Study of correlation between clinical, magnetic resonance imaging, and arthroscopic findings in meniscal and anterior cruciate ligament injuries

Puri, Subhash; Biswas, Samar K; Salgia, Anil; Sanghi, Sahil; Aggarwal, Tushar; Patel, Pranav

doi:10.4103/0975-2870.114653

Cited by 5 publications

(3 citation statements)

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“…MRI confirms the clinical diagnosis, and the patient can be scheduled for therapeutic arthroscopy. 16 In our study, the diagnostic accuracy of MRI for menisci was 88 percent (83.33 percent for MM and 90 percent for LM). In our investigation, the diagnostic accuracy of clinical examination (83 percent) was lower than that of MRI examination (88 percent).…”

Section: Discussionmentioning

confidence: 47%

“…MRI has high sensitivity and a low false-negative rate, so it can be used to avoid diagnostic arthroscopy. 16 As a result, we conclude that MRI is a helpful non-invasive technique with excellent diagnostic accuracy, sensitivity, and NPV, making it a very reliable screening test for internal derangements at the knee joint. In cases where arthroscopy isn't an option, such as peripheral meniscus tears and inferior surface rips, MRI can help.…”

Section: Discussionmentioning

confidence: 65%

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Correlation between clinical findings and magnetic resonance imaging findings in meniscal and anterior cruciate ligament injuries

Balemane

Usman²,

Ahmad³

et al. 2022

Int J Res Orthop

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Background: This study aims to compare the correlation between clinical findings and magnetic resonance imaging with arthroscopic findings in meniscal and anterior cruciate ligament (ACL) injuries.Methods: This was a prospective study of 60 patients with ACL and meniscal injuries of the knee who were admitted between October 2020 and October 2021, who underwent clinical examination, MRI, and arthroscopy of the knee.Results: In our study of 60 cases, there were 44 male and 16 female patients ranging from 18 to 45 years, with the majority of patients between the ages of 25 and 35. The clinical examination had a sensitivity of 88%, specificity of 100%, and accuracy of 90% for ACL, the sensitivity of 80%, specificity of 100%, and accuracy of 90% for medial meniscus, and sensitivity of 50%, specificity of 100%, and accuracy of 83.33% for lateral meniscus. Magnetic resonance imaging (MRI) had a sensitivity of 100%, specificity of 100%, and accuracy of 100% for ACL, the sensitivity of 100%, specificity of 66.67%, and accuracy of 83.33% for medial meniscus, and sensitivity of 100%, specificity of 85%, and accuracy of 90% for lateral meniscus.Conclusions: In conclusion, the current investigation emphasizes the importance of clinical diagnosis, as the positive predictive value (PPV) for all lesions is high. An MRI provides an additional diagnostic tool for ligament and meniscal injuries of the knee. The diagnostic accuracy of all lesions was in the 90th percentile. Because the negative predictive value (NPV) for all lesions is substantial, MRI is utilized to confirm the diagnosis and rule out pathology.

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 65%

Correlation between clinical findings and magnetic resonance imaging findings in meniscal and anterior cruciate ligament injuries

Balemane

Usman²,

Ahmad³

et al. 2022

Int J Res Orthop

View full text Add to dashboard Cite

show abstract

“…Οn the other hand, Puri et al, in a series of 30 patients, concluded that carefully performed clinical examination can give equal or better diagnosis of menisci and ACL injuries in comparison to MRI scan. When clinical signs and symptoms are inconclusive, performing an MRI scan is likely to be more beneficial in avoiding unnecessary arthroscopic surgery 21 . Figure 5C there is also a partial longitudinal tear at the white/red zone of the medial meniscus (arrow) along with high signal and irregularity at the capsular margin of the posterior horn of the lateral meniscus (a so-called "ramp" lesion-arrowhead).…”

Section: Discussionmentioning

confidence: 99%

MRI and arthroscopic findings in acute and chronic ACL injuries. A pictorial essay

Yiannakopoulos¹,

Vlastos²,

Sideri³

et al. 2018

JRPMS

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89 patients with an acute ACL tear and 103 patients with chronic (later than 6 months post-injury) tears. All arthroscopies were performed by a single orthopedic surgeon with years of experience, who had kept notes of the intraoperative findings. All arthroscopies were reviewed by another independent reviewer blind to the MR imaging reports. The percentage agreement between MRI and arthroscopic findings was assessed.

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Clinical Assessment Versus MRI Diagnosis of Meniscus Tears

Brady

Weiss²

2015

Journal of Sport Rehabilitation

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Clinical Scenario: Common injuries in high-level and recreational athletes, nonathletes, and the elderly are medial and lateral meniscus tears. Diagnosis of meniscus tears is done with clinical exam, magnetic resonance imaging (MRI), and arthroscopy. The gold standard is arthroscopy, but accuracy of a clinical exam versus MRI diagnosis of meniscus tears is in question. A clinician's ability to detect a meniscus tear is beneficial to the patient from a timing standpoint. The process of obtaining an MRI and results could be lengthy, but if the meniscus tear is accurately diagnosed clinically, the patient could be suspended from athletics or specific job duties to prevent further injury. In addition, rehabilitation could be initiated immediately, resulting in better outcomes for the patient. The ability to diagnose a meniscus tear clinically could initiate the rehabilitation process much sooner than waiting for MRI testing and results. Beginning the rehabilitation phase earlier may lead to faster postoperative rehabilitation and better patient outcomes. Clinical detection of a meniscus tear will facilitate possible suspension, early treatment, and rehabilitation recommendations, but the MRI will provide more specific information about the injury, including type and location of tear. Thus, surgical decisions such as operative versus nonoperative or meniscectomy versus repair would be based on MRI results. Focused Clinical Question: Is a clinical exam as accurate as an MRI scan for diagnosing meniscus tears?

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Study of correlation between clinical, magnetic resonance imaging, and arthroscopic findings in meniscal and anterior cruciate ligament injuries

Cited by 5 publications

References 0 publications

Correlation between clinical findings and magnetic resonance imaging findings in meniscal and anterior cruciate ligament injuries

Correlation between clinical findings and magnetic resonance imaging findings in meniscal and anterior cruciate ligament injuries

MRI and arthroscopic findings in acute and chronic ACL injuries. A pictorial essay

Clinical Assessment Versus MRI Diagnosis of Meniscus Tears

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