Knee MRI MCL Tear

SEE THE PREVIOUS POST ( 8.1) FOR THE APPEARANCE OF THE NORMAL SUPERFICIAL AND DEEP MCL.

Trauma to the MCL can be of a number of types

  1. Strain
  2. Partial Tear ( varying severity Mild, Moderate, Severe)
  3. Full thickness tear
  4. Rupture and retraction

mri knee mcl deep fibres medial collateral ligament strain superficial radiology education asiaImage Above: Yellow arrow superficial MCL intact with oedema at the adjacent soft tissue ( red arrow) in keeping with a strain.

mri knee mcl deep fibres medial collateral ligament partial tear low grade superficial radiology education asiaImage above: Low grade tear ( yellow arrow) with localised loss of fibres and increased tT signal.

mri knee mcl deep fibres medial collateral ligament partial tear superficial radiology education asiaImage Above: High grade partial tear sMCL with absence of normal appearing fibres ( red arrow) but no retraction or loss of taughtness of sMCL. Tear of the meniscofemoral component of hte dMCL ( blue arrow). Meniscotibial dMCL intact ( yellow arrow).

mri knee mcl deep fibres medial collateral ligament partial tear superficial radiology education asiaImage above: Complete tear sMCL. Loss of continuity of fibres and a wavy appearance indicates loss of attachment.

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