Diagnostic Accuracy of Ultrasonography in Evaluation of Knee Injuries with Magnetic Resonance Imaging Correlation
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2018, Vol 7, Issue 1
Abstract
ABSTRACT Introduction: While considering the Magnetic Resonance Imaging (MRI) as ‘gold standard’ for detection of knee ligamentous and meniscal injuries, we are determining the usefulness of High Resolution Ultrasonography (USG) in various knee injuries and correlate the findings of USG with the findings of MRI. Aim: To evaluate the role of sonography and MRI in patients with meniscal/ligamentous injuries of the knee and study their correlation. Materials and Methods: This prospective study included 60 patients who were referred to the Radiology Department with clinically suspected meniscal/ligamentous injury of the knee. After detailed clinical examination, high resolution USG examination of the involved knee was performed together with an examination of the contralateral normal knee, followed by MRI of the symptomatic knee in all 60 patients. The MRI findings were considered as final. Sensitivity, specificity, accuracy for sonography in knee injuries was calculated with correlation with MRI. Results: In the present study, the majority of patients were in age group 26-65 years, 60% were males and 40% were females (of a total of 60 patients). A total of 60 patients were diagnosed as having ligamentous/meniscal tears on USG and MRI. In the diagnosis of meniscal/ligamentous tears, the strength of agreement between USG and MRI was good. Conclusion: USG of the knee shows promising results in the diagnosis of meniscal/ligamentous tears. A wide availability, cost effectiveness and better tolerability of USG make it a modality of first choice for evaluating knee injuries.
Authors and Affiliations
Amandeep Singh, Indermeet Mangat, CL Thukral, Kamlesh Gupta
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