Anatomy · Cross-Sectional and Radiological Anatomy (CT/MRI Correlation)

On MRI, the structure that separates the anterior from the posterior compartments of the knee joint on sagittal images, appearing as a low-signal band connecting the intercondylar notch of the femur to the tibial plateau, is the:

  • A Posterior cruciate ligament
  • B Anterior cruciate ligament
  • C Ligamentum mucosum (infrapatellar fold)
  • D Medial collateral ligament
Correct answer: B. Anterior cruciate ligament

Explanation

On sagittal MRI, the anterior cruciate ligament (ACL) is visualized as a low-signal band coursing from the posterior aspect of the intercondylar notch of the lateral femoral condyle to the anterior tibial plateau. The ACL normally appears striated (multiple low-signal parallel bands) on MRI. The posterior cruciate ligament has a more vertical and posterior course, appearing as a thick homogeneous low-signal structure. In ACL tears, the normal striation is lost and the band appears thickened, irregular, or absent.

Reference: BD Chaurasia's Human Anatomy, 8th ed.

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