Diagnostic accuracy of ultrasonography in assessing meniscal injury: meta-analysis of prospective studies

Dai, Huanyun; Huang, Zonggui; Chen, Zhijian; Liu, Jinxin

doi:10.1007/s00776-015-0728-2

Cited by 23 publications

(24 citation statements)

References 15 publications

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“…US can provide valuable information in MCL injuries with a reported accuracy of 94%. 39 The US findings include ligamentous thickenning, heterogenous echogencity or loss of contiunity. Dynamic imaging of the medial joint space during valgus stress might also be valuable.…”

Section: Soft Tissue Changesmentioning

confidence: 99%

“…Dynamic imaging of the medial joint space during valgus stress might also be valuable. 39 In a recent study, Riecke et al 40 developed a scoring system for detecting knee OA which included five domains: morphological changes including osteophyte and meniscus extrusion, inflammatory markers such as synovial hypertrophy and Doppler activity at the medial/lateral compartments and effusion. In the study by Ahmad et al 41 US showed improved synovial hypertrophy and vascularity scores, and less effusion after PRP injection.…”

Section: Soft Tissue Changesmentioning

confidence: 99%

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Ultrasound imaging and guidance in the management of knee osteoarthritis in regenerative medicine field

Ulaşlı

Özçakar

Murrel

2019

Journal of Clinical Orthopaedics and Trauma

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Ultrasound (US) is an excellent imaging tool to evaluate most of the structures in the knee joint. US is useful in various applications of regenerative medicine, starting from the biomaterial harvesting stage of the procedures, it can thus/conveniently be used for the diagnosis and treatment of various forms of knee osteoarthritis (OA) where the interventions need to be carried out under US guidance. In this paper, we have reviewed US guided bioharvesting of venous blood, bone marrow and adipose tissue, the US evaluation of the knee joint and the relevant findings in knee OA along with US guided regenerative interventions for the knee joint.

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Section: Soft Tissue Changesmentioning

confidence: 99%

Section: Soft Tissue Changesmentioning

confidence: 99%

Ultrasound imaging and guidance in the management of knee osteoarthritis in regenerative medicine field

Ulaşlı

Özçakar

Murrel

2019

Journal of Clinical Orthopaedics and Trauma

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“…This means that for diagnosing complete ACL tears, US seems an effective test. Just like MRI, US also can detect accurately associated lesions, for example, meniscal pathology 6. Moreover, US has the potential to overcome many of the limitations of MRI: quickly executable, relatively inexpensive, easily accessible and offers the opportunity for dynamic examinations.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic accuracy of dynamic ultrasound imaging in partial and complete anterior cruciate ligament tears: a retrospective study in 247 patients

Breukers

Haase

Konijnenberg³

et al. 2019

BMJ Open Sport Exerc Med

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ObjectivesDynamic ultrasound (US) imaging shows promising possibilities for accurate imaging in diagnosing anterior cruciate ligament (ACL) tears and can be used as a point-of-care test. The aim of this study is to determine the diagnostic accuracy of dynamic US imaging for detecting partial and complete ACL tears.Methods247 patients presenting with knee complaints, who underwent dynamic US imaging as well as arthroscopy for any intra-articular knee pathology, were retrospectively evaluated. We differentiated between partial and complete ACL tears.ResultsDynamic US imaging revealed 95 of 108 arthroscopically confirmed ACL tears (sensitivity 88%, specificity 82%, positive predictive value (PPV) 79%, negative predictive value (NPV) 90%, and diagnostic OR (DOR) of 33.3). Sensitivity of US in the detection of partial ACL tears was 52%, specificity 85%, PPV 52%, NPV 84% and DOR 5.8. Complete ACL tears were depicted with a sensitivity of 79%, specificity of 89%, PPV of 63%, NPV of 95% and DOR 29.8. Multivariate regression analysis adjusting for age (dichotomised per 5 years) and previous knee surgery showed similar DOR.ConclusionThe excellent NPV for complete ACL tears indicates that dynamic US imaging can be used as an initial imaging point-of-care test. However, the clinical presentation should be taken into account, especially in case of subtotal tears. Whereas it seems relatively easy to differentiate between (small) partial ACL tears, complete ACL tears and no tears, it seems to be difficult to differentiate subtotal tears from complete tears.

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“…Two meta-analysis concerning the diagnosis of meniscal tears using US [13,14] have been published in the recent years, but in these papers no difference between the types of used transducers (high-frequency linear probe, low-frequency convex array probe, 3-dimensional probe) was made. For this reason we performed a systematic review and meta-analysis to investigate the diagnostic performance of meniscal tears by using B-mode US and high-frequency linear probe.…”

Section: Introductionmentioning

confidence: 99%

The diagnostic accuracy of B-mode ultrasound in detecting meniscal tears: a systematic review and pooled meta-analysis

et al. 2018

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Diagnostic accuracy of ultrasonography in assessing meniscal injury: meta-analysis of prospective studies

Cited by 23 publications

References 15 publications

Ultrasound imaging and guidance in the management of knee osteoarthritis in regenerative medicine field

Ultrasound imaging and guidance in the management of knee osteoarthritis in regenerative medicine field

Diagnostic accuracy of dynamic ultrasound imaging in partial and complete anterior cruciate ligament tears: a retrospective study in 247 patients

The diagnostic accuracy of B-mode ultrasound in detecting meniscal tears: a systematic review and pooled meta-analysis

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