Magnetic resonance imaging of meniscal and cruciate injuries of the knee

Boeree, NR; Watkinson, A.F.; Ackroyd, C. E.; Johnson, Charles L.

doi:10.1302/0301-620x.73b3.1670448

Cited by 88 publications

(40 citation statements)

References 10 publications

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“…Unfortunately, arthroscopies are invasive and require a skilled surgeon. MRI has become a popular and practical tool for the evaluation of ACL injuries with its high degree of accuracy and sensitivity as reported in the literature [4].…”

Section: Discussionmentioning

confidence: 99%

Accuracy of routine magnetic resonance imaging in meniscal and ligamentous injuries of the knee: comparison with arthroscopy

Behairy

Dorgham

Khaled

2008

International Orthopaedics (SICOT)

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The aim of this study was to detect the accuracy of routine magnetic resonance imaging (MRI) done in different centres and its agreement with arthroscopy in meniscal and ligamentous injuries of the knee. We prospectively examined 70 patients ranging in age between 22 and 59 years. History taking, plain X-ray, clinical examination, routine MRI and arthroscopy were done for all patients. Sensitivity, specificity, accuracy, positive and negative predictive values, P value and kappa agreement measures were calculated. We found a sensitivity of 47 and 100%, specificity of 95 and 75% and accuracy of 73 and 78.5%, respectively, for the medial and lateral meniscus. A sensitivity of 77.8%, specificity of 100% and accuracy of 94% was noted for the anterior cruciate ligament (ACL). We found good kappa agreements (0.43 and 0.45) for both menisci and excellent agreement (0.84) for the ACL. MRI shows high accuracy and should be used as the primary diagnostic tool for selection of candidates for arthroscopy. Level of evidence: 4.

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Section: Discussionmentioning

confidence: 99%

Accuracy of routine magnetic resonance imaging in meniscal and ligamentous injuries of the knee: comparison with arthroscopy

Behairy

Dorgham

Khaled

2008

International Orthopaedics (SICOT)

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“…Whilst some authors have reported excellent sensitivity and specificity, others have reported less favourable results [6,7]. Acknowledging this variability in outcomes, the objective of this study was to determine the diagnostic accuracy of complete ACL rupture using MRI by comparing imaging results to the gold standard arthroscopic findings.…”

Section: Introductionmentioning

confidence: 99%

The diagnostic accuracy of anterior cruciate ligament rupture using magnetic resonance imaging: a meta-analysis

Smith,

Lewis,

Song

et al. 2011

Eur J Orthop Surg Traumatol

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This study evaluates the diagnostic accuracy of anterior cruciate ligament (ACL) rupture using magnetic resonance imaging in the management of patients with symptomatic tibiofemoral instability. Published and unpublished databases including the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, AMED and CINAHL, as well as unpublished studies registers were searched for studies that compared the diagnostic findings of MRI to arthroscopic surgery for patients with a suspected ACL rupture in September 2010. For each study, sensitivity and specificity of complete ACL rupture were analysed as bivariate data to account for a possible negative correlation within studies, and pooled meta-analysis was performed. Fifty-three studies compared the diagnostic accuracy of MRI to arthroscopic findings for a total of 4,673 patients, 4,683 knees. Overall, the pooled sensitivity of MRI for detecting complete ACL rupture was 94.5% (95% confidence interval 0.92-0.96) and specificity of 95.3% (0.93-0.97). MRI has high accuracy for patients with complete ACL rupture. Due to the higher economic costs and increased complication risks of diagnostic arthroscopy, MRI is therefore recommended as the principal investigation following clinical examination, to diagnose ACL rupture.

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“…Ruwe et al [12] reported that preoperative MRI can prevent unnecessary Arthroscopy in 50% of patients, so is of great value and must be done preoperatively. Boeree et al [13] believe that clinical examination is of minor significance with sensitivity in diagnosing medial meniscus, lateral meniscus and ACL tear of 67%, 48% and 55% respectively.…”

Section: Discussionmentioning

confidence: 99%

Role of Mri in Internal Derangement of Knee Joint in Correlation With Arthroscopy

Reddy¹,

Gafoor²,

Suresh³

et al. 2016

jemds

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BACKGROUNDTrauma to knee joint is a significant cause of morbidity in the young, active individuals, especially amongst sports persons, trained soldiers and athletes. The most widely used diagnostic modalities to assess the joint injury are Arthroscopy and MRI. Magnetic Resonance Imaging (MRI) has now been accepted as the best imaging modality for non-invasive evaluation of knee injuries.Aim -This study was undertaken to study the types and incidence of ligament injuries in traumatic knee joint by MR imaging and to compare with Arthroscopy findings.

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Magnetic resonance imaging of meniscal and cruciate injuries of the knee

Abstract: We investigated 133 knees with suspected meniscal or cruciate injuries by magnetic resonance imaging, and compared the findings with those at arthroscopy. MRI was found to be highly sensitive, specific and accurate in the evaluation of the menisci and the anterior cruciate ligament.

Cited by 88 publications

References 10 publications

Accuracy of routine magnetic resonance imaging in meniscal and ligamentous injuries of the knee: comparison with arthroscopy

Accuracy of routine magnetic resonance imaging in meniscal and ligamentous injuries of the knee: comparison with arthroscopy

The diagnostic accuracy of anterior cruciate ligament rupture using magnetic resonance imaging: a meta-analysis

Role of Mri in Internal Derangement of Knee Joint in Correlation With Arthroscopy

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