Comparison of diagnostic accuracy between clinical examination and MRI in diagnosing anterior cruciate ligament rupture in Indonesian population
| Autor: | Hidayat, Luthfi, Triangga, Aditya Fuad Robby, Farkhan, Muhamad Afrizal, Rahayu, Bernadeta Fuad Paramita, Magetsari, Rahadyan |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of the Medical Sciences (Berkala ilmu Kedokteran); Vol 53, No 2 (2021) Journal of the Medical Sciences (Berkala Ilmu Kedokteran); Vol 53, No 2 (2021) |
| ISSN: | 0126-1312 2356-3931 |
| Popis: | Anterior Cruciate Ligament (ACL) injury is relatively common as ACL is the most injured knee ligament. Anterior drawer test and Lachman test are the most performed physical examination used to help diagnose an ACL injury, while the Magnetic Resonance Imaging (MRI) is the first choice of supporting examination for evaluating the internal abnormality of the knee. There is currently no study that reported the accuracy of those examinations in the Indonesian population. This study, therefore, aims to determine the accuracy of the anterior drawer test, Lachman test, and MRI in diagnosing ACL injury in the Indonesian population.This study is a retrospective study using the medical record to obtain the data. We recruited all patients who underwent knee arthroscopy in 2018. We compared the MRI and the clinical examination results with the arthroscopy results as the gold standard.In our study, the sensitivity, specificity, PPV (Positive Predictive Value), NPV (Negative Predictive Value), and the accuracy for the anterior drawer test were 86.67% (95% confidence interval [CI]: 69.28 - 96.24%), 80% (CI: 44.39% - 97.48%), 92.86% (CI: 78.88% - 97.84%), 66.67% (CI: 43.28% - 83.98%), and 86% (CI: 70.16% to 94.29%) consecutively. Lachman test had 96.67% (CI: 82.78% - 99.92%) sensitivity, 90% (CI: 55.50% - 99.75%) specificity, 96.67% (CI: 81.86% - 99.47%) PPV, 90% (CI: 56.44% - 98.43%) NPV, and 95% (CI: 83.08% - 99.39%) accuracy. The diagnostic parameters of MRI were 83.33% (CI: 65.28% - 94.36%) for sensitivity, 60% (CI: 26.24% - 87.84%) for specificity, 86.21% (CI: 74.21% - 93.14%) for PPV, 54.55% (CI: 31.77% - 75.57%) for NPV, and 77.50% (CI: 61.55% - 89.16%) for accuracy.In conclusion, the Lachman test has a better accuracy value than the anterior drawer test. Both the anterior drawer test and Lachman test had higher accuracy compared to the MRI. |
| Databáze: | OpenAIRE |
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