CLINICAL, MRI AND ARTHROSCOPIC CORRELATION OF MENISCAL AND ANTERIOR CRUCIATE LIGAMENT INJURIES OF THE KNEE
| Autor: | Santosh S Jeevannavar, Prasanna Baindoor, Keshav Shenoy S |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Arthroscopy Physical examination Magnetic resonance imaging Meniscus (anatomy) musculoskeletal system medicine.anatomical_structure Orthopedic surgery medicine McMurray test Tears Radiology business human activities Medial meniscus |
| Zdroj: | International Journal of Orthopaedics Traumatology & Surgical Sciences. 5:100-105 |
| ISSN: | 2454-4167 2455-0809 |
| DOI: | 10.47618/ijotss/v5i1.3 |
| Popis: | Background: Internal derangement of knee can pose diagnostic challenges to the orthopaedic surgeon, especially in acute settings. Clinical tests like McMurray test can be unreliable in the detection of meniscal tears. MRI is an investigative tool with high sensitivity and specificity for the diagnosis of ligamentous injuries of the knee. However, it is expensive. Arthroscopy can confirm the diagnosis but has associated surgical risks. Materials and methods: 56 patients with ligamentous injuries of the knee, satisfying our inclusion criteria, were evaluated by clinical examination, MRI and arthroscopy. The results were analysed statistically (accuracy, sensitivity, specificity, positive predictive value and negative predictive value) to find a correlation among the three modalities. Results: >85% accuracy was noted while correlating clinical examination, MRI and arthroscopy for ACL injuries and lateral meniscal tears. The accuracy rates dropped to 55% for medial meniscal tears. Conclusion: There is high degree of correlation when clinical examination is compared with MRI and arthroscopy for ACL tears and lateral meniscal tears. There is a low correlation between clinical findings in medial meniscal tears and MRI and arthroscopy findings of the same. Tests for medial meniscus can be false-positive in patients with Osteochondral defects of medial side of the knee. Keywords: Arthroscopy, Magnetic Resonance Imaging, Meniscus |
| Databáze: | OpenAIRE |
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