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MRI of the knee after locked unreamed intramedullary nailing of tibia.

Gustafsson, Johan LU ; Toksvig-Larsen, Sören LU and Jonsson, Kjell LU (2008) In La Chirurgia degli organi di movimento 91(1). p.45-50
Abstract
We analysed the reason for knee pain after intramedullary (IM) nailing with standard MRI sequences at a mean of 27 months (range 2-45) after nail removal in eleven patients with a mean age of 30 years (range 15-52). Knee pain was assessed in four grades. All our patients had signal changes of fluid in the nail channel, areas of low signal intensity in Hoffa's fat pad and subcutaneous low signal nodes in front of a thickened patellar ligament. Ten patients had low signal adhesions from the nail insertion towards the patellar ligament. Six patients had severe knee pain and even marked adhesions. Two patients had no knee pain; one of these two had minimal adhesions and the other one no adhesions. Five of the patients had a meniscal tear... (More)
We analysed the reason for knee pain after intramedullary (IM) nailing with standard MRI sequences at a mean of 27 months (range 2-45) after nail removal in eleven patients with a mean age of 30 years (range 15-52). Knee pain was assessed in four grades. All our patients had signal changes of fluid in the nail channel, areas of low signal intensity in Hoffa's fat pad and subcutaneous low signal nodes in front of a thickened patellar ligament. Ten patients had low signal adhesions from the nail insertion towards the patellar ligament. Six patients had severe knee pain and even marked adhesions. Two patients had no knee pain; one of these two had minimal adhesions and the other one no adhesions. Five of the patients had a meniscal tear and/or local cartilage reduction. The degree of adhesions from the nail insertion in the tibia towards the patellar ligament was proportional to the degree of knee pain. No sign of acute inflammation was found. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
La Chirurgia degli organi di movimento
volume
91
issue
1
pages
45 - 50
publisher
Nouva Casa Edtrice Licino Cappelli GEM
external identifiers
  • pmid:18320373
  • scopus:41749101807
ISSN
0009-4749
DOI
10.1007/s12306-007-0008-1
language
English
LU publication?
yes
id
8e532133-dfeb-47e6-8965-66f2b0b3d77d (old id 1052792)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18320373?dopt=Abstract
date added to LUP
2008-04-01 12:48:03
date last changed
2017-01-01 07:49:18
@article{8e532133-dfeb-47e6-8965-66f2b0b3d77d,
  abstract     = {We analysed the reason for knee pain after intramedullary (IM) nailing with standard MRI sequences at a mean of 27 months (range 2-45) after nail removal in eleven patients with a mean age of 30 years (range 15-52). Knee pain was assessed in four grades. All our patients had signal changes of fluid in the nail channel, areas of low signal intensity in Hoffa's fat pad and subcutaneous low signal nodes in front of a thickened patellar ligament. Ten patients had low signal adhesions from the nail insertion towards the patellar ligament. Six patients had severe knee pain and even marked adhesions. Two patients had no knee pain; one of these two had minimal adhesions and the other one no adhesions. Five of the patients had a meniscal tear and/or local cartilage reduction. The degree of adhesions from the nail insertion in the tibia towards the patellar ligament was proportional to the degree of knee pain. No sign of acute inflammation was found.},
  author       = {Gustafsson, Johan and Toksvig-Larsen, Sören and Jonsson, Kjell},
  issn         = {0009-4749},
  language     = {eng},
  number       = {1},
  pages        = {45--50},
  publisher    = {Nouva Casa Edtrice Licino Cappelli GEM},
  series       = {La Chirurgia degli organi di movimento},
  title        = {MRI of the knee after locked unreamed intramedullary nailing of tibia.},
  url          = {http://dx.doi.org/10.1007/s12306-007-0008-1},
  volume       = {91},
  year         = {2008},
}