Sensitivity and specificity of MRI in detecting meniscal tears, confirmed subsequently with arthroscopy

Shaw, Pawan; Jain, L; Gupta, Nilesh

doi:10.22271/ortho.2017.v3.i3l.123

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…As a result, supplementary diagnostic methods are frequently required, especially when several lesions are suspected. [11][12][13] The most common indication for a knee MRI is to diagnose internal derangements in an injured knee. MRI is a non-invasive and extremely sensitive investigational tool.…”

Section: Discussionmentioning

confidence: 99%

“…In cases where arthroscopy isn't an option, such as peripheral meniscus tears and inferior surface rips, MRI can help. 11 Multiple lesions are prevalent after an injury, but the difficulty in detecting them, aside from meniscal and ACL tears, has not been well discussed. Our findings show that when multiple lesions are present, the likelihood of correctly diagnosing all of them is extremely low (28 percent).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Correlation between clinical findings and magnetic resonance imaging findings in meniscal and anterior cruciate ligament injuries

Balemane

Usman²,

Ahmad³

et al. 2022

Int J Res Orthop

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Background: This study aims to compare the correlation between clinical findings and magnetic resonance imaging with arthroscopic findings in meniscal and anterior cruciate ligament (ACL) injuries.Methods: This was a prospective study of 60 patients with ACL and meniscal injuries of the knee who were admitted between October 2020 and October 2021, who underwent clinical examination, MRI, and arthroscopy of the knee.Results: In our study of 60 cases, there were 44 male and 16 female patients ranging from 18 to 45 years, with the majority of patients between the ages of 25 and 35. The clinical examination had a sensitivity of 88%, specificity of 100%, and accuracy of 90% for ACL, the sensitivity of 80%, specificity of 100%, and accuracy of 90% for medial meniscus, and sensitivity of 50%, specificity of 100%, and accuracy of 83.33% for lateral meniscus. Magnetic resonance imaging (MRI) had a sensitivity of 100%, specificity of 100%, and accuracy of 100% for ACL, the sensitivity of 100%, specificity of 66.67%, and accuracy of 83.33% for medial meniscus, and sensitivity of 100%, specificity of 85%, and accuracy of 90% for lateral meniscus.Conclusions: In conclusion, the current investigation emphasizes the importance of clinical diagnosis, as the positive predictive value (PPV) for all lesions is high. An MRI provides an additional diagnostic tool for ligament and meniscal injuries of the knee. The diagnostic accuracy of all lesions was in the 90th percentile. Because the negative predictive value (NPV) for all lesions is substantial, MRI is utilized to confirm the diagnosis and rule out pathology.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Correlation between clinical findings and magnetic resonance imaging findings in meniscal and anterior cruciate ligament injuries

Balemane

Usman²,

Ahmad³

et al. 2022

Int J Res Orthop

View full text Add to dashboard Cite

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In-Office Needle Arthroscopy: A Systematic Review of Indications and Clinical Utility

Zhang

Crum

Samuelsson

et al. 2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Clinicoradiological and Arthroscopic Correlation of Meniscal Injuries

Date,

Bhalerao,

Chaughule

et al. 2024

Journal of Arthroscopy and Joint Surgery

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Background: Menisci in knee joint serve very important functions of distributing joint stresses and stabilizing the joint. Meniscus tears are on the rise because of increased sports participation. Along with detailed history taking, the physical examination and special investigations such as magnetic resonance imaging (MRI) are required to diagnose meniscal injuries. A diagnostic arthroscopy is considered as the gold standard. Owing to heavy work duties, overdependence on MRI without due clinical examination is on the rise. The aim of our study was to correlate the findings of clinically diagnosed meniscal tears with its radiological and arthroscopic findings and to find out the reliability of clinical examination and MRI in meniscal injuries considering arthroscopy as the gold standard. Materials and Methods: It was a prospective, longitudinal study performed over 12 months. All patients fulfilling inclusion criteria underwent clinical examination and MRI scan; the data obtained were evaluated and correlated with arthroscopic findings. Using necessary equations sensitivity, specificity and accuracy were calculated. Results: The clinical examination showed sensitivity, specificity, and accuracy of 75%, 90.62%, and 83.33%, respectively, when correlated with arthroscopy. MRI scan showed sensitivity, specificity, and accuracy of 82.86%, 92%, and 86.67%, respectively, when correlated with arthroscopy. Conclusion: MRI and clinical examination are comparably sensitive, specific, and accurate for diagnosing meniscal injuries with a subtle preference toward MRI. Author recommends a thorough clinical examination should suffice, but having a MRI scan beforehand is always beneficial in the absence of other concerns to do MRI.

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Sensitivity and specificity of MRI in detecting meniscal tears, confirmed subsequently with arthroscopy

Cited by 3 publications

References 8 publications

Correlation between clinical findings and magnetic resonance imaging findings in meniscal and anterior cruciate ligament injuries

Correlation between clinical findings and magnetic resonance imaging findings in meniscal and anterior cruciate ligament injuries

In-Office Needle Arthroscopy: A Systematic Review of Indications and Clinical Utility

Clinicoradiological and Arthroscopic Correlation of Meniscal Injuries

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