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Bildgebung postarthroskopischer Komplikationen nach Knieverletzungen

Imaging of postarthroscopic complications after knee injuries

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Kniegelenkverletzungen sind nicht nur bei Profisportlern, sondern auch in der Gesamtbevölkerung die häufigsten Gelenkverletzungen. Die Indikation zur arthroskopischen Operation wird gestellt, wenn im Vergleich zur konservativen Therapie ein besseres Ergebnis postarthroskopisch zu erwarten ist und potenzielle Spätkomplikationen verhindert werden könnten. Die selten aber dennoch auftretenden postarthroskopischen Komplikationen werden zumeist mit der Magnetresonanztomographie (MRT) abgeklärt. Zur weiteren Therapieplanung nach Komplikationen, z. B. wenn eine Kreuzbandrevision notwendig ist, sind die digitale Projektionsradiographie und die Computertomographie (CT) hilfreich. Dieser Artikel bietet eine kurze Übersicht über die unterschiedlichen Operationstechniken, die eine Voraussetzung für das Verständnis der bildgebenden postoperativen Veränderungen sind. Weiter wird auf die häufigsten Komplikationen nach Meniskus- und Knorpeloperationen sowie nach vorderer Kreuzbandrekonstruktion und den damit einhergehenden typischen Zeichen in der MRT, Projektionsradiographie und CT näher eingegangen.

Abstract

The most common joint injuries in professional and recreational sports participants and also in the total population are knee injuries. Arthroscopy is indicated if this modality will improve the patient outcome and potential long-term complications can be avoided. Although uncommon, complications following arthroscopy are mostly evaluated by magnetic resonance imaging (MRI). For planning further therapy strategies following postarthroscopic complications, e.g. if anterior cruciate ligament (ACL) reconstruction is required, digital radiographs and computed tomography (CT) are helpful. This article provides an overview of the different procedures for surgical treatment which are a prerequisite for the analysis of postarthroscopic images. In addition typical complications after treatment of meniscal and chondral injuries as well as after ACL reconstruction are described and typical signs in MRI, radiography and CT are explained in detail.

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Authors and Affiliations

  1. Abteilung für Neuroradiologie und muskuloskelettale Radiologie, Klinik für Radiodiagnostik, Medizinische Universität Wien, Währinger Gürtel 18–20, A-1090, Wien, Österreich

    C. Schueller-Weidekamm MBA

  2. Klinik für Orthopädie, Medizinische Universität Wien, Wien, Österreich

    G. von Skrbensky

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  1. C. Schueller-Weidekamm MBA
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  2. G. von Skrbensky
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Correspondence to C. Schueller-Weidekamm MBA.

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Schueller-Weidekamm, C., von Skrbensky, G. Bildgebung postarthroskopischer Komplikationen nach Knieverletzungen. Arthroskopie 24, 130–140 (2011). https://doi.org/10.1007/s00142-011-0642-3

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