Accuracy of routine magnetic resonance imaging in meniscal and ligamentous injuries of the knee: comparison with arthroscopy

被引:56
作者
Behairy, Noha H. [1 ]
Dorgham, Mohsen A. [2 ]
Khaled, Sherif A. [2 ]
机构
[1] Cairo Univ, Dept Radiol, Cairo, Egypt
[2] Cairo Univ, Dept Orthoped Surg, Cairo, Egypt
关键词
MR; TEARS; DIAGNOSIS; PATTERNS; SURGERY; ACL;
D O I
10.1007/s00264-008-0580-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The aim of this study was to detect the accuracy of routine magnetic resonance imaging (MRI) done in different centres and its agreement with arthroscopy in meniscal and ligamentous injuries of the knee. We prospectively examined 70 patients ranging in age between 22 and 59 years. History taking, plain X-ray, clinical examination, routine MRI and arthroscopy were done for all patients. Sensitivity, specificity, accuracy, positive and negative predictive values, P value and kappa agreement measures were calculated. We found a sensitivity of 47 and 100%, specificity of 95 and 75% and accuracy of 73 and 78.5%, respectively, for the medial and lateral meniscus. A sensitivity of 77.8%, specificity of 100% and accuracy of 94% was noted for the anterior cruciate ligament (ACL). We found good kappa agreements (0.43 and 0.45) for both menisci and excellent agreement (0.84) for the ACL. MRI shows high accuracy and should be used as the primary diagnostic tool for selection of candidates for arthroscopy. Level of evidence: 4.
引用
收藏
页码:961 / 967
页数:7
相关论文
共 17 条
[1]   MR DIAGNOSIS OF INTERNAL DERANGEMENTS OF THE KNEE - EFFECT OF FIELD-STRENGTH ON EFFICACY [J].
BARNETT, MJ .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1993, 161 (01) :115-118
[2]   Accuracy of MRI patterns in evaluating anterior cruciate ligament tears [J].
Barry, KP ;
Mesgarzadeh, M ;
Triolo, J ;
Moyer, R ;
Tehranzadeh, J ;
Bonakdarpour, A .
SKELETAL RADIOLOGY, 1996, 25 (04) :365-370
[3]   Accuracy of magnetic resonance imaging of the knee and unjustified surgery [J].
Ben-Galim, Peleg ;
Steinberg, Ely L. ;
Amir, Hagai ;
Ash, Nachman ;
Dekel, Shmuel ;
Arbel, Ron .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2006, (447) :100-104
[4]   MAGNETIC-RESONANCE-IMAGING OF MENISCAL AND CRUCIATE INJURIES OF THE KNEE [J].
BOEREE, NR ;
WATKINSON, AF ;
ACKROYD, CE ;
JOHNSON, C .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1991, 73 (03) :452-457
[5]   MR imaging of the knee at 0.2 and 1.5 T:: Correlation with surgery [J].
Cotten, A ;
Delfaut, E ;
Demondion, X ;
Lapègue, F ;
Boukhelifa, M ;
Boutry, N ;
Chastanet, P ;
Gougeon, F .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 174 (04) :1093-1097
[6]   Magnetic resonance imaging versus arthroscopy in the diagnosis of knee pathology, concentrating on meniscal lesions and ACL tears: a systematic review [J].
Crawford, Ruth ;
Walley, Gayle ;
Bridgman, Stephen ;
Maffulli, Nicola .
BRITISH MEDICAL BULLETIN, 2007, 84 :5-23
[7]   MENISCAL TEARS MISSED ON MR-IMAGING - RELATIONSHIP TO MENISCAL TEAR PATTERNS AND ANTERIOR CRUCIATE LIGAMENT TEARS [J].
DESMET, AA ;
GRAF, BK .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1994, 162 (04) :905-911
[8]   The meniscus: Recent advances in MR imaging of the knee [J].
Helms, CA .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2002, 179 (05) :1115-1122
[9]  
JAH AAE, 2005, ACTA ORTHOP BELG, V71, P189
[10]   Magnetic resonance imaging of the knee - Is accurate and helps in making therapeutic decisions [J].
McNally, EG .
BRITISH MEDICAL JOURNAL, 2002, 325 (7356) :115-116