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MRI Joints

“ HIP  •  Dilute solution of 0.2 mmol/L gadopentetate dimeglumine for direct arthrography. •  Normal labrum is low signal on T1. •  10%-15% ...

HIP 

•  Dilute solution of 0.2 mmol/L gadopentetate dimeglumine for direct arthrography.
•  Normal labrum is low signal on T1.
•  10%-15% have a communication between the joint capsule and the iliopsoas bursa.

WRIST

•  Best sequence for imaging tears is T2 or T2* in coronal plane.
•  The coronal plane is angled parallel to the volar surface of the radius.

•  Magnetic resonance arthrography of the wrist performed with a gradient echo in coronal plane.

KNEE

•  Sagittal images are obtained at an angle of 10° anteromedially to a line drawn perpendicular to a line drawn through the posterior femoral condyles.

•  Normal findings:
–  Bowing of the posterior cruciate ligament (PCL) on sagittal imaging (knee extended)
–  Low signal anterior cruciate ligament (ACL) on T1
–  Low signal menisci on T1 and T2
–  Medial patellar plica
SHOULDER

•  Axial, coronal, sagittal oblique fat-suppressed T1 and axial oblique T1.
•  Labrum is low signal on T1.
•  Abduction, external rotation position preferred for assessing the anterior-inferior labrum, where most tears occur.