Case Challenge

Knee

Gain confidence interpreting Knee MRI Cases with MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME. Try it free!

Case Review

Musculoskeletal (MSK)

Case 1 - 54-year-old male presents with right knee pain

Case 2 - 29-year-old female presents with left knee pain

Case 3 - 53-year-old female presents with posteromedial right knee mass

Case 4 - 30-year-old male presents with right knee pain after motor vehicle accident

Case 5 - 17-year-old male has patellar pain in his right knee

Case 6 - 57-year-old male presents with large mass on right knee

Case 7 - 10-year-old presents with right knee pain and swelling

Case 8 - 12-year-old female presents with left knee pain

Case 9 - 27-year-old male presents with pain and swelling in left knee

Case 10 - 57-year-old male presents with medial right knee pain

Course Evaluation

Post-Course Activities

This Power Pack is comprised of 10 unique Knee MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Knee MRI Cases

<div>History:&#160;This 12-year-old female presents with left knee pain.MOST LIKELY DIAGNOSIS: Patellofemoral maltracking&#160;Using the diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.<figure class="wp-block-image"><img src="https://process.fs.teachablecdn.com/ADNupMnWyR7kCWRvm76Laz/resize=width:750/https://www.filepicker.io/api/file/COTNRKqaR1exrjgPHIWA" alt=""></figure>CLINICAL CONSIDERATIONS:This 12-year-old presents with knee pain, and the clinician alleges meniscal tear. The initial read was noncommunicating tear, but is this the proper call?No, this was not the proper call! It&#8217;s a 12-year-old. High signal due to vascularity and overuse is not uncommon in this age group. A meniscectomy in a 12-year-old is a DISASTER in most cases in the long term. This signal fades in meniscus inner third, and is most conspicuous in the outer one-third red-red zone. It is also window framed by dark signal, the meniscus has normal size and shape, the signal in the meniscus is ill-defined and not very bright on T1, and finally T2* gradient echoes always tend to overestimate signal in menisci compared to proton density SPIR MRI. Patient has&#160;patellofemoral maltracking&#160;as cause of pain. There is&#160;NO&#160;meniscal tear.</div>

Case