Background: meniscal tear is one of the most common injuries of knee joint. MRI is considered to be 1st choice to diagnose meniscal tear. The question of the study is, if we can use U/S as screening tool for meniscal injuries before MRI. Aim of the Work: to determine the clinical usefulness of ultrasonography for diagnosis of meniscal pathology in patients with acute knee pain and to compare its diagnostic accuracy to MRI in a clinical setting. Patients and Methods: this study was carried out in Radiology department, Benha University hospitals. Forty patients with clinical suspicion of post-traumatic meniscal injury were submitted to the following: i. data collection, ii. Clinical examination, iii. Ultrasound examination, iv. MRI examination. Data management and statistical analysis were done using SPSS vs.25. (IBM, Armonk, New York, USA). Results: the overall accuracy of ultrasound examination for meniscal tears was 85.2% while the overall accuracy of ultrasound examination for meniscal degeneration was 70.6% Conclusion: ultrasound appears to be useful for the screening of meniscal tears.
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