MR Imaging of the Menisci and Cruciate Ligaments: A Systematic Review

Oei, Edwin H.G.; Nikken, Jeroen J.; Verstijnen, Antonia C M; Ginai, Abida Z.; Hunink, M. G. Myriam

doi:10.1148/radiol.2263011892

Cited by 307 publications

(248 citation statements)

References 52 publications

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“…Regarding the menisci, our results demonstrate that the sensitivity and specificity differ significantly for the medial and the lateral meniscus. Those findings were also reported by Oei et al [11]. However, they stated that MRI is more sensitive in the diagnosis of the medial meniscus and that the specificity is higher for the lateral meniscus [11].…”

Section: Discussionsupporting

confidence: 72%

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: Discussionsupporting

confidence: 72%

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 diagnostic value of stress imaging as compared to clinical exam or MRI is unclear, and it is therefore recommended as a diagnostic adjunct rather than a stand-alone tool [2][3][4]. The highest diagnostic ability is obtained by combining stress imaging with these methods [5].…”

Section: Stress Radiographymentioning

confidence: 99%

Anterior cruciate ligament assessment using arthrometry and stress imaging

Rohman

Macalena

2016

Curr Rev Musculoskelet Med

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Arthrometry and stress imaging are useful clinical tools for the objective assessment of anterior cruciate ligament (ACL) integrity. They are most frequently used for the diagnosis of a complete ACL tear when other workup is equivocal, in conjunction with history and clinical exam findings. Other applications include the diagnosis of partial ACL tears, injury prognosis, and post-operative monitoring. However, further studies are needed to validate these uses. Many different devices and techniques exist for objective examination, which have been compared in recent literature. Reliability and validity measures of these methods vary, and often depend upon examiner familiarity and skill. The KT series of devices is the current gold standard for arthrometry, although the newer robotic GNRB device shows promising early results. Newer methods of data interpretation have been developed for stress imaging, and portable technology may impact this field further.

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“…12 MRI was selected as the reference diagnostic test because it is highly accurate in detecting meniscal tears and ligament lesions. 13,14 MRI was scheduled 2-6 weeks after the initial trauma, using a 1.0 Tesla General Electric device. Two radiologists determined the results of the MRI independently, based on a standardised classification form.…”

Section: Data Collectionmentioning

confidence: 99%