MRI EVALUATION OF PAINFUL KNEE JOINT- THE CORRELATION OF MULTIPLE COEXISTING PATHOLOGIES, AGE AND SEX
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 18
Abstract
BACKGROUND 1. To evaluate the incidence and coexistence of multiple knee joint pathologies causing painful knee and their correlation to age and sex. 2. To evaluate the Magnetic Resonance Imaging (MRI) features in various knee pathologies and to identify the common lesions. MATERIALS AND METHODS A retrospective study was performed using the clinical data of patients presenting with painful knee joint which were evaluated with MRI. Data from 200 patients examined between September 2015 and August 2016 were included into this study. The data was analysed statistically to evaluate the correlation between the MR pathological findings to age and sex of the patients. RESULTS The patient’s age ranged between 8 and 75 years (mean: 36 years). Anterior cruciate ligament (ACL) tear was the commonest finding (60%) followed by bursitis (55%), meniscal degeneration (54.6%) and meniscal tear (52%). Primary signs of ACL tear were hyperintensity, discontinuity and nonvisualisation. Secondary signs like Posterior cruciate ligament (PCL) buckling, PCL index of greater than 0.5, uncovered Lateral meniscus (LM) and bone contusion assisted in diagnosis in indeterminate cases. Mid substance was the commonest site of ACL tear (64%). PCL tear accounted for only a small percentage (7%). Medial Meniscus (MM) tear (35%) was commoner than LM tear (17%). The posterior horn of meniscus was the commonest site of injury (86.5%). Age was significantly correlated with meniscal degeneration and tear, Medial collateral ligament (MCL) degeneration, parameniscal cyst, and chondromalacia patellae. A significant correlation between male gender and ACL injury was noted. Meniscal injury was significantly correlated with bursitis, as well with MCL injury. Bone bruise was significantly correlated with ACL injury, MCL injury and Lateral collateral ligament (LCL) injury. CONCLUSIONS MRI findings of certain pathologies in a painful knee can coexist and significantly correlate with each other, age and sex of the patient.
Authors and Affiliations
Mukheswar Pame, Mondeep Gayan, Karuna Hazarika, Deep KR Roy
Keywords
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- EP ID EP215021
- DOI 10.18410/jebmh/2017/200
- Views 98
- Downloads 0
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