Extrasynovial spaces of the cruciate ligaments: anatomy, MR imaging, and diagnostic implications. 1996

S H Lee, and C A Petersilge, and D J Trudell, and P Haghighi, and D L Resnick
Department of Radiology, University of California: San Diego, USA.

OBJECTIVE The purpose of our study was to define the anatomy of the extrasynovial space that cruciate ligaments occupy by examining the pattern on MR imaging of normal fluid distribution in the joints around the cruciate ligaments and correlating this distribution with histologic analysis of synovial reflections around the cruciate ligaments. METHODS MR images of five cadaveric knees were obtained serially after larger and larger amounts of contrast material were injected into the joint space. The patterns of fluid distribution around cruciate ligaments were noted. In two other cadaveric knees, the synovial sheath around the anterior cruciate ligament was injected directly with contrast material under CT guidance. Anatomic and histologic correlation was made with findings on corresponding MR images. RESULTS The pattern of fluid distribution is bounded by the synovial reflections around cruciate ligaments. When maximum joint distention is achieved, fluid almost surrounds the cruciate ligaments. The area without fluid is a triangular space between the anterior and posterior cruciate ligaments that appears on the midsagittal image. This triangular space of the cruciate ligaments is an extrasynovial space within which both the anterior cruciate ligament and the posterior cruciate ligament reside. CONCLUSIONS The overlying synovial membrane of the cruciate ligaments does not normally allow joint fluid to enter the substance of the ligaments or the triangular space of the cruciate ligaments. Therefore, fluid collections seen on MR imaging in these extrasynovial spaces or structures likely arises from injury to the cruciate ligaments.

UI MeSH Term Description Entries
D007718 Knee Injuries Injuries to the knee or the knee joint. Injuries, Knee,Injury, Knee,Knee Injury
D007719 Knee Joint A synovial hinge connection formed between the bones of the FEMUR; TIBIA; and PATELLA. Superior Tibiofibular Joint,Joint, Knee,Joint, Superior Tibiofibular,Knee Joints,Superior Tibiofibular Joints,Tibiofibular Joint, Superior
D008279 Magnetic Resonance Imaging Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques. Chemical Shift Imaging,MR Tomography,MRI Scans,MRI, Functional,Magnetic Resonance Image,Magnetic Resonance Imaging, Functional,Magnetization Transfer Contrast Imaging,NMR Imaging,NMR Tomography,Tomography, NMR,Tomography, Proton Spin,fMRI,Functional Magnetic Resonance Imaging,Imaging, Chemical Shift,Proton Spin Tomography,Spin Echo Imaging,Steady-State Free Precession MRI,Tomography, MR,Zeugmatography,Chemical Shift Imagings,Echo Imaging, Spin,Echo Imagings, Spin,Functional MRI,Functional MRIs,Image, Magnetic Resonance,Imaging, Magnetic Resonance,Imaging, NMR,Imaging, Spin Echo,Imagings, Chemical Shift,Imagings, Spin Echo,MRI Scan,MRIs, Functional,Magnetic Resonance Images,Resonance Image, Magnetic,Scan, MRI,Scans, MRI,Shift Imaging, Chemical,Shift Imagings, Chemical,Spin Echo Imagings,Steady State Free Precession MRI
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000070598 Anterior Cruciate Ligament Injuries Sprain or tear injuries to the ANTERIOR CRUCIATE LIGAMENT of the knee. ACL Injuries,ACL Tears,Anterior Cruciate Ligament Injury,Anterior Cruciate Ligament Tear,Anterior Cruciate Ligament Tears,ACL Injury,ACL Tear,Injuries, ACL,Injury, ACL,Tear, ACL,Tears, ACL
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013582 Synovial Fluid The clear, viscous fluid secreted by the SYNOVIAL MEMBRANE. It contains mucin, albumin, fat, and mineral salts and serves to lubricate joints. Synovia,Fluid, Synovial,Fluids, Synovial,Synovial Fluids

Related Publications

S H Lee, and C A Petersilge, and D J Trudell, and P Haghighi, and D L Resnick
November 2014, Magnetic resonance imaging clinics of North America,
S H Lee, and C A Petersilge, and D J Trudell, and P Haghighi, and D L Resnick
February 2007, Magnetic resonance imaging clinics of North America,
S H Lee, and C A Petersilge, and D J Trudell, and P Haghighi, and D L Resnick
November 2007, Radiologic clinics of North America,
S H Lee, and C A Petersilge, and D J Trudell, and P Haghighi, and D L Resnick
January 1991, Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society,
S H Lee, and C A Petersilge, and D J Trudell, and P Haghighi, and D L Resnick
November 1993, Radiographics : a review publication of the Radiological Society of North America, Inc,
S H Lee, and C A Petersilge, and D J Trudell, and P Haghighi, and D L Resnick
March 2003, Radiology,
S H Lee, and C A Petersilge, and D J Trudell, and P Haghighi, and D L Resnick
March 1991, Radiology,
S H Lee, and C A Petersilge, and D J Trudell, and P Haghighi, and D L Resnick
January 1989, Anatomischer Anzeiger,
S H Lee, and C A Petersilge, and D J Trudell, and P Haghighi, and D L Resnick
November 2014, Magnetic resonance imaging clinics of North America,
S H Lee, and C A Petersilge, and D J Trudell, and P Haghighi, and D L Resnick
October 1995, Journal of anatomy,
Copied contents to your clipboard!