Clinical, MRI, and Arthroscopic Correlation in Meniscal and Anterior Cruciate Ligament Injuries
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 9
Abstract
The aim of this prospective study is to compare and correlate clinical, magnetic resonance imaging (MRI), and arthroscopic findings in cases of meniscal tear and anterior cruciate ligament (ACL) injuries. MRI scan results and clinical diagnosis are compared against the arthroscopic confirmation of the diagnosis. Twenty-five patients had suspected traumatic meniscal or anterior cruciate ligament (ACL) injury. Clinical examination had better sensitivity (85.71% vs. 77.78%), predictive values, and diagnostic accuracy (92% vs. 90%) in comparison to MRI scan in diagnosis for medial meniscal tears. These parameters showed only marginal difference in lateral meniscal and anterior cruciate ligament injuries. We conclude that carefully performed clinical examination can give equal or better diagnosis of meniscal and ACL injuries in comparison to MRI scan. MRI may be used to rule out such injuries rather than to diagnose them. Keywords: Magnetic Resonance Imaging, Arthroscopy, Meniscal Tear, Anterior Cruciate Ligament Injury, Clinical
Authors and Affiliations
Nitin Samal, Santosh Kumar, Karan Mane, Shraddha Singhania, Sandeep Wagh, Gaurav Mundada, Sohael Khan, Pradeep Singh
Keywords
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