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✅ Knee MRI Mastery/Chap 2.ACL and PCL

(Fig 2-B.22) Posterolateral bundle tear (Gap sign) -2

by MSK MRI 2024. 2. 24.

https://youtu.be/Mwug3dW_6so

https://youtu.be/8yHOp_whDZU

✅Imaging Signs of Isolated Posterolateral Bundle Tear of the ACL

An ACL tear may only involve one bundle. The specific imaging signs of an isolated posterolateral bundle tear include:

1️⃣Gap Sign

  • Description: Presence of fluid signal and/or a gap.
  • Location: Between the medial aspect of the lateral femoral condyle and the lateral aspect of the mid-ACL.
  • Imaging Modalities: Can be seen on either axial or coronal MRI images.

2️⃣Footprint Sign

  • Description: Incomplete coverage of the lateral aspect of the tibial spine of the tibia by the distal ACL attachment.
  • Location: Specifically observed on the tibial spine.
  • Imaging Modalities: Seen only on coronal MRI images.

 

 

 

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