Knee sonography as a diagnostic test for medial meniscal tears in young patients

Alizadeh, Ahmad; Jandaghi, Ali Babaei; Zirak, Amin Keshavarz; Karimi, Ali Reza; Mardani-Kivi, Mohsen; Rajabzadeh, Aliakbar

doi:10.1007/s00590-012-1111-z

Cited by 34 publications

(41 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…23 Studies in human patients report sensitivities ranging from 30 to 100% and specificities ranging from 71.4 to 98% for sonographic diagnosis of meniscal pathology. [2][3][4][5][6]8,9,12,[15][16][17][18][19][20] The most recent studies report the highest sensitivities, specificities, and correct classification rates (CCRs), likely as a result of improvements in technology, training, and experience. Based on the recent results, the costs and availability, the portability of the equipment, and the safety associated with ultrasonography, the authors of these studies concluded that ultrasonography is a clinically useful diagnostic technique for meniscal pathology.…”

mentioning

confidence: 99%

MRI versus Ultrasonography to Assess Meniscal Abnormalities in Acute Knees

Cook

Stannard

Vaughn³

et al. 2014

J Knee Surg

View full text Add to dashboard Cite

While magnetic resonance imaging (MRI) is often considered the "gold standard" diagnostic imaging modality for detection of meniscal abnormalities, it is associated with misdiagnosis in as high as 47% of cases, is costly, and is not readily available to a large number of patients. Ultrasonographic examination of the knee has been reported to be an effective diagnostic tool for this purpose with the potential to overcome many of the shortcomings of MRI. The purpose of this study is to determine the clinical usefulness of ultrasonography for diagnosis of meniscal pathology in patients with acute knee pain and compare its diagnostic accuracy to MRI in a clinical setting. With Institutional Review Board approval, patients (n ¼ 71) with acute knee pain were prospectively enrolled with informed consent. Preoperative MRI (1.5 T) was performed on each affected knee using the hospital's standard equipment and protocols and read by faculty radiologists trained in musculoskeletal MRI. Ultrasonographic assessments of each affected knee were performed by one of two faculty members trained in musculoskeletal ultrasonography using a 10 to 14 MHz linear transducer. Arthroscopic evaluation of affected knees was performed by one of three faculty orthopedic surgeons to assess and record all joint pathology, which served as the reference standard for determining presence, type, and severity of meniscal pathology. All evaluators for each diagnostic modality were blinded to all other data. Data were collected and compared by a separate investigator to determine sensitivity (Sn), specificity (Sp), positive predictive value (PPV), negative predictive value (NPV), correct classification rate (CCR), likelihood ratios (LR [þ] and LR[À]), and odds ratios. Preoperative ultrasonographic assessment of meniscal pathology was associated with Sn ¼ 91.2%, Sp

show abstract

mentioning

confidence: 99%

MRI versus Ultrasonography to Assess Meniscal Abnormalities in Acute Knees

Cook

Stannard

Vaughn³

et al. 2014

J Knee Surg

View full text Add to dashboard Cite

show abstract

“…The study showed high sensitivity and specificity values for ultrasound of 100% and 88.8% respectively in the age category above 30 years; 83.3% and 71.4% respectively in the age category below 30 years, concluding that ultrasound is a reliable method in suspected cases of medial meniscal injuries. [4] Another study by Park G-Y et al where ultrasound was performed on 22 patients and compared with MRI for the evaluation of meniscal tears. Results showed 29 meniscal tears on MRI out of which 25 were correctly diagnosed on ultrasound showing high sensitivity and specificity values of 86.2% and 84.9% respectively deducing that ultrasound is an effective imaging modality in diagnosing meniscal tears.…”

Section: Discussionmentioning

confidence: 99%

Correlation of Ultrasound with MRI for the Evaluation of Meniscal Tears

Suresh¹,

Shetty²,

Kala³

2019

AJMRR

View full text Add to dashboard Cite

Background: Objective: To see the diagnostic value along with the sensitivity and specificity values of ultrasound in comparison to MRI for the evaluation of meniscal tears. Subjects and Methods: The study examined 70 patients who presented with history of trauma and suspected injury to the menisci. Patients were examined initially with ultrasound followed by non-contrast magnetic resonance imaging (MRI), with MRI used as a reference standard. Results: A total of 52 medial meniscal tears were detected on MRI out of which 42 cases were detected correctly on ultrasound giving a specificity of 80.8%; likewise, a total of 51 patients were detected with lateral meniscal tears on MRI out of which 38 cases were detected correctly on ultrasound giving a specificity of 74.5%. Conclusion: Ultrasound is a reliable imaging modality in identifying medial and lateral meniscal tears.

show abstract

“…Diagnostic imaging such as ultrasonography, MRI and weightbearing radiographs should not be used routinely. Although there are indications of a relatively high diagnostic accuracy of ultrasonography for diagnosing meniscal tears,71 ultrasound is limited because of its inability to evaluate the entire meniscus and other intra-articular pathology 12 72. Despite relatively high diagnostic accuracy,73 MRI should not be used routinely to diagnose a meniscal tear,12 as a previous study showed that 61% of subjects with a meniscal tear on MRI were asymptomatic during the previous month 7.…”

Section: Discussionmentioning

confidence: 99%

Risk factors, diagnosis and non-surgical treatment for meniscal tears: evidence and recommendations: a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF)

et al. 2018

View full text Add to dashboard Cite

This statement aimed at summarising and appraising the available evidence for risk factors, diagnostic tools and non-surgical treatments for patients with meniscal tears. We systematically searched electronic databases using a pragmatic search strategy approach. Included studies were synthesised quantitatively or qualitatively, as appropriate. Strength of evidence was determined according to the Grading of Recommendations Assessment Development and Evaluation framework. Low-quality evidence suggested that overweight (degenerative tears, k=3), male sex (k=4), contact and pivoting sports (k=2), and frequent occupational kneeling/squatting (k=3) were risk factors for meniscal tears. There was low to moderate quality evidence for low to high positive and negative predictive values, depending on the underlying prevalence of meniscal tears for four common diagnostic tests (k=15, n=2474). Seven trials investigated exercise versus surgery (k=2) or the effect of surgery in addition to exercise (k=5) for degenerative meniscal tears. There was moderate level of evidence for exercise improving self-reported pain (Effect Size (ES)-0.51, 95% CI -1.16 to 0.13) and function (ES -0.06, 95% CI -0.23 to 0.11) to the same extent as surgery, and improving muscle strength to a greater extent than surgery (ES -0.45, 95% CI -0.62 to -0.29). High-quality evidence showed no clinically relevant effect of surgery in addition to exercise on pain (ES 0.18, 95% 0.05 to 0.32) and function (ES, 0.13 95% CI -0.03 to 0.28) for patients with degenerative meniscal tears. No randomised trials comparing non-surgical treatments with surgery in patients younger than 40 years of age or patients with traumatic meniscal tears were identified. Diagnosis of meniscal tears is challenging as all clinical diagnostic tests have high risk of misclassification. Exercise therapy should be recommended as the treatment of choice for middle-aged and older patients with degenerative meniscal lesions. Evidence on the best treatment for young patients and patients with traumatic meniscal tears is lacking.

show abstract

Knee sonography as a diagnostic test for medial meniscal tears in young patients

Abstract: Diagnostic studies-investigating a diagnostic test, Level II.

Cited by 34 publications

References 12 publications

MRI versus Ultrasonography to Assess Meniscal Abnormalities in Acute Knees

MRI versus Ultrasonography to Assess Meniscal Abnormalities in Acute Knees

Correlation of Ultrasound with MRI for the Evaluation of Meniscal Tears

Risk factors, diagnosis and non-surgical treatment for meniscal tears: evidence and recommendations: a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF)

Contact Info

Product

Resources

About