe InDesign 6.0 S > Synovial based disorders: symptomatic plicae, synovitis ,bursitis, and popliteal cysts saved 19.591 4.364 Td xmp.iid:0EA89AA923021168BB8EFEDC61CE0C15 109 0 R 110 0 R 111 0 R 112 0 R 113 0 R 114 0 R 115 0 R 116 0 R 117 0 R 118 0 R HVKo6F{H! saved 2z/5MR4qnWKuxV2KuxV2KuxVDXdhZ35gN3EJvqsq3EPKvwyqGVW29mOKoJfK+hLbxWqWgWGCKOCN 8n3J/wBU8Vd6Mn+/5PuT/qnirvRk/wB/yfcn/VPFXejJ/v8Ak+5P+qeKu9GT/f8AJ9yf9U8Vd6Mn <00280036>Tj >> 2011-07-12T07:31:20-07:00 / XD5x/mtv+RP/ADdj+Sx+a27/AJXD5x/mtv8AkT/zdj+Sx+a27/lcPnH+a2/5E/8AN2P5LH5rb1Xy /;/metadata Adobe InDesign 6.0 endobj /Type /Page xmp.iid:D71280872023116894C8B865D20A6FB5 TjzenWXFUr9byj/y03//AAP/AF9xV3reUf8Alpv/APgf+vuKu9byj/y03/8AwP8A19xV3reUf+Wm xmp.iid:783C7A55257311688A87E0E006A47C30 P/kxHiqZz2dndENcwRzFdgZEViB7cgcVUv0TpX/LFb/8ik/5pxV36J0r/lit/wDkUn/NOKu/ROlf /;/metadata uuid:6ef688ac-5815-48f8-aea9-9bee263cdcb3 256 This bruising is usually due to the subluxation that happens with an ACL injury. 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Adobe InDesign 6.0 Pregnancy (risk vs benefit ratio to be assessed) /wDI2T/mrFUZpnljRtHuTd2ELRylSlS7N8JoTsxPhiqYw/3k/wDxkH/EI8VSvXf+Op5c/wC2lJ/3 -19.591 -2.907 Td /;/metadata The decision whether to make an MRI with contrast depends on the type of the problem and also depends on the history of the given patient. xmp.iid:783C7A4E257311688A87E0E006A47C30 default xmp.iid:2733A2DF265F1168BB8EFEDC61CE0C15 Adobe InDesign 6.0 0 0 m Check the positioning block in the other two planes. /Filter /FlateDecode 804q7/lXtj/y33f/AAS/804q7/lXtj/y33f/AAS/804q7/lXtj/y33f/AAS/804q7/lXtj/y33f/ P/6v2m/9JkH/AFUxV3+M/J//AFftN/6TIP8Aqpirv8Z+T/8Aq/ab/wBJkH/VTFXf4z8n/wDV+03/ The brightening of the tissue on T1 allows us to both see more lesions and make a more accurate diagnosis. 0 -1.455 TD swelling. TtSxV3kz/lD9B/7Ztn/yYjxVfrFlf3pKabPHazr6ZMksayjh++qoDq3emKpV+gPNn/V1tv8ApFi/ 2012-05-02T09:58:49-07:00 31 0 obj [(\213)24(\024\031\026\t\033\024\033\035\033\025\025\030\f\031\033\024\036\032\035\ \016\031\024\022\035\025\020\031\r\033\027\035\032\n\025\034\033\020\022\ \031\025\t\035)]TJ Difference between MRI with and without contrast. /Dest /Subtype /Link endobj /Subtype /Link / 0 0 m He was initially felt to have an MCL injury, but an MRI was performed to confirm the diagnosis, which revealed an ACL tear. saved +4Y+DDuC270Yf99r9wx8GHcFt3ow/wC+1+4Y+DDuC270Yf8Afa/cMfBh3Bbd6MP++1+4Y+DDuC27 Using saturation bands above and below the sagittal block will reduce further arterial pulsation artefacts. saved His injury is a reminder of how tenuous a professional athletes career can be, as far as injuries are concerned. 2012-04-10T12:19:31-07:00 [(\223)30(\036\f\004\035\013\027\024\034\033\025\030\013\r\032\006\035\255\003\035\ \016\031\024\022\035\f\030\r\024\034\033\025\024\035\031\025\035\f\030\t\ \020\027\036\t\036\r\024\033\034)-18(\n\035)]TJ WebPurpose: This study was conducted to evaluate the accuracy of magnetic resonance imaging (MRI) in diagnosing meniscal tears in patients with anterior cruciate ligament (ACL) tears and to determine the frequency of missed meniscal tears on MRI. Q 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). 9IMP/NOPEVd/gnVP+rhbf9IMP/NOPEVd/gnVP+rhbf8ASDD/AM048RV3+CdU/wCrhbf9IMP/ADTj <0030>Tj saved 2011-07-12T08:15:38-07:00 Q 2012-06-15T15:25:31-07:00 /metadata 0 0 m 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R] << Q > fH3rSjceTvNMUttHLpV0jXEpjiUxkF3EcsnFffijH6MhPNAkb9f0FafQfkz/AJQ/Qf8Atm2f/JiP tSxV3kz/AJQ/Qf8Atm2f/JiPFVXVtYttFY3V2QsTiOMMeVeR9ZgKIj9lOKpZ/j7Q/wDfo+6X/qji /;/metadata 2012-04-23T10:51:11-07:00 proof:pdf xmp.iid:A4300E0620231168A0DDC9EF548BDAB5 0 0 m LGysh9VPW4u3FyObAt77DFUwutMsL2zSwuoRLbRtE6xsTQNA6yRGta7Mg/jiqDk8q6BLA1q9mPRd 0 0 m 2cbYqhvR84/9WzSf+Bb/AKqYq70fOP8A1bNJ/wCBb/qpirvR84/9WzSf+Bb/AKqYq70fOP8A1bNJ A CT brain is ordered to look at the structures of the brain and evaluate for the presence of pathology, such as mass/tumor, fluid collection (such as an abcess), ischemic processes (such as a stroke). endobj EMC Adobe InDesign 6.0 (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. Check the positioning block in the other two planes. /Dest << qYq7/Gfk/wD6v2m/9JkH/VTFXf4z8n/9X7Tf+kyD/qpirv8AGfk//q/ab/0mQf8AVTFXf4z8n/8A Q Adobe InDesign 6.0 /Producer (Acrobat Distiller 7.0 \(Windows\)) saved /metadata knee instability. Q 0 94.975 l /metadata Instruct the patient to keep still [(\027)30(\026)20(\025\024\025\026\026)20(\025\035\023\022)24(\031\021\035\020)]TJ kio7TrxCG5WrSBFpU12xVdrnm67j0LSNX0WIodXnEapcW0l1IEaC5nWkFnKGZiYQPhYihriqhY+f /GS2 gs Q 72.00 Adobe InDesign 6.0