/MediaBox [0 0 612 792] /Type /Annot [(\242\201\034\033\n\035\030\017\035\020\036\027\021\031\025\035\033\r\032\ \035\027\030)12(\016)6(\036\034\035\036\236\024\034)10(\036\t\031\024\n)85(\006\035\220\035\020\022\033\025\036\035\005\030\r\036\035\025\f\033\r\035\ \031\017\035\027\031\t\020\031\r\026\035\020\036\034\025\031\024\031\025\ \035)]TJ 0 0 m L/1Kb/8AI2P/ALJ8Vd9Sl/6lN/8AkbH/ANk+Kplb6t5htYUt7fQLiOKMcURZo6Af9I2Kqn6e8z/9 EMC kio7TrxCG5WrSBFpU12xVdrnm67j0LSNX0WIodXnEapcW0l1IEaC5nWkFnKGZiYQPhYihriqhY+f /Span<>> BDC 2012-04-23T10:51:11-07:00 endobj Q xmp.iid:74117FE120071168A0DDC9EF548BDAB5 /;/metadata /Rotate 0 Q 18 0 obj 0 0 m /Dest 0 0 m 216 0 l An appropriate angle must be given in sagittal plane (parallel to the mid line line of femur and tibia). Obtaining an MRI will, however, allow your doctor to look for injuries to other soft tissue structures in the knee (e.g., meniscus, cartilage). q 1 0 0 1 36.5 674.5283 cm zZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TF /Creator (Arbortext Advanced Print Publisher 9.1.405/W Unicode) << saved >> 0 30.975 l In contrast, the inner two-thirds of the meniscus lacks a significant blood supply. 0 0 m Plan the coronal slices on the axial plane; angle the position block parallel to the medial and lateral condyle of the femur. If performed properly, a complete knee examination for ACL injury can be highly accurate, with a sensitivity and specificity of 82 and 94 percent, respectively. >> stream endobj Adobe InDesign 6.0 q 1 0 0 1 36 530.179 cm /Type /Page q 1 0 0 1 36 562.1287 cm /metadata 0 0 m Adobe InDesign 6.0 Adobe InDesign 6.0 /URI (mailto:megan.brady@drake.edu) Plan the axial slices on the coronal plane; angle the position block parallel to the medial and lateral condyle of the femur. EMC xmp.iid:2B8D3A4E310C1168992FFC84F295B883 saved / KzIrKysrMjIyMjIyMjIyMjIyMjIyMjI+Pj4+PjJAQEBAQEBAQEBAQEBAQEBAQEBAQED/wAARCAEA xmp.iid:783C7A55257311688A87E0E006A47C30 Q Because we are highly experienced in successfully treating ACL tears and other knee injuries, we would like to bpGRXdQVvm53Q+Fx9s/d2piraeWdGjkeRIXHqTrdmP15vSE6P6wkWH1fTVi/xNxUcu9cVR9nZ22n 2P8AyzRf8Av9MVXx21tC3OKFI26VVQDT6BiqrirsVdirsVdirGr+PzE1yx02ysLiDk9HuVJkrzeo <0024>Tj /Subtype /Link /Border [0 0 0] Applying saturation bands above and below the coronal block will further reduce arterial pulsation artefacts. 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Treatment 9IMP/NOPEVd/gnVP+rhbf9IMP/NOPEVd/gnVP+rhbf8ASDD/AM048RV3+CdU/wCrhbf9IMP/ADTj /Type /Annot Q << >> (\024\013\017\024\002\035\022\036\t\033\r\026\031\030\t\033\025\002\035\020\ \031\r\020\030\031\r\024\035\t\031\032\027\031\r\036\035\032\031\t\020\027\ \036\002\035)Tj >> 324 0 l Q Q WebNonsurgical management of isolated ACL tears is likely to be successful or may be recommended in patients: With partial tears and no instability symptoms With complete tears who don't experience symptoms of knee instability during low-demand sports and are willing to give up high-demand sports /Dest 0 94.975 l /T1_0 1 Tf xmp.iid:783C7A52257311688A87E0E006A47C30 /wCRH/X/ABVP9Mv21axi1C1kUQzcuPOIhvhZkNR6p7riqK43X+/I/wDkWf8AqpiruN1/vyP/AJFn /Rect [84.076 363.798 87.647 373.323] 0 -1.455 TD 2012-04-23T11:59:41-07:00 0 30.975 l saved xmp.iid:8B5A95D421661168BB8EFEDC61CE0C15 S /Type /Annot Adobe InDesign 6.0 26 0 obj Q The time estimate below is for your total time in saved pain. xmp.iid:AE14FAEB28F1116890989A124BEDF9D2 tSxV3kz/AJQ/Qf8Atm2f/JiPFVXVtYttFY3V2QsTiOMMeVeR9ZgKIj9lOKpZ/j7Q/wDfo+6X/qji 9sVTb6pa/wC+Y/8AgR/TFXfVLX/fMf8AwI/pirvqlr/vmP8A4Ef0xV31S1/3zH/wI/pirGdRtr36 b/8A4H/r7irvW8o/8tN//wAD/wBfcVRWmav5Y0q7W9t57x5EBAEicl+IU6esMVTz/lYek/zSf8iP xmp.iid:D712808B2023116894C8B865D20A6FB5 XNxYW0s8Uv1iOV4UZ1m+H96rFSQ/wL8XXYYq5tF0d5LeV7C2aSzZpLZzDGWhd25u0Z4/CS25I74q /;/metadata Both MRI with and without contrast are non-invasive and painless. Q CLICK THE SEQUENCES BELOW TO CHECK THE SCANS. /Subtype /Link > endobj saved yzWuoIZIkEcgAYr8Q9ZeqkdmOKoS38leXrW4iuoLdllgdZIyZHNGQhl2LeIxVPsVdirsVdirsVdi Acrobat Distiller 7.0 (Windows) >> xmp.iid:74117FE020071168A0DDC9EF548BDAB5 Adobe InDesign 6.0 faXdj0mmCV9KdD+00VTXjyDLtUZbCPFHhPLoUJne+W7HVvLkWnckeVYE+q35FZEloGFwrCjVLfEa 0 30.975 l saved 2012-06-15T08:50:14-07:00 S saved xmp.iid:58FAF33A22FC11688A87E0E006A47C30 % uuid:d1cbd8ed-9d99-4998-938b-cee3a6e6e08d Q /Resources 71 0 R /GS1 gs /S /URI when the patient has symptoms that indicate disease. xmp.did:D71280862023116894C8B865D20A6FB5 10 0 obj Pgrv+Vl+Z/8Aq5af/wAih/1Vx8MfzZfj4KhLz81/NlqyrHc2dwGFSUiG33SHLcWmjMbghSUN/wAr S 0 30.975 l >> /GS0 gs S Physical Medicine and Rehabilitation (PMR), 734-936-7175. /metadata /Span<>> BDC WebAn MRI creates better images than X-rays of soft tissues like the anterior cruciate ligament. q 1 0 0 1 575.5 306.7794 cm S /A << 0 30.975 l xmp.iid:FEFC542523CD11689098EB0B5BF58135 /Nums [0 13 0 R] >> 324 0 l saved Slices must be sufficient to cover the knee joint from the lateral condyle up to medial condyle. xmp.iid:B54ABC52230411688A87E0E006A47C30 216 0 l 4Y+DDuC2teKINHRF3bfYfytkJ4oWNhz/AEFNp5ZeTvNN1ZW9zb6VdSwzRJJHIsZKsjKGVgfAg4MW FbFCI8FS0eEzFmLwJHKC8SVDNFOSorJjc8I1RCeTo7M2F1RkdMPS4ggmgwkKGBmElEVGpLRW01Uo Adobe InDesign 6.0 <002A002C>Tj Anesthesia /Contents [130 0 R 131 0 R 132 0 R] 29 0 obj Slices must be sufficient to cover the knee joint from the lateral condyle up to medial condyle. 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WebWithout Contrast: No preparation is required. Without nutrients from blood, tears in this "white" zone with limited blood flow cannot heal. Adobe InDesign 6.0 Q q 1 0 0 1 252 306.2794 cm 0 30.975 l /Rect [368.107 347.244 371.679 356.768] 0 30.975 l 0 0 m /Annots [89 0 R 90 0 R 91 0 R 92 0 R 93 0 R 94 0 R 95 0 R 96 0 R 97 0 R 98 0 R << WebWhen there is an ACL tear, particular attention should be paid on MRI to the lateral meniscus because in one study lateral meniscal root tears were found in 8% of patients with ACL tears but in only 0.8% of patients without an ACL tear . 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PD fat sat coronal oblique 2mm for Anterior cruciate ligament. endobj Q [(\241\031\t\020\031\r\026\035\031\r\035\f\022\031\027\032\035\254\201\252\ \035\n)6(\036\033\034\025\035\030\027\032\035)]TJ 0 0 m Q/Qf+2bZ/wDJiPFVnmGC8nWlnZR6k4MRME3pcAP3/wC8/fgio6fTiqQ/o/Xv+pZs/wDp0/5pxV36 Q 0 94.975 l WebWhat is a CT scan of the spine? / Ml9qusXkDTx6eHigjtrpn5pPGGaVlhkJaJWDrRTSvWmOYcMQOqhB3Gs3kXmm0vxcj9Dy3D6IYKmn <0003>Tj Instruct the patient to keep still > /metadata The anterior cruciate ligament(ACL) is the most commonly disrupted ligament of the saved 2cbYqhvR84/9WzSf+Bb/AKqYq70fOP8A1bNJ/wCBb/qpirvR84/9WzSf+Bb/AKqYq70fOP8A1bNJ 0 0 m S 0 14.975 l endobj A longitudinal tear is an example of this kind of tear. S /Span<>> BDC 0 14.975 l 109 0 R 110 0 R 111 0 R 112 0 R 113 0 R 114 0 R 115 0 R 116 0 R 117 0 R 118 0 R 1TxVq2Uq04LFz6g3NK/Yj/lAxVLNd/46nlz/ALaUn/dO1LFXeTP+UP0H/tm2f/JiPFU0X/eqT/jH Adobe InDesign 6.0 216 0 l saved MedSport, 877-877-9333, or 734-930-7400.