<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">This study was conducted to compare accuracy of MRI findings taking arthroscopy as standard in knee injuries.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">All patients attending our hospital with knee injury underwent clinical examination. Out of them 100 patients with knee injury were subjected to clinical examination, MRI and then Arthroscopy. The results were compared and analyzed using various statistical tests. The accuracy, sensitivity and specificity were calculated based on these arthroscopic and MRI findings</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The accuracy of clinical diagnosis in our study was 88% for ACL tears and 85% for meniscal tears. Our study proved high sensitivity and specificity and almost high accuracy for ACL injuries of knee joint in comparison to arthroscopy. MRI is an excellent screening tool for therapeutic arthroscopy. We can avoid diagnostic arthroscopy in patients with knee injuries having equivocal clinical and MRI examination and go on for therapeutic modality. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">For the assessment of ligamentous and meniscal injuries magnetic resonance imaging (MRI) is accurate and noninvasive modality. It can be used as a first line investigation but arthroscopy still remains gold standard in diagnosing ACL and meniscal injuries.</span></p><p class="abstract"> </p>
To study long term results of LUCL Reconstruction and Capsular Repair in 10 patients with Posterolateral Rotatory Instability Elbow. METHODS: 10 patients, 6 females and 4 male in the age group of 14 to 36 years with traumatic Elbow Subluxations and pain of 8-17 months duration; were treated with Elbow Arthroscopy and LUCL Reconstruction with Capsular repair. All the patients were followed for 4 years and assessed on Mayo Scale. RESULTS: As per mayo scale 8 had excellent results in terms of pain, range of movement, function and stability. 1 good and1 fair results. There was no difference in the results as per age, sex or sidedness. CONCLUSION: Posterolateral rotatory instability is a cascade of elbow Instability. 1 If it is diagnosed early and treated with LUCL Reconstruction and Capsular Repair, it gives excellent functional outcome and stability. 5 CLINICAL RELEVANCE: PLRI is not an uncommon condition. 1 Chair test and Pivot shift test are important diagnostic tests in addition to MRI. 2,3,4 Capsular plication or Repair is extremely critical for the excellent outcome after LUCL Reconstruction. 1,5
Subscapularis is largest muscle of the rotator cuff. It is important component of shoulder joint for necessary of unimpaired shoulder movements. Since past decade subscapularis tears are recognized as source of pain and dysfunction of shoulder joint. New diagnostic techniques and arthroscopic repair surgeries help to treat subscapularis tears. This article provides an overview of types of tear, diagnostic methods and treatment options.
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