Vergleich der klinischen Untersuchung mit der kernspintomographischen Untersuchung zur Diagnostik von Meniskusläsionen in der täglichen Praxis

Abstract

We conclude, that by an experienced examiner a meniscal lesion can be diagnosed adequately by clinical examination alone. The different radiologists who did the MRI examination in our study belong to different outward departments and used different apparatus with sometimes insufficient quality of the pictures. Therefore the sensitivity and specificity of the MRI for meniscal lesions is markedly lower than in other studies of departments where a close cooperation between the radiologist and the orthopedic surgeon is performed.

History, clinical findings, magnetic resonance imaging, and arthroscopic correlation in meniscal lesions

“…Various examiners do not have the same level of experience, leading to variable accuracy. Bohnsack et al [5] concluded that an experienced examiner can diagnose adequately by clinical examination alone. A clinical examination performed by an experienced surgeon was 93% accurate for diagnosing medial meniscal tears and 80% accurate for diagnosing lateral meniscal tears.…”