Knee Avulsion Injuries: What can I Get From a CT?

Acute bone and soft-tissue injuries to the knee are commonly seen in emergency departments as well as in the outpatient clinic. Most commonly, these injuries result from a direct blow, a fall, or a twisting injury. Prompt and accurate diagnosis relies heavily on imaging and is mandatory to facilitate adequate management and prevent potential complications [1].Radiographs are usually the initial imaging modality in the evaluation of the acutely injured knee but have a low yield. Computed Tomography (CT) may be performed as the next imaging study for the evaluation of suspected radiographically occult fractures. In patients with radiographic diagnosis of knee fracture, CT is frequently performed for further classification and characterization of the fracture severity and for prediction or diagnosis of associated meniscal and ligamentous injuries [12].The knee has numerous tendinous, ligamentous, and meniscal attachments, which make it particularly vulnerable to avulsion injuries after trauma. These include avulsions of the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL), Segond (small bony avulsion of the anterolateral ligament at the lateral tibial rim that indicates a ACL tear) and reverse Segond (small medial tibial avulsion fracture that indicates a PCL tear) fractures, fibular head avulsion fracture, arcuate complex avulsion, fracture avulsions of the medial collateral ligament, iliotibial band avulsion, avulsions of the semimembranosus, and quadrice...
Source: Journal of the Belgian Society of Radiology - Category: Radiology Source Type: research