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Semin Musculoskelet Radiol 2003; 7(4): 249-276
DOI: 10.1055/s-2004-815673
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Functional Assessment of the Joints Using Kinematic Magnetic Resonance Imaging

Frank G. Shellock
  • Keck School of Medicine, University of Southern California, Institute for Magnetic Resonance Safety, Education, and Research, and Magnetic Resonance Safety Testing Services, Los Angeles, CA
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Publikationsdatum:
21. Januar 2004 (online)

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ABSTRACT

Kinematic magnetic resonance imaging (MRI) techniques were developed in recognition of the fact that certain pathologic conditions that affect the joints are position dependent or associated with stress or “loaded” conditions. Information obtained using kinematic MRI procedures often serves to definitively identify and characterize the underlying abnormality or to supplement the findings acquired with standard MRI techniques. To date, kinematic MRI methods have been applied to evaluate virtually every articulation. This article presents information for kinematic MRI applications applied to the temporomandibular and patellofemoral joints, with a discussion of the normal kinematics and pathokinematics seen using these unique imaging procedures. Other kinematic MRI procedures applied to the ankle, wrist, cervical spine, shoulder, and lumbar spine are briefly discussed.

KEYWORDS

Kinematic MRI - temporomandibular joint - patellofemoral joint - wrist - ankle - lumbar spine - shoulder - cervical spine

REFERENCES

  • 1 Nordin M, Frankel V H. Basic Biomechanics of the Musculoskeletal System, 2nd ed.  Philadelphia: Lea and Febiger 1989
    Google Scholar
  • 2 Shellock F G, Powers C M. Kinematic MRI of the Joints: Functional Anatomy, Kinesiology, and Clinical Applications. Boca Raton, FL: CRC 2001
    Google Scholar
  • 3 Shellock F G, Mandelbaum B. Kinematic MR imaging of the joints. In: MRI of the Musculoskeletal System: A Teaching File Mink JH, Deutsch A, editors. New York: Raven; 1990
    Google Scholar
  • 4 Shellock F G, Mink J H, Deutsch A, Pressman B. Kinematic MRI of the joints: techniques and clinical applications.  Magn Reson Q . 1991;  7 104-135
    PubMedGoogle Scholar
  • 5 Deutsch A L, Shellock F G. The patellofemoral joint and extensor mechanism. In: Magnetic Resonance Imaging of the Knee, 2nd ed. Mink J, Reicher MA, Crues JV, Deutsch AL, editors New York: Raven; 1992
    Google Scholar
  • 6 Deutsch A D, Shellock F G, Mink J H. Imaging of the patellofemoral joint: emphasis on advanced techniques. In: The Patellofemoral Joint Fox J, Del Pizzo W, editors. New York: McGraw-Hill; 1993
    Google Scholar
  • 7 Shellock F G. Kinematic magnetic resonance imaging, In Magnetic Resonance Imaging in Orthopaedics and Sports Medicine, 2nd ed. Stoller DW, editor.  Philadelphia: Lippincott-Raven; 1997
    Google Scholar
  • 8 Burnett K R, Davis C L, Read J. Dynamic display of the temporomandibular joint meniscus by using “fast-scan” MR imaging.  Am J Roentgenol . 1987;  149 959-962
    PubMedGoogle Scholar
  • 9 Shellock F G, Pressman B D. Dual-surface-coil MR imaging of bilateral temporomandibular joint: improvements in the imaging protocol.  Am J Neuroradiol . 1989;  10 595-598
    PubMedGoogle Scholar
  • 10 Pressman B D, Shellock F G. The temporomandibular joint. In: Mink JH, Deutsch AL, editors MRI of the Musculoskeletal System: A Teaching File. New York: Raven; 1990
    Google Scholar
  • 11 Shellock F G, Mink J H, Deutsch A, Fox J M. Patellar tracking abnormalities: clinical experience with kinematic MR imaging in 130 patients.  Radiology . 1989;  172 799-804
    PubMedGoogle Scholar
  • 12 Shellock F G, Mink J H, Deutsch A, Fox J M, Ferkel R D. Evaluation of patients with persistent symptoms following lateral retinacular release by kinematic MRI of the patellofemoral joint.  Arthroscopy . 1990;  6 226-234
    PubMedGoogle Scholar
  • 13 Shellock F G, Mink J H, Fox J M. Patellofemoral joint: Kinematic MR imaging to assess tracking abnormalities.  Radiology . 1988;  168 551-553
    PubMedGoogle Scholar
  • 14 Shellock F G, Mink J H, Deutsch A, Fox J M. Kinematic magnetic resonance imaging for evaluation of patellar tracking: a case report.  Phys Sportsmed . 1989;  17 99-108
    PubMedGoogle Scholar
  • 15 Kujala U M, Osterman K, Kormano M, Komu M, Schlenzka D. Patellar motion analyzed by magnetic resonance imaging.  Acta Orthop Scand . 1989;  60 13-16
    PubMedGoogle Scholar
  • 16 Kujala U M, Osterman K, Kormano M, Nelimarkka O, Hurme M, Taimela S. Patellofemoral relationships in recurrent patellar dislocation.  J Bone Joint Surg Br . 1989;  71 788-792
    PubMedGoogle Scholar
  • 17 Koskinen S K, Hurme M, Kujala U M, Kormano M. Effect of lateral release on patellar motion in chondromalacia: an MRI study of 11 knees.  Acta Orthop Scand . 1990;  61 311-312
    PubMedGoogle Scholar
  • 18 Shellock F G, Mink J H, Fox J M. Identification of medial subluxation of the patella in a dancer using kinematic MRI of the patellofemoral joint: a case report.  Kinesiol Med Dance . 1991;  13 1-9
    PubMedGoogle Scholar
  • 19 Shellock F G. Patellofemoral joint abnormalties in athletes: evaluation by kinematic MRI.  Top Magn Reson Imaging . 1991;  3 71-95
    PubMedGoogle Scholar
  • 20 Shellock F G, Foo T KF, Deutsch A, Mink J H. Patellofemoral joint: evaluation during active flexion with ultrafast spoiled GRASS MR imaging.  Radiology . 1991;  180 581-585
    PubMedGoogle Scholar
  • 21 Koskinen S P, Kujala U M. Effect of patellar brace on patellofemoral relationships.  Scand J Med Sci Sports . 1991;  1 119-122
    PubMedGoogle Scholar
  • 22 Koskinen S K, Hurme M, Kujala U M. Restoration of patellofemoral congruity by combined lateral release and tibial tuberosity transposition as assessed by MRI analysis.  Int Orthop . 1991;  15 363-366
    PubMedGoogle Scholar
  • 23 Koskinen S K, Kujala U M. Patellofemoral relationships and distal insertion of the vastus medialis muscle: a magnetic resonance imaging study in nonsymptomatic subjects and in patients with patellar dislocation.  Arthroscopy . 1992;  8 465-468
    PubMedGoogle Scholar
  • 24 Shellock F G, Mink J H, Deutsch A L, Foo T KF. Kinematic MR imaging of the patellofemoral joint: comparison between passive positioning and active movement techniques.  Radiology . 1992;  184 574-577
    PubMedGoogle Scholar
  • 25 Shellock F G, Mink J H, Deutsch A L, Foo T KF, Sullenberger P. Patellofemoral joint: identification of abnormalities using active movement, “unloaded” vs “loaded” kinematic MR imaging techniques.  Radiology . 1993;  188 575-578
    PubMedGoogle Scholar
  • 26 Brossmann J, Muhle C, Schroder C, Melchert U H, Spielmann R P, Heller M. Motion-triggered cine MR imaging: evaluation of patellar tracking patterns during active and passive knee extension.  Radiology . 1993;  187 205-212
    CrossrefPubMedGoogle Scholar
  • 27 Brossmann J, Muhle C, Bull C C. et al . Evaluation of patellar tracking in patients with suspected patellar malalignment: cine MR imaging vs arthroscopy.  Am J Roentgenol . 1993;  62 361-367
    PubMedGoogle Scholar
  • 28 Muhle C, Brossmann J, Heller M. Kinematic CT and MR imaging of the patellofemoral joint.  Eur Radiol . 1999;  9 508-518
    CrossrefPubMedGoogle Scholar
  • 29 Shellock F G, Mink J H, Deutsch A L, Fox J, Molnar T, Kvitne R. Effect of a patellar realignment brace on patellofemoral relationships: Evaluation using kinematic MR imaging.  J Magn Reson Imaging . 1994;  4 590-594
    PubMedGoogle Scholar
  • 30 Worrell T W, Ingersoll C D, Farr J. Effect of patellar taping and bracing on patellar position. An MRI study.  J Sports Rehab . 1994;  3 146-153
    PubMedGoogle Scholar
  • 31 Brown S M, Bradley W G. Kinematic magnetic resonance imaging of the knee.  MRI Clin N Am . 1994;  2 441-449
    PubMedGoogle Scholar
  • 32 Brossmann J, Muhle C, Bull C C. et al . Cine MR imaging before and after realignment surgery for patellar tracking: comparison with axial radiographs.  Skeletal Radiol . 1995;  24 191-196
    PubMedGoogle Scholar
  • 33 Shellock F G, Mink J H, Deutsch D L, Molnar T. Effect of a newly-designed patellar realignment brace on patellofemoral relationships: a case report.  Med Sci Sports Exerc . 1995;  27 469-472
    PubMedGoogle Scholar
  • 34 Worrell T, Ingersoll C D, Brockrath-Pugliese K, Minis P. Effect of patellar taping and bracing on patellar position as determined by MRI in patients with patellofemoral pain.  J Athletic Training . 1998;  33 16-20
    PubMedGoogle Scholar
  • 35 Powers C M, Pfaff M, Shellock F G. Active movement, loaded kinematic MRI of the patellofemoral joint: reliability of quantitative measurements.  J Magn Reson Imaging . 1998;  8 724-732
    PubMedGoogle Scholar
  • 36 Witonski D, Goraj B. Pateller motion analyzed by kinematic and dynamic axial magnetic resonance imaging in patients with anterior knee pain syndrome.  Arch Orthop Trauma Surg . 1999;  119 46-49
    CrossrefPubMedGoogle Scholar
  • 37 Muhle C, Brossman J, Heller M. Kinematic CT and MR imaging of the patellofemoral joint.  Eur Radiol . 1999;  9 508-518
    CrossrefPubMedGoogle Scholar
  • 38 Shellock F G, Stone K R, Crues J V. Development and clinical application of kinematic MRI of the patellofemoral joint using an extremity MR system.  Med Sci Sports Exerc . 1999;  31 788-791
    PubMedGoogle Scholar
  • 39 Powers C M, Shellock F G, Beering T V, Garrido D E, Goldbach R M, Molnar T. Effect of bracing on patellar kinematics in patients with patellofemoral joint pain.  Med Sci Sports Exerc . 1999;  31 1714-1720
    PubMedGoogle Scholar
  • 40 Shellock F G. Effect of a patellar stabilizing brace on lateral subluxation of the patella: assessment using kinematic MRI.  Am J Knee Surg . 2000;  13 137-142
    PubMedGoogle Scholar
  • 41 Ward S R, Shellock F G, Terk M R, Salsich G B, Powers C M. Assessment of patellofemoral relationships using kinematic MRI: comparison between qualitative and quantitative methods.  J Magn Reson Imaging . 2002;  16 69-74
    CrossrefPubMedGoogle Scholar
  • 42 Shellock F G, Feske W, Frey C, Terk M. Peroneal tendons: use of kinematic MR imaging to determine subluxation.  J Magn Reson Imaging . 1997;  7 451-454
    CrossrefPubMedGoogle Scholar
  • 43 Muhle C, Brinkmann G, Brossman J, Wesner F, Heller M. Kinematic MR imaging of the ankle: initial results with ultra-fast imaging.  Acta Radiol . 1997;  38 885-889
    PubMedGoogle Scholar
  • 44 Terk M. Kinematic MRI of the ankle. In: Kinematic MRI of the Joints: Functional Anatomy, Kinesiology, and Clinical Applications Shellock FG, Powers CM, editors. Boca Raton, FL: CRC 2001
    Google Scholar
  • 45 Reicher M A, Kellerhouse L E. Normal wrist anatomy, biomechanics, basic imaging protocol, and normal multiplanar MRI of the wrist. In: Reicher MA, Kellerhouse LE, eds. MRI of the Hand and Wrist New York: Raven; 1990
    Google Scholar
  • 46 Tjin A, Ton E R, Pattynama P MT, Bloem J L, Obermann W R. Interosseous ligaments: device for applying stress in wrist MR imaging.  Radiology . 1995;  196 863-864
    PubMedGoogle Scholar
  • 47 Reeder J. Kinematic MRI of the wrist. In: Kinematic MRI of the Joints: Functional Anatomy, Kinesiology, and Clinical Applications Shellock FG, Powers CM, editors. Boca Raton, FL: CRC 2001
    Google Scholar
  • 48 Miller R J. Wrist MRI and carpal instability: what the surgeon needs to know, and the case for dynamic imagin.  Semin Musculoskelet Radiol . 2001;  5 235-240
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 49 Bell G R, Stearns K L. Flexion-extension MRI of the upper rheumatoid cervical spine.  Orthopedics . 1991;  14 969-973
    PubMedGoogle Scholar
  • 50 Shellock F G, Sullenberger P, Mink J H. et al . MRI of the cervical spine during flexion and extension: development and implementation of a new technique.  J Magnet Reson Imaging . 1994;  WIP S21
    PubMedGoogle Scholar
  • 51 Muhle C, Weinert D, Falliner A. et al . Dynamic changes of the cervical spinal canal in patients with cervical spondylosis at flexion and extension using magnetic resonance imaging.  Invest Radiol . 1998;  33 444-449
    CrossrefPubMedGoogle Scholar
  • 52 Muhle C, Wiskirchen J, Weinert D. et al . Biomechanical aspects of the subarachnoid space and cervical cord in healthy individuals examined with kinematic magnetic resonance imaging.  Spine . 1998;  23 556-567
    CrossrefPubMedGoogle Scholar
  • 53 Muhle C, Bischoff L, Weinert D. et al . Exacerbated pain in cervical radiculopathy at axial rotation, flexion, extension, and coupled motions of the cervical spine: evaluation by kinematic magnetic resonance imaging.  Invest Radiol . 1998;  33 279-288
    CrossrefPubMedGoogle Scholar
  • 54 Muhle C, Metzner J, Weinert D. et al . Classification system based on kinematic MR imaging in cervical spondylitic myelopathy.  Am J Neuroradiol . 1998;  19 1763-1771
    PubMedGoogle Scholar
  • 55 Muhle C, Metzner J, Weinert D. et al . Kinematic MR imaging in surgical management of cervical spine disc disease, spondylois, and spondylotic myelopathy.  Acta Radiolo . 1998;  40 146-153
    PubMedGoogle Scholar
  • 56 Allmann K H, Schafer O, Uhl M. et al . Kinematic versus static MRI study of the cervical spine in patients with rheumatoid arthritis.  Rofo Fortscher Geb Rontgenstr Neuen Bildgeb Verfahr . 1999;  170 22-27
    PubMedGoogle Scholar
  • 57 Karhu J O, Koskinen S K. Kinematic MRI of the cervical spine. In: Kinematic MRI of the Joints: Functional Anatomy, Kinesiology, and Clinical Applications Shellock FG, Powers CM, editors. Boca Raton, FL: CRC 2001
    Google Scholar
  • 58 Muhle C, Resnick D, Ahn J M, Sudmeyer M, Heller M. In vivo changes in the neuroforaminal size at flexion-extension and axial rotation of the cervical spine in healthy persons examined using kinematic magnetic resonance imaging.  Spine . 2001;  26 E287-E293
    CrossrefPubMedGoogle Scholar
  • 59 Bonutti P M, Norfray J F, Friedman R J, Genez B M. Kinematic MRI of the shoulder.  J Comp Assist Tomography . 1993;  17 666-669
    PubMedGoogle Scholar
  • 60 Allmann K H, Uhl M, Gufler H. et al . Cine-MR imaging of the shoulder.  Acta Radiologica . 1997;  38 1043-1046
    PubMedGoogle Scholar
  • 61 Hodge D K, Beaulieu C F, Tabit G H. et al . Dynamic MR imaging and stress testing in glenuhumeral instability: comparison with normal shoulders and clinical/surgical findings.  J Magn Reson Imaging . 2001;  13 748-756
    CrossrefPubMedGoogle Scholar
  • 62 Beaulieu C F, Hodge D K, Bergman A G. et al . Glenohumeral relationships during physiologic shoulder motion and stress testing: initial experience with open MR imaging and active imaging-plane registration.  Radiology . 1999;  212 699-705
    PubMedGoogle Scholar
  • 63 Beaulieu C, Gold G. Kinematic MRI of the shoulder: stress testing and MR-guided physical examination. In: Kinematic MRI of the Joints: Functional Anatomy, Kinesiology, and Clinical Applications Shellock FG, Powers CM, editors. Boca Raton, FL: CRC 2001
    Google Scholar
  • 64 Dufour M, Moffet H, Herbert L J, Moisan C. Kinematic MRI of the shoulder in the upright, seated position. In: Kinematic MRI of the Joints: Functional Anatomy, Kinesiology, and Clinical Applications Shellock FG, Powers CM, editors. Boca Raton, FL: CRC 2001
    Google Scholar
  • 65 Willen J, Danielson B, Gaulitz A, Niklason T, Schonstrom N, Hansson T. Dynamic effects on the lumbar spinal canal.  Spine . 1997;  22 2968-2976
    CrossrefPubMedGoogle Scholar
  • 66 Wildermuth S, Zanetti M, Duewell S. et al . Lumbar spine: quantitative and qualitative assessment of positional (upright flexion and extension) MR imaging and myelography.  Radiology . 1998;  207 391-398
    PubMedGoogle Scholar
  • 67 Danielson B I, Willen J, Gaulitz A, Niklason T, Hansson T H. Axial loading of the spine during CT and MR in patients with suspected lumbar spinal stenosis.  Acta Radiologica . 1998;  39 604-611
    PubMedGoogle Scholar
  • 68 Willen J, Schönström J, Danielson B. Kinematic MRI of the lumbar spine: assessment in the axial loaded, supine position. In: Kinematic MRI of the Joints: Functional Anatomy, Kinesiology, and Clinical Applications Shellock FG, Powers CM, editors. Boca Raton, FL: CRC 2001
    Google Scholar
  • 69 Weishaupt D, Wildermuth S, Schmid M, Hodler J. Kinematic MRI of the lumbar spine: assessment in the upright, seated position. In: Kinematic MRI of the Joints: Functional Anatomy, Kinesiology, and Clinical Applications Shellock FG, Powers CM, editors. Boca Raton, FL: CRC 2001
    Google Scholar
  • 70 Wisleder D, Smith M B, Mosher T J, Zatsiorsky V. Lumbar spine mechanical response to axial compression load in vivo.  Spine . 2001;  26 E403-E409
    CrossrefPubMedGoogle Scholar
  • 71 Helms C A, Richardson M L, Moon K L, Ware W H. Nuclear magnetic resonance imaging of the temporomandibular joint: preliminary observations.  J Craniomandibular Pract . 1984;  2 219-224
    PubMedGoogle Scholar
  • 72 Harms S E. Temporomandibular joint. In: Magnetic Resonance Imaging, Vol 2, 3rd ed. Stark DD, Bradley WG Jr., eds New York: Mosby; 1999
    Google Scholar
  • 73 Schellhas K P, Piper M A, Omlie M R. Facial skeletal remodeling due to temporomandibular joint degeneration: an imaging study of 100 patients.  Am J Neuroradiol . 1990;  11 541
    PubMedGoogle Scholar
  • 74 Drace J E, Enzmann D R. Defining the normal temporomandibular joint: closed-, partially open-, and open mouth MR imaging of asymptomatic subjects.  Radiology . 1990;  177 67
    CrossrefPubMedGoogle Scholar
  • 75 Manzione J V, Tallents R F, Katzberg R W, Oster C, Miller T L. Arthrographically guided therapy for recapturing the temporomandibular joint meniscus.  Oral Surg Oral Med Oral Pathol . 1984;  57 235
    PubMedGoogle Scholar
  • 76 Tallents R H, Katzberg R W, Miller T L, Manzione J V, Oster C. Arthrographically assisted splint therapy.  J Prosthet Dent . 1985;  53 235
    PubMedGoogle Scholar
  • 77 Fulkerson J P, Hungerford D S. Disorders of the Patellofemoral Joint.  2nd ed. Baltimore: Williams and Wilkins 1990
    Google Scholar
  • 78 Moller B N, Krebs B, Jurik A G. Patellofemoral incongruence in chondromalacia and instability of the patella.  Acta Orthop Scand . 1986;  57 232-234
    PubMedGoogle Scholar
  • 79 Moller B N, Moller-Larsen F, Frich L H. Chondromalacia induced by patellar subluxation in the rabbit.  Acta Orthop Scand . 1989;  60 188-191
    PubMedGoogle Scholar
  • 80 Eppley R A. Medial patellar subluxation. In: The Patellofemoral Joint Fox J, Del Pizzo W, editors. New York: McGraw-Hill; 1993
    Google Scholar
  • 81 Hughston J C, Deese M. Medial subluxation of the patella as a complication of lateral release.  Am J Sports Med . 1988;  16 383
    CrossrefPubMedGoogle Scholar
  • 82 Molnar T J. Patellar rehabilitation. In: The Patellofemoral Joint Fox J, Del Pizzo W, editors. New York: McGraw-Hill 1993
    Google Scholar
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