An Observational Analysis Of Painful Knee Joint Using MRI Of Patients Attending Radiology Department In Rajendra Institute Of Medical Sciences (Rims), Ranchi, Jharkhand.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Background Pain in knee joint is one of the commonest problems which involves both male and females, also affecting their relatives due to its high morbidity. The cause of knee pain involves a plethora of etiologies ranging from bony trauma to meniscal tear . Often it is hard to detect the exact etiology by physical examination and clinical tests (anterior/posterior drawer tests). A diagnostic aid which can visualize the pathology with clarity and is non invasive in nature without any serious side effects is highly needed . MRI has added advantage of being nonionizing, having multiplanar capability with high spatial resolution for soft tissue, marrow changes and intraosseous pathology. The present study was undertaken to establish the definitive cause and pathology within the knee joint and its various compartments .Methodology All eligible patients coming to Radiology Department of Rajendra Institute of Medical Sciences, Ranchi for evaluation of knee pain were included in this study starting from March 2017 till Dec 2017 in the hospital . Data collected thus analyzed using MS Office excel and presented using percentages, mean and standard deviation. Results A total of 100 Participants were evaluated out of which 67 were males and rest were females . Most were in the age group of 20-50 (73% ) with a mean age 26.67. Anterior Cruciate ligament was torn partially in 60% of the cases as visualized in MRI . Out of the 92% of Anterior Cruciate Ligament injury, most were associated with medial menisci tear ( 56%) . Rest of ligamental injury involved posterior cruciate ligament. Conclusions MRI gives a very clear picture of the knee joint and its pathology and is helpful in arriving at definitive diagnosis . If used judiciously it can be cost effective and extremely helpful for resource limited state like Jharkhand. Pain in knee joints are problematic not only to the patient but also to their relatives due to the debilitating nature of the pathology. Many a times mere physical or clinical examination is not enough. ( 1) Available estimates support the prevalence rate of Knee pain close to 19% (2) . Diagnosing knee pain with accuracy is often challenging to most clinicians due to its varied differential diagnosis. (3) These factors hamper the treatment to a great extent, these requires an imaging or diagnostic tool which is noninvasive yet accurate . (4) Magnetic Resonance Imaging has proven its efficacy to satisfy the needs as desired tool for detailed study of painful Knee joint, over the time since its discovery. Evidence suggest high sensitivity and specificity of MRI in diagnosing articular pathology.(5,6) It has been demonstrated how MRI despite being expensive is still cost effective if used wisely, gives a accurate and early diagnosis thereby decreasing delay in treatment and morbidity (7,8) Jharkhand being a relatively new state is not having enough MRI centers across the state. Evidence regarding the use of MRI in diagnosing Knee pain is nonexistent. In light of the limited resource of MRI and prevalence of Knee pain it is imperative to understand about what are the added advantages of MRI over other diagnostic modalities. What are the different findings with MRI in painful knee joint ? – bony, ligamentous and meniscal injuries along with infections. In view of these questions the present study was undertaken in patients attending Radiology department with pain in knee undergoing MRI with an aim to analyze the findings of the imaging done on these patients
Authors and Affiliations
Dr Pulak Abhishek, Dr Suresh Kumar Toppo, Dr Paras Nath Ram
Keywords
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- EP ID EP374905
- DOI 10.9790/0853-1705094749.
- Views 36
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