✅ Knee MRI Mastery/Chap 5CD. Cartilage Repair and TKA

(Fig 5-D.06) Polyethylene Wear–Induced Synovitis

MSK MRI 2024. 7. 19. 23:47

https://youtu.be/i248QM55yB4

 

https://youtu.be/POoP1plqOoI

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📌 Polyethylene Wear-Induced Synovitis

 

  • Polyethylene wear-induced synovitis is commonly observed in patients with joint replacements, particularly those involving polyethylene components. 
  • This condition is characterized by an inflammatory response due to the wear particles generated from polyethylene components.

 

✅ MRI Findings

  • A recent study noted that more synovial proliferation on MRI corresponded with greater polyethylene wear. 
  • In addition to frondlike synovial proliferation and thickened synovium, intermediate signal intra-articular debris can also be seen in polyethylene wear–induced synovitis. 

 

Characteristics of polyethylene wear–induced synovitis

  • Frond-like Synovial thickening
  • Dense synovial proliferation
  • Debris with low-to-intermediate signal intensity (similar to the intensity of skeletal muscle)
  • Variable amounts of interspersed fluid and joint distention

These characteristics help distinguish polyethylene wear-induced synovitis from other types of synovitis 

 

References

  1. Semin Musculoskelet Radiol 2019;23:e20–e35.
  2. RadioGraphics 2015; 35:1483–1501.
  3. Radiology 2016; 281:1–8.

 

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