DIAGNOSTIC IMAGING

Knee imaging: understanding the origin of your pain

THE medical imaging are essential tools for accurately analyzing bone and joint structures, understanding the origin of pain, and assessing the extent of injuries. They provide a detailed view of the anatomy and reliably guide medical decisions.

Each imaging examination is chosen in a way targeted and personalized, depending on the symptoms, clinical context, and specific needs of the patient. X-rays, MRIs, CT scans, or ultrasounds provide additional information that is essential for making an accurate diagnosis and recommending appropriate treatment.

A reasoned and relevant use of imaging allows us toavoid unnecessary teststo gain efficiency and ensure quality medical follow-up, whether in an urgent context or a more scheduled evaluation.

Medical imaging allows for precise analysis of bones and joints in order to identify the origin of pain and assess lesions.
 
Each examination (X-ray, MRI, CT scan, ultrasound) is chosen in a personalized manner according to the symptoms and clinical context, as they are complementary in establishing a reliable diagnosis.
 
When used appropriately, imaging avoids unnecessary examinations, optimizes care and ensures quality medical follow-up, in both urgent and scheduled situations.

X-RAY

An examination using X-rays to visualize bones and detect any abnormalities.

Usefulness: to assess osteoarthritis and fractures

Time: 5-10 min

MRI

An examination using a magnetic field and radio waves to visualize tissues, joints, and organs.

Usefulness: menisci, ligaments, cartilage

Time: 20-30 min

SCANNER

Examination using X-rays to obtain detailed cross-sectional images of the body and bones.

Usefulness: complex fractures and surgery

Time: 10–15 min

ULTRASOUND

An examination using ultrasound to visualize muscles, tendons, ligaments, and other soft tissues in real time.

Uses: guided injections and tendons

Time: 10–20 min

X-RAY

An examination using X-rays to visualize bones and detect any abnormalities.

Usefulness: to assess osteoarthritis and fractures

Time: 5-10 min

MRI

An examination using a magnetic field and radio waves to visualize tissues, joints, and organs.

Usefulness: menisci, ligaments, cartilage

Time: 20-30 min

SCANNER

Examination using X-rays to obtain detailed cross-sectional images of the body and bones.

Usefulness: complex fractures and surgery

Time: 10–15 min

ULTRASOUND

An examination using ultrasound to visualize muscles, tendons, ligaments, and other soft tissues in real time.

Uses: guided injections and tendons

Time: 10–20 min

WHY PERFORM KNEE IMAGING?

The clinical examination performed during the consultation is an essential step in understanding the origin of your symptoms.

However, some lesions or abnormalities can only be confirmed using imaging tests.
These examinations provide a precise view of the structures of the knee, bones, cartilage, menisci, ligaments and tendons, in order to establish a reliable diagnosis and propose the most appropriate treatment.

Knee imaging may be recommended in many situations:

Persistent pain

Pain that does not disappear despite rest or usual treatments may reveal joint, cartilage or ligament damage requiring thorough evaluation.

Knee sprain

After a twisting motion or sports trauma, imaging can be used to look for ligament damage, particularly to the anterior cruciate ligament (ACL).

Joint blockage

Difficulty fully bending or straightening the knee may be related to a meniscal tear or the presence of an intra-articular fragment.

Knee swelling

Joint effusion or persistent inflammation may be a sign of an internal injury requiring further investigation.

Suspected fracture

After a fall or significant impact, imaging examinations can confirm or rule out a fracture and assess its severity.

Osteoarthritis

Imaging helps to assess the degree of cartilage wear, joint narrowing, and any deformities related to osteoarthritis.

Instability after trauma

The sensation that the knee "gives way" or gives way may indicate ligament damage or a complex injury requiring specialized care.

DEFINITION

A knee X-ray is a commonly used medical imaging examination to analyze bone structures. It uses X-rays to create a precise image of the bones, allowing for quick and detailed visualization.

This no-preparation examination is accessible to all patients and provides essential information to guide the diagnosis and treatment of knee conditions.

Duration
5–15 min
Irradiation
Weak
Preparation
None
Availability
To plan

CLINICAL UTILITY

X-rays can detect:

  • Fractures and cracks
  • Joint alignment abnormalities
  • Signs of cartilage wear and osteoarthritis
  • Dislocations and subluxations
  • Foreign bodies or calcifications

MAIN VIEWS OF X-RAYS

FRONT VIEW (AP)

The anteroposterior view allows for the evaluation of the overall alignment of the knee, the width of the joint line, and the symmetry of the tibial plateaus.

  • Osteoarthritis assessment
  • Varus/valgus alignment analysis
  • Osteophyte detection

PROFILE VIEW

The lateral view offers an essential additional perspective for evaluating the posterior femorotibial joint and detecting certain pathologies invisible in AP.

  • Detection of posterior fractures
  • Knee flexion assessment
  • Analysis of the tibial plateaus

SAFETY & CONSIDERATIONS

RADIATION

Knee X-rays expose patients to a low dose of radiation, much lower than other imaging examinations. The diagnostic benefits far outweigh the risks.

PREGNANCY

In pregnant women, X-rays are only performed if absolutely necessary and after a risk-benefit analysis. A pelvic protector is used.

METAL OBJECTS

Some metallic implants can create artifacts. Always inform the radiologist of any previous surgeries or implants.

OTHER CONSIDERATION

A simple X-ray is not sufficient to diagnose ligament or meniscus injuries. An MRI or arthroscopy is still necessary.

RADIATION

Knee X-rays expose patients to a low dose of radiation, much lower than other imaging examinations. The diagnostic benefits far outweigh the risks.

PREGNANCY

In pregnant women, X-rays are only performed if absolutely necessary and after a risk-benefit analysis. A pelvic protector is used.

METAL OBJECTS

Some metallic implants can create artifacts. Always inform the radiologist of any previous surgeries or implants.

OTHER CONSIDERATION

A simple X-ray is not sufficient to diagnose ligament or meniscus injuries. An MRI or arthroscopy is still necessary.

DEFINITION

Knee MRI (Magnetic Resonance Imaging) is a state-of-the-art medical imaging examination that uses a powerful magnetic field and radio waves to create detailed images of the bone, cartilage, ligament, and muscle structures of the knee.

This examination, which does not use ionizing radiation, offers precise and detailed visualization, enabling the diagnosis and evaluation of complex knee conditions with exceptional resolution.

Duration
20–40 min
Irradiation
None
Preparation
Minimal
Availability
To plan

CLINICAL UTILITY

Knee MRI allows for a detailed evaluation and is particularly useful for detecting:

  • Meniscal lesions (tears, degeneration)
  • Ligament injuries (ACL, PCL, collateral ligaments)
  • Chondro-articular and cartilaginous lesions
  • Bone pathologies (fractures, bone edema, necrosis)
  • Intra-articular effusions
  • Pathologies of the soft tissues (tendons, bursae)
  • Signs of osteoarthritis and degeneration

MAIN MRI SEQUENCES

SEQUENCE T1

T1 WEIGHTING

Excellent for visualizing the detailed anatomy of bone structures, fat, and connective tissues.

  • Clear bone anatomy
  • Detail of the soft parts
  • Bone edema detection

SEQUENCE T2

T2 WEIGHTING

Ideal for detecting fluids (effusions) and chondro-ligamentous lesions. Fluid structures appear bright.

  • Effusions detected
  • Visible meniscal lesions
  • High water signal

STIR SEQUENCE

REVERSE-RECOVER

Sequence sensitive to edema and acute lesions. Suppresses the fat signal to improve lesion contrast.

  • Bone edema detection
  • Visible acute lesions
  • Improved contrast

SAFETY & CONSIDERATIONS

WITHOUT RADIATION

Unlike X-rays and CT scans, MRI does not use ionizing radiation. Therefore, it is generally free of cumulative risk and can be repeated if necessary.

PREGNANCY

‘'MRI is generally safe during pregnancy, particularly after the first trimester. Discuss with your doctor to assess the need for the examination.'.

METAL OBJECTS

Ferrous metal objects can be attracted to the magnet or create artifacts. Inform the team of any implants, prostheses, pacemakers, or metallic objects.

NOISE AND DISCOMFORT

The MRI machine generates significant noise. Earplugs are provided. The confined space may be uncomfortable for claustrophobic patients.

WITHOUT RADIATION

Unlike X-rays and CT scans, MRI does not use ionizing radiation. Therefore, it is generally free of cumulative risk and can be repeated if necessary.

PREGNANCY

MRI scans are generally safe during pregnancy, especially after the first trimester. Talk to your doctor to assess whether the scan is necessary.

METAL OBJECTS

Ferrous metal objects can be attracted to the magnet or create artifacts. Inform the team of any implants, prostheses, pacemakers, or metallic objects.

NOISE AND DISCOMFORT

The MRI machine generates significant noise. Earplugs are provided. The confined space may be uncomfortable for claustrophobic patients.

IMPORTANT MEDICAL INFORMATION

CONTRAINDICATIONS FOR MRI

Before any examination, it is essential to report the presence of these conditions. A personalized medical evaluation is always recommended.

01

CONTRAINDICATIONS – absolute

Completely incompatible with MRI. These conditions require a diagnostic alternative.

  • Some pacemakers or cardiac defibrillators are not MRI compatible
  • Some cochlear implants (inner ear)
  • Some old cerebral vascular clips
  • Metallic foreign body in the eye (especially metallic glare)

02

CONTRAINDICATIONS – relative

They require a case-by-case evaluation. The benefit may sometimes justify the examination.

  • Recent or older joint prostheses (most are now compatible)
  • Metal stents, plates, screws or pins
  • Insulin pump or neurostimulator
  • Pregnancy, especially in the first trimester
  • Significant claustrophobia
  • Inability to remain still during the examination

DEFINITION

A CT scan, or computed tomography scan, is a state-of-the-art medical imaging examination that uses X-rays to create highly detailed cross-sectional images and 3D reconstructions.

This is the gold standard examination for evaluating complex fractures, bone abnormalities, and for accurately planning surgical interventions.

Duration
5-10 min
Radiation
Moderate
Resolution
Very High
3D
Available

CLINICAL UTILITY

The scan is indicated in all situations where a very precise evaluation of the bone structure is essential for diagnosis and optimal management.

  • Complex or multiple fractures
  • Detailed preoperative assessment
  • Complex bone anomalies
  • Traumatic complications
  • Complex surgery planning
  • Bone alignment analysis

TYPES OF CUTTING & RECONSTRUCTION

DETECTED PATHOLOGIES

FRACTURES

Highly accurate detection of all fractures, even complex or multiple ones.

BONE ANOMALIES

Identification of malpositions, malformations and structural anomalies.

OSTEOARTHRITIS

Assessment of joint space narrowing and osteophytes.

COMPLICATIONS

Detection of post-traumatic complications and bone necrosis.

SAFETY & CONSIDERATIONS

RADIATION

The scan exposes the patient to a moderate dose of radiation, higher than a simple X-ray but lower than some other examinations.

  • Controlled dose
  • Benefits > risks
  • Clinical justification

PREGNANCY

A knee CT scan is possible during pregnancy if medically justified. The uterine dose is very low because the knee is far from the uterus. However, you should report any known or suspected pregnancy. A risk/benefit discussion with your doctor is recommended, and the scan can be postponed if it is not urgent.

METAL OBJECTS

Metallic objects can create artifacts. Inform the radiologist of any surgical history.

  • Declare any implant
  • Remove the jewelry
  • Report the prostheses

CONTRAST PRODUCT / IODINE ALLERGY

If an iodine contrast scan is required, declare any allergies. A shellfish allergy does not necessarily mean an allergy to medical iodine. Possible solutions include a non-contrast CT scan, alternative products, or pre-treatment. Severe reactions are rare. If you have kidney failure: increased hydration and creatinine monitoring are recommended.

RADIATION

The scan exposes the patient to a moderate dose of radiation, higher than a simple X-ray but lower than some other examinations.

  • Controlled dose
  • Benefits > risks
  • Clinical justification

PREGNANCY

A knee CT scan is possible during pregnancy if medically justified. The uterine dose is very low because the knee is far from the uterus. However, you should report any known or suspected pregnancy. A risk/benefit discussion with your doctor is recommended, and the scan can be postponed if it is not urgent.

METAL OBJECTS

Metallic objects can create artifacts. Inform the radiologist of any surgical history.

  • Declare any implant
  • Remove the jewelry
  • Report the prostheses

CONTRAST PRODUCT / IODINE ALLERGY

If an iodine contrast scan is required, declare any allergies. A shellfish allergy does not necessarily mean an allergy to medical iodine. Possible solutions include a non-contrast CT scan, alternative products, or pre-treatment. Severe reactions are rare. If you have kidney failure: increased hydration and creatinine monitoring are recommended.

DEFINITION

Ultrasound is an imaging examination that uses sound waves to visualize the internal structures of the knee in real time. No ionizing radiation is used.

This is the reference examination for evaluating soft tissue injuries: ligaments, menisci, tendons, cartilage and joint effusion.

Duration
15-20 min
Radiation
None
Resolution
Very High
Real time
Yes

CLINICAL UTILITY

Ultrasound is indicated for evaluating the soft tissue structures of the knee with excellent dynamic resolution.

  • Ligament injuries (cruciate, collateral)
  • Meniscal pathologies
  • Joint effusion
  • Tendinopathies and bursitis
  • Cartilage assessment
  • Post-operative follow-up

SAFETY & CONSIDERATIONS

RADIATION

Ultrasound does not use ionizing radiation but sound waves. This examination is safe and can be repeated as often as desired without risk to health. There are no contraindications related to radiation exposure.

PREGNANCY

Ultrasound is completely safe during pregnancy. No ionizing radiation is emitted, and no risk to the fetus has been established. This examination is the only imaging test recommended during pregnancy.

METAL OBJECTS

Metal knee implants are not a contraindication to ultrasound. Pins, screws, plates, or prostheses do not interfere with the examination. Inform the radiologist of your history of knee surgery.

OTHER CONSIDERATION

Ultrasound primarily visualizes soft tissues and effusions. Deep bone structures or central cartilage lesions are not visible on this examination. An MRI remains necessary for a complete diagnosis in cases of strong suspicion.

RADIATION

Ultrasound does not use ionizing radiation but sound waves. This examination is safe and can be repeated as often as desired without risk to health. There are no contraindications related to radiation exposure.

PREGNANCY

Ultrasound is completely safe during pregnancy. No ionizing radiation is emitted, and no risk to the fetus has been established. This examination is the only imaging test recommended during pregnancy.

METAL OBJECTS

Metal knee implants are not a contraindication to ultrasound. Pins, screws, plates, or prostheses do not interfere with the examination. Inform the radiologist of your history of knee surgery.

OTHER CONSIDERATION

Ultrasound primarily visualizes soft tissues and effusions. Deep bone structures or central cartilage lesions are not visible on this examination. An MRI remains necessary for a complete diagnosis in cases of strong suspicion.

FREQUENTLY ASKED QUESTIONS

What is the difference between an MRI and a CT scan?+
MRI uses magnetic fields to create detailed images of soft tissues (ligaments, cartilage, menisci). CT scans use X-rays and are faster, ideal for visualizing bone structures. For meniscal or ligament injuries, MRI is generally more accurate.
Can an X-ray show the ligaments?+
No, ligaments are not visible on X-rays because they are soft tissue. Only bony structures appear on X-rays. To assess ligaments (ACL, PCL, collateral ligaments), an MRI is necessary.
Is an MRI painful?+
No, the MRI is painless. The examination may be uncomfortable for some patients due to the noise and the confined space, but there is no physical pain. You lie down and must remain still for 20 to 40 minutes, depending on the sequences.
Is it possible to have an MRI scan with a prosthesis?+
It depends on the type of prosthesis. Modern prostheses (hips, knees) are generally MRI-compatible. Some older metallic implants or pacemakers may contraindicate the examination. Always inform the radiologist about your implants before the MRI.
How long does a scan take?+
A knee CT scan takes approximately 5 to 10 minutes. It is the fastest imaging examination. You must remain still during the scan, which only lasts a few seconds per series.
Which test is the most accurate for detecting an ACL rupture?+
MRI is the gold standard for diagnosing an ACL rupture. It allows direct visualization of the ligament and its integrity. Dynamic X-rays or CT scans are insufficient for this indication.
Do you need to be fasting for knee imaging?+
No, you do not need to fast for an X-ray, CT scan, or MRI of the knee. These examinations do not require any special preparation unless a contrast agent is injected (in which case you should inform the radiologist).
Are X-rays dangerous?+
A knee X-ray exposes the patient to a very low dose of X-rays, well below safety standards. The diagnostic benefit far outweighs the risk. MRI does not use X-rays and is free of ionizing radiation.

DIAGNOSTIC MEDICAL IMAGING

THE medical imaging are essential tools for accurately analyzing bone and joint structures, understanding the origin of pain, and assessing the extent of injuries. They provide a detailed view of the anatomy and reliably guide medical decisions.

Each imaging examination is chosen in a way targeted and personalized, depending on the symptoms, clinical context, and specific needs of the patient. X-rays, MRIs, CT scans, or ultrasounds provide additional information that is essential for making an accurate diagnosis and recommending appropriate treatment.

A reasoned and relevant use of imaging allows us toavoid unnecessary teststo gain efficiency and ensure quality medical follow-up, whether in an urgent context or a more scheduled evaluation.

Medical imaging allows for precise analysis of bones and joints in order to identify the origin of pain and assess lesions.
 
Each examination (X-ray, MRI, CT scan, ultrasound) is chosen in a personalized manner according to the symptoms and clinical context, as they are complementary in establishing a reliable diagnosis.
 
When used appropriately, imaging avoids unnecessary examinations, optimizes care and ensures quality medical follow-up, in both urgent and scheduled situations.

Standard X-ray

X-ray is a medical imaging examination commonly used for the analysis of bone structuresIt allows the detection of a fracture, a crack, an anomaly in joint alignment or signs of joint wear.

Quick and easily accessible, it often constitutes the first step of the diagnosisboth after trauma and in the context of persistent pain.

The information obtained guides the treatment and helps determine whether further examinations are necessary.

imagerie-radiographie
IRM imagerie

MRI

MRI (Magnetic Resonance Imaging) is a reference examination for the study of soft tissues and internal structures of the joints. It allows for precise analysis of ligaments, menisci, cartilage, muscles and tendons, without radiation.

MRI is particularly recommended when X-rays fail to explain the symptoms or when ligament, meniscus, or cartilage damage is suspected. It provides a detailed view of the joint and plays a key role in establishing a reliable diagnosis and determining treatment options.

CT scan

A CT scan, or computed tomography scan, is an imaging examination that allows for Highly precise visualization of bone structures, thanks to cross-sectional images and three-dimensional reconstructions.
It is notably used to analyze complex fractures, bone abnormalities, or to supplement information obtained through radiography.

The scan provides essential data to refine the diagnosis and prepare appropriate medical or surgical treatment.

scanner-imagerie
cosultation-échographie-imagerie

Ultrasound scan

Ultrasound scan is a dynamic imaging examination that allows the exploration of superficial soft tissuessuch as tendons, muscles and periarticular structures. It can also highlight joint effusions or inflammatory phenomena.

Performed without radiation, ultrasound is a useful complementary examination for evaluating many musculoskeletal conditions. It allows for real-time analysis and can be used to guide certain diagnostic or therapeutic procedures.

RADIOLOGY

MRI

SCANNER

ULTRASOUND SCAN

CONSULTATION

CLINICAL EXAMINATION

 

NON-SURGICAL

SURGICAL