Background: Notch width index (NWI) is a most widely used two dimensional measurement of Intercondylar notch volume of the knee. ACL with mucoid degeneration if often underdiagnosed or overlooked cause of nonspecific knee pain and mild restriction of knee movements. ACL in this condition appears bulky and characteristically shows mucinous material along its fibers. We aim to find any correlation of Notch width index in knees with mucoid degeneration of ACL to knees of age matched controls. Methods: In this study, 32 patients diagnosed with Mucoid degeneration of ACL based on Magnetic Resonance studies were included. Notch width Index i, e width of the intercondylar notch divided by intercondylar width at 2/3 notch depth was measured on a coronal section on MRI. This data was compared with age matched controls using Pearson's correlation Co efficient. Results: 22 patients in study group were females and 10 were males with age ranging from 25-73 years (Median age 45.5 years) The NWI in Mucoid degeneration of ACL when compared to normal knees showed a significant decrease (NWI -0.222±0.03 Mean in Mucoid ACL group; NWI-0.311±0.03 in controls) in Intercondylar notch width viz Notch stenosis. Female patients compared to male had decreased NWI with 0.222 Mean. Conclusions: Mucoid degeneration of ACL leading to bulky ACL causing stenosis of the notch is evident in this study. However larger sampling size and volumetric analysis by other methods are needed to better manage this poorly understood condition.
Introduction: Rapid Biophysical profile is quicker and easier to do than a full biophysical profile or a contraction stress test. Furthermore, the rBPP is regarded to be just as useful as a complete biophysical profile. Although the link between rBPP and BPP has been widely used, research is scarce. As a result, the current study looked into the relationship between the two tests, as well as their predictive ability in highrisk pregnancies. Material and Methods: 60 pregnant women with ≥ 32 weeks of singleton gestation, were randomly selected during their hospital visit. They were subjected to USG scan. NST AFI, fetal breathing, fetal tone, and fetal movement will be examined to complete the BPP test. After a 10-minute break, SPFM will be carried out by the same examiner to finish rBPP test. These results were compared with the perinatal outcome.Results: The present study showed that scores of rapid Biophysical Profile have strong positive correlation with scores of biophysical profile (r 2 = 0.531, P = <0.001) and it was statistically significant. The rapid/ modified biophysical profile test is 78% sensitive to Biophysical profile test, which means 78% times the function can identify the cases and classify correctly, as diseased cases with PPV of 61%.
Conclusion:The statistically significant positive correlation between rBPP and BPP has been revealed. Due to its simplicity, rapidity, less expensive and no need for experience interpreter, the rBPP can be used as a primary screening antepartum fetal surveillance in the overcrowded obstetric center.
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