HomeAnswersRadiologyacl injuryWhat does my MRI scan report of the knee after falling during skateboarding indicate?

What are the reasons for an ACL (anterior cruciate ligament) tear?

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Published At June 13, 2022
Reviewed AtSeptember 22, 2023

Patient's Query

Hello doctor,

Recently, I fell during skateboarding and hurt my knee. I had gone for an MRI scan of my left knee to make sure that there was no significant damage. I am attaching the report for your reference. Can you kindly explain my scan report?

Thank you.

Hello,

Welcome to icliniq.com.

I am sorry to hear about your accident. I have seen the scan report (attachments removed to protect the patient's identity).

The following findings have been noted:

  • A high-grade tear of the ACL (anterior cruciate ligament), with swelling and edema of the entire ligament, accompanied by the fluid collection that is produces a buckled appearance of the PCL (posterior cruciate ligament).
  • Swelling and a hyperintense appearance in the arcuate ligament complex that is, the lateral collateral ligament and arcuate ligament, with a thin layer of fluid collection around indicating lateral corner injury.
  • Fraying of fibers with fluid collection in the lateral head of the soleus.
  • Patches of hyperintense appearance involving lateral condyles of femur and tibia that signify marrow contusion.
  • Menisci and other ligaments are intact.
  • There is no evidence of bony fracture.

I hope this helps.

Kindly revert in case of further questions.

Best wishes.

Regarding follow up

I suggest you to go for an Orthopedic consultation.

Patient's Query

Hello doctor,

Thank you for your response.

Can you please confirm whether it is a partial or complete tear of the ACL? Also, what are the chances of a complete ACL tear?

Kindly suggest.

Hello,

Welcome back to icliniq.com.

It can be a complete or a high-grade partial tear, which means a near-complete tear. Practically, a high-grade partial can easily progress to a complete tear. Therefore, the orthopedics may handle it as a complete tear unless they find specific clinical features (by physically examining your knee) that it may be near-complete.

I hope this helps.

Kindly revert in case of further doubts.

Thank you.

Preventive measures

I suggest immobilization as a preventive measure.

Regarding follow up

I suggest you go for an orthopedic consultation.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Shoyab
Dr. Muhammad Shoyab

Radiodiagnosis

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