✅ Knee MRI Mastery/Chap 2.ACL and PCL

(Fig 2-B.14) Type 2 ACL stump entrapment Lesion

MSK MRI 2024. 2. 21. 20:31

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✅Stump Entrapment (SE) Lesions in ACL Injuries ✅

Stump entrapment (SE) lesions are critical considerations in the assessment of anterior cruciate ligament (ACL) injuries, presenting in two distinct types, each with unique morphological characteristics.

1️⃣ Type 1 SE Lesions: 

  • Characteristics and Formation Type 1 SE lesions typically mimic the appearance of a classic post-operative cyclops lesion characterized by a nodular mass. 
  • These lesions are predominantly located at the anterior aspect of the intercondylar notch. 
  • The formation of Type 1 SE lesions is believed to evolve from Type 2 SE lesions, as proposed by Huang et al. 
  • type 1 SE lesion develops from a type 2 SE lesion, due to chronic impingement of the ACL stump between femur and tibia, resulting in fibrotic changes
  • This transition is attributed to the chronic impingement of the ACL stump between the femur and tibia, leading to fibrotic changes.

2️⃣ Type 2 SE Lesions: 

  • Description In contrast, Type 2 SE lesions exhibit a distinctive morphology, lacking the mass-like appearance characteristic of Type 1 lesions. 
  • Instead, they feature the anterior portion of the torn ACL folded upon itself, resulting in a thin, tongue-like free end that extends anteriorly out of the intercondylar notch.

 

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