Meniscus Ultrasound

Klos, Burt; Konijnenberg, Stephan

doi:10.1007/978-3-662-49188-1_15

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…Accuracy for measurement of impaction is around 0.2 mm. In prone position, lesions of the menisci are found clearly visible with our current technique [19] using a Philips IU22 US equipment with a broadband linear array high‐resolution probe (5–12 MHz).…”

Section: Methodsmentioning

confidence: 99%

High prevalence of all complex Segond avulsion using ultrasound imaging

Klos¹,

Scholtes²,

Konijnenberg³

2017

Knee Surg Sports Traumatol Arthrosc

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Section: Methodsmentioning

confidence: 99%

High prevalence of all complex Segond avulsion using ultrasound imaging

Klos¹,

Scholtes²,

Konijnenberg³

2017

Knee Surg Sports Traumatol Arthrosc

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“…Dynamic high-resolution ultrasound (US) imaging of the knee shows promising results for accurately imaging of intra-articular pathology 4. A recently published meta-analysis evaluating the diagnostic accuracy of US in detecting complete ACL tears showed a sensitivity of 90% and specificity of 97% 5.…”

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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Meniscus Ultrasound

Cited by 2 publications

References 26 publications

High prevalence of all complex Segond avulsion using ultrasound imaging

High prevalence of all complex Segond avulsion using ultrasound imaging

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

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