ACL Tear MRI in Midtown Manhattan

An ACL injury is a tear or sprain of the anterior cruciate ligament, one of the strong bands of tissue that help connect your thigh bone to your shinbone. ACL injuries most commonly occur during sports activities that involve sudden stops or changes in direction, jumping, and landing.

Depending on the severity of pain in your leg, your doctor may recommend an MRI to determine the extent of the injury and its treatment. It creates images of the tissues that enable physicians to look for injuries other than soft tissue structures in the knee.

What Is an Anterior Cruciate Ligament (ACL)?

The Anterior Cruciate Ligament (ACL) is a ligament in the center of the knee that prevents the shin bone from moving forward on the thigh bone. An ACL tear may be partial, complete, or avulsion when the ligament separates from the upper or lower leg bone. It usually occurs from twisting of the leg while applying full downward pressure while running, landing, or overextending the joint in either direction.

Athletes participating in high-demand sports like soccer, football, and basketball are more likely to injure their ACL. However, ACL tears can also result from accidents or other activities. About half of all injuries to the anterior cruciate ligament occur along with damage to other structures in the knee, such as articular cartilage, meniscus, or other ligaments.

What Is an ACL Tear MRI?

Magnetic resonance imaging (MRI) is a diagnostic exam that uses a combination of a large magnet, radio waves, and a computer to produce detailed images of organs and structures within the body. It is a noninvasive medical imaging test that produces detailed images of the anterior cruciate ligament (ACL) in the knee, in case it is over-stretched or torn, causing pain and other symptoms.

An MRI is highly accurate for diagnosing ACL injuries and is consistent with arthroscopic diagnosis. It creates clear, detailed images of soft and hard tissues that help your physician look for injuries to other structures of the knee, and rule out arthritis and other conditions.

When Do You Need an ACL Tear MRI?

An MRI can clarify the question of ACL tear if your physical examination and medical history are inconclusive and your physician wants to assess the amount of motion present in your knee and determine an ACL tear.

An MRI is a primary tool for diagnosing an anterior cruciate ligament (ACL) tear. It allows your doctor to:

  • Assess the severity of an ACL tear
  • Determine if there is a partial rupture
  • Look for a tibial translocation, fracture, or bone bruise
  • Check for other injuries to the knee, such as to the cartilage or meniscus
  • Determine the range of motion and functionality of the joint to check the extent of injury
  • Compare the state of both knees

With the help of an MRI, your physician can also detect tendon damage, sprains, or fluid buildup and make decisions regarding the best treatment for you.

Signs and symptoms of an ACL injury usually include:

  • A loud pop or a popping sensation in the knee
  • Severe pain and inability to continue activity
  • Rapid swelling
  • Loss of range of motion
  • Tenderness along the joint
  • Discomfort while walking
  • A feeling of instability in the knee or giving way with weight-bearing

An MRI can show the extent of an ACL injury and signs of damage to other tissues in the knee, including the cartilage, muscles, tendons, and ligaments.

How to Prepare for an ACL Tear MRI?

ACL tear MRI does not require preparation, but it is essential to follow the instructions provided by your doctor to obtain clear, detailed images.

  • Remove all piercings, take off your jewelry, and leave all valuables at home. Metal objects are prohibited in the scanning room as metals can disturb the magnetic field.
  • Do not put on any makeup, perfume, body lotion, or deodorant on the day of the scan, as they may contain traces of metal, which can affect the imaging quality.
  • You may be able to eat, drink, and take your medications if you were not told otherwise by your doctor.
  • Tell your doctor about any allergies, illnesses, or medical conditions you have. Also, tell them about the medications you are taking to prevent any complications. Certain medical conditions, such as poor kidney function or kidney disease, may prevent you from having a contrast injection, as it can have serious complications.
  • Inform your doctor if you are pregnant or suspect you may be pregnant. Even though MRIs are considered safe for pregnant women, the contrast dye used for MRIs for pregnant may not be safe for fetuses.
  • If you have claustrophobia and feel uncomfortable in an enclosed space, tell your doctor about this when scheduling the exam. They will prescribe a relaxant or anti-anxiety medication to help you feel calm and sleepy during the scan so you can go through the test without feeling anxious.

Inform your doctor if you have any metal-containing objects or implanted medical devices in your body from a previous surgery or procedure, including:

  • Cardiac pacemaker or defibrillator
  • Insulin pump
  • Artificial heart valves
  • Artificial joints or limbs
  • Middle ear prostheses
  • Cochlear implant
  • A clip used for brain aneurysms
  • Vessel coils, filters, or stents
  • Vagal nerve stimulator
  • Metal fragments in your head or within your eyeball

Because of the strong magnetic field, these devices may interfere with the scanning process, malfunction, or get damaged. Provide complete details about your device’s make and model. Your doctor can check if you can have an MRI, or your test may have to be delayed, rescheduled, or canceled due to lack of information.

What Happens During an ACL Tear MRI?

  • You will have to take off your clothes, change into a loose gown, and take off everything else, including eyeglasses, a watch, hairpins, or any removable dental work and hearing aid.
  • The MRI machine is large, tube-shaped, with openings on both ends. You will lie on a motorized table that slides into the machine to place your knee in a strong magnetic field that will take three-dimensional images.
  • If your MRI is ordered with contrast, an IV line is hooked in your hand or arm, in which the contrast will be injected. It helps make the images of your knee even clearer. You may feel a cooling sensation after the injection. Tell your technologist if you feel unwell.
  • MRI machines are loud and make a lot of whirring, thumping, and clanking sounds during the scanning process. You will get earplugs to block these noises, or you can also have headphones and listen to music while the machine works.
  • The technologist will be in an adjoining room where the scanner controls are located. However, they will be watching you through a window and will be able to communicate with you through speakers in the scanner. There is also a bell or button that you can use to seek the technologist’s attention if you are not feeling well or want them to pause.
  • During the MRI, the technologist will ask you to stay very still as movement can distort image quality and affect results. They may also set your knee up in various positions to take images from different angles. At some point, the technologist may ask you to hold your breath for a few minutes if they are looking at something specific and want a clear image.
  • An MRI typically takes 30–60 minutes but can take longer depending on the extent of the injuries being investigated or the number of images your radiologist wants.
  • Once the scan is complete, the table will slide out of the scanner, and you can get up. The IV line for administering the contrast is also taken off.

The MRI procedure is painless, but lying still for the length of the procedure may not be so comfortable for you, especially if you have suffered a knee injury or have been through surgery. Tell your technologist, and they will complete the process as quickly as possible.

What Happens After an MRI?

Keeping in mind your knee condition and the injury or pain you have, move slowly and carefully when getting off the table to prevent lightheadedness or dizziness from lying down for some time.

If you took an anti-anxiety medication for claustrophobia, you will be monitored till its effects wear off before you can leave. Sometimes, the use of contrast dye can result in a reaction. The radiology staff will make sure there are no reactions or side effects to the contrast.

You can return to your routine diet, activities, and medication if your doctor has not advised otherwise. Your doctor may provide additional instructions depending on your pain or condition. If you notice any redness, rashes, or swelling at the IV site after you go home, call your doctor.

Results and Interpretation

A radiologist will analyze the images from your scan, interpret them, and create a formal report. This report is forwarded to your referring physician who will share these test results with you. You can also access the report online or have the images copied onto a CD for your record.

Schedule a follow-up appointment with your doctor to discuss significant findings and plan the next step in your care to get back on your feet. An MRI examination offers accurate results regarding ACL injuries and provides reliable guidance for effective and lasting relief from knee pain.

Are There Any Risks Associated With ACL MRI?

  • There is no radiation exposure during MRI, which makes it a safe diagnostic tool. However, there may be other risks, depending on your specific medical condition or injury. Discuss your concerns with a healthcare provider before undergoing the test.
  • There may be a risk of excessive sedation if you took an anti-anxiety medication or relaxant to go through the test smoothly. The radiology staff will ensure you are back to normal before you can leave. You will need a friend or family member to drive you home.
  • Some people experience reactions to the contrast dye used for enhancing images, such as nausea, hives, itching, and breathing difficulties. These reactions are usually mild and controlled with medication.
  • Medical implants or metal-containing devices can pose a risk if you fail to inform your doctor or radiologist timely. Make sure your doctor knows about your implants before the scanning begins.

An MRI can provide pivotal information about the torn ACL and aid in planning the most appropriate treatment. Of all the major ligaments of the knee, the ACL is the most commonly injured and leads to instability that may limit even ordinary daily activities if you are not careful. Knowing how to prepare for an ACL tear MRI can help you go through it smoothly and work with your technologist to achieve the required images.

Do you have intense pain or swelling in your knee, and your doctor has ordered an MRI to check for a torn ACL – Call our MRI center in Manhattan now and schedule a scan today for an accurate diagnosis of your condition. Our specialists address all your concerns and offer top-quality MRI services in NYC that ensure quick and long-term healing so you can return to your sports-related activities and normal routines within no time.

(212) 401-0097