Role of high-resolution ultrasonography without and with real-time spatial compound imaging in evaluating the injured posterior cruciate ligament: preliminary study

Sorrentino, Fortunato; Iovane, Angelo; Nicosia, Aldo; Candela, F.; Midiri, Massimo; Lagalla, Roberto

doi:10.1007/s11547-008-0355-5

Cited by 12 publications

(13 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is widely used to diagnose ligament, tendon, and meniscus injuries and is a good modality for screening intra-articular lesions [ 12 , 14 , 15 ]. Some studies using ultrasonography have shown that the injured PCL is thicker than the contralateral non-injured PCL or the PCL of healthy people [ 16 , 17 ]. Wang et al recommended a thickness of ≥ 6.5 mm based on ultrasonography measurement as the diagnostic criteria for acute PCL injury (sensitivity 90.6%, specificity 86.7%) [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

The use of ultrasonography as an effective screening tool for chronic posterior cruciate ligament injuries

Kimura,

Nakase,

Yoshimizu

et al. 2023

J Med Ultrasonics

View full text Add to dashboard Cite

Purpose We aimed to explore the applicability and validity of ultrasonography for diagnosing chronic posterior cruciate ligament (PCL) injuries. Methods PCL thickness was measured at 2 cm proximal to the tibia insertion site. Using the same ultrasonography image, the angle tangent to the PCL from the tibia insertion site was also measured. These data were analyzed by plotting the receiver operating curve (ROC), and the sensitivity and specificity were calculated according to the optimal cut-off point. Ultrasonography data from the PCLinjured knee were compared with those from the contralateral uninjured knee of the same patient. Results Twelve men and six women, with a mean age of 28.8 ± 14.0 years, were included in this study. The mean time from injury to medical examination was 10.0 ± 6.7 months. The mean thickness of the PCL was 8.1 ± 1.9 mm on the affected side and 5.8 ± 1.2 mm on the uninjured side, with the affected side being significantly thicker. ROC analysis revealed that the optimal cut-off value for the thickness of chronic PCL injuries was 6.5 mm (sensitivity 83.3%, specificity 77.8%, area under the curve [AUC] = 0.87). The optimal cut-off value for the angle was 20° (sensitivity 88.9%, specificity 94.4%, AUC = 0.96). Conclusion Ultrasonography is useful as a screening tool for chronic PCL injuries. The optimal cut-off point was 6.5 mm for thickness and 20° for angle. Level of evidence IV.

show abstract

Section: Introductionmentioning

confidence: 99%

The use of ultrasonography as an effective screening tool for chronic posterior cruciate ligament injuries

Kimura,

Nakase,

Yoshimizu

et al. 2023

J Med Ultrasonics

View full text Add to dashboard Cite

show abstract

“…Swelling (increased thickness) and softening (reduced pixel intensity) of injured PCLs were compatible with ligamentous injury pathological changes and were diagnostic of PCL injuries. Previous studies did not recommend a thickness cut‐off value for PCL injury, probably due to a limited case number [4, 12, 17, 22]. To the best of our knowledge, our study may represent the largest series of PCLs evaluated by US.…”

Section: Discussionmentioning

confidence: 90%

“…By contrast, ultrasonography (US) is a convenient, inexpensive, and non‐invasive modality for evaluating soft tissue injuries without radiation exposure. Several ultrasonographic studies found that injured PCLs were significantly thicker than contralateral uninjured PCLs and PCLs of healthy subjects [4, 12, 17, 22]. Cho et al recommended a PCL thickness >10 mm as a diagnostic criterion for an MRI‐confirmed acutely torn PCL [4].…”

Section: Introductionmentioning

confidence: 99%

Evaluating posterior cruciate ligament injury by using two-dimensional ultrasonography and sonoelastography

Wang

Yang

Huang

et al. 2016

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

“…In examining the characteristics of the studies collated in Table 1, we observed a diverse geographical representation across the included research, with authors from Taiwan, Korea, India, Italy, and Japan. The studies spanned over two decades, ranging from 1991 to 2017 [17][18][19][20][21][22][23]. The study by Wang CY et al conducted in Taiwan in 2009 was a retrospective cohort study and was appraised as having a fair study quality [17].…”

Section: Study Characteristicsmentioning

confidence: 99%

Point-of-Care Ultrasound for the Evaluation and Management of Posterior Cruciate Ligament Injuries: A Systematic Review

et al. 2023

View full text Add to dashboard Cite

Posterior cruciate ligament (PCL) injuries, though less common than other knee ligament injuries, pose significant management challenges. This study aimed to systematically review and analyze the current evidence on the use of point-of-care ultrasound (POCUS) for the evaluation and management of PCL injuries. It was hypothesized that POCUS has comparable diagnostic accuracy to magnetic resonance imaging (MRI) and that the use of POCUS improves patient outcomes and reduces healthcare costs. A comprehensive systematic review of articles published up to April 2023 was conducted using PubMed, Web of Science, Cochrane, and Scopus databases and adhered to the PRISMA guidelines. Studies were selected based on relevance to the research question, with a focus on diagnostic accuracy, reliability, clinical utility, and cost-effectiveness of POCUS in PCL injuries. Seven studies, analyzing a total of 242 patients with PCL injuries, were included. The reported sensitivity and specificity of POCUS for diagnosing PCL injuries ranged from 83.3% to 100% and 86.7% to 100%, respectively, across the studies. In one study, POCUS demonstrated a positive predictive value (PPV) of 87.9% and a negative predictive value (NPV) of 82.4%. Additionally, three studies reported 100% accuracy in PCL injury detection using POCUS, suggesting a substantial potential for cost savings by eliminating the need for MRI. This systematic review supports the use of POCUS in the evaluation and management of PCL injuries, suggesting that POCUS is a reliable, cost-effective tool with high diagnostic accuracy comparable to that of MRI, offering the potential to improve patient outcomes and reduce healthcare costs. The data collated in this review can inform clinical practice and guide future research in the field.

show abstract

Role of high-resolution ultrasonography without and with real-time spatial compound imaging in evaluating the injured posterior cruciate ligament: preliminary study

Abstract: HRUS is a reliable technique for studying the PCL and detecting PCL injuries.

Cited by 12 publications

References 12 publications

The use of ultrasonography as an effective screening tool for chronic posterior cruciate ligament injuries

The use of ultrasonography as an effective screening tool for chronic posterior cruciate ligament injuries

Evaluating posterior cruciate ligament injury by using two-dimensional ultrasonography and sonoelastography

Point-of-Care Ultrasound for the Evaluation and Management of Posterior Cruciate Ligament Injuries: A Systematic Review

Contact Info

Product

Resources

About