Anterior cruciate ligament injury - partial thickness tear

Case contributed by Hani Makky Al Salam
Diagnosis certain

Presentation

Painful knee following twisting injury

Patient Data

Age: 40 years

Sagittal T2 FS MRI shows abnormal increased signal in the ACL in keeping with sprain (partial thickness tear). High T2 signal intensity involving the bone marrow of inferior patella, medial/lateral femoral condyles, and posterior medial/lateral tibial condyles is in keeping with bone bruising (though some of these areas of altered signal intensity could be due to disuse-related osteopenia).

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