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

(Fig 5-D.19) Post-TKA Synovitis: Infection, Particle-Induced, and Nonspecific

MSK MRI 2024. 7. 21. 09:56

https://youtu.be/TMU5-m5kim4

https://youtu.be/POoP1plqOoI

 

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📌 Post-TKA Synovitis

 

✅ Periprosthetic Infection

  • The MR imaging findings of a lamellated synovitis with hyperintense signal, extracapsular soft-tissue edema, extracapsular collections, and reactive lymphadenopathy carry a high likelihood for the presence of a periprosthetic joint infection.

 

✅ Polyethylene Wear–Induced Synovitis

  • At MR imaging, polyethylene wear–induced synovitis is typically characterized by synovial thickening with dense synovial proliferation and debris with low-to-intermediate signal intensity (similar to the intensity of skeletal muscle), with variable amounts of interspersed fluid and joint distention.

 

✅ Hemarthrosis Occurring Late After Total Knee Arthroplasty

  • The most common surgical and histologic findings of hemarthrosis occurring late after total knee arthroplasty include hypervascular and proliferative synovium with signs of arthroplasty component impingement, which is more prone to trauma and more likely to bleed.

 

References

RadioGraphics 2015; 35:1483–1501

 

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#PeriprostheticInfection, #MRImaging, #Synovitis, #PolyethyleneWear, #Hemarthrosis, #KneeArthroplasty, #SoftTissueEdema, #ReactiveLymphadenopathy, #JointDistention, #HypervascularSynovium