A comparative study of MRI versus arthroscopic findings in meniscal injuries of knee

  • Dr. Arvindra Singh Baghel Senior Resident, Department of Radiology, AIIMS, Bhopal, Madhya Pradesh, India
  • Dr. Khushboo Vinod Singhania Senior Resident, Department of Radiology, AIIMS, Bhopal, Madhya Pradesh, India
Keywords: Accuracy, Sensitivity, Specificity, Meniscal injuries

Abstract

Introduction: Knee joint is one of the most commonly injured joints because of its anatomical structure, its exposures to external forces and the functional demands placed on it. Because of the difficulty of obtaining an accurate clinical examination in the acute setting, the incidence of such injuries is not well understood.

Material and methods: The present study was carried out in 30 patients having clinical signs and symptoms of knee injury over a period of 12 months, who were referred to the radiological department from different IPD’s and OPD’s of Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehradun.

Results: Diagnostic accuracy of MRI was 86.6% for medial meniscus and 93% for lateral meniscus in our study. In present study medial meniscal injuries was found in 16 patients (53.3%). Lateral meniscal injuries were found in 8 patients (26.6%).

Conclusion: In conclusion, the present study supports that MRI is helpful in diagnosing meniscal injuries. Now days patients expectations are maximal and taking into account that MRI false or misleading results can be as high as 20-30 percent in specific knee pathologies. Undoubtly new techniques and more powerful tomograms will improve MRI’s accuracy leading to better diagnostic accuracy in knee injuries.

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References

1. Hughston JC, Andrews JR, Cross MJ, Moschi A. Classification of knee ligament in stabilities. Part II. The lateral compartment. J Bone Joint Surg Am 1976;58:173-179. [PubMed]

2. Hughston JC, Jacobson KE. Chronic posterolateral rotatory instability of the knee. J Bone Joint Surg Am 1985;67:351-359. [PubMed]

3. La Prade RF, Gilbert TJ, Bollom TS, Wentorf F, Chaljub G. The magnetic resonance imaging appearance of individual structures of the posterolateral knee. A prospective study of normal knees and knees with surgically verified grade III injuries. Am J Sports Med 2000;28:191-199.

4. Miller TT, Gladden P, Staron RB, Henry JH, Feldman F. Posterolateral stabilizers of the knee: Anatomy and injuries assessed with MR imaging. AJR Am J Roentgenol 1997;169: 1641-1647.

5. Ruiz ME, Erickson SJ. Medial and lateral supporting structures of the knee. Normal MR imaging anatomy and pathologic findings. Magn Reson Imaging Clin N Am 1994;2:381- 399. [PubMed]

6. Haven D and Collins HR. Diagnosis of internal derangement of the knee: The role of Arthrography. J Bone and Joint Surg.1975; 57: 802-10.

7. Munshi M, Davidson M, MacDonald PB, Froese W, Sutherland K. The efficacy of magnetic resonance imaging in acute knee injuries. Clin J Sport Med.2000; 10 :34-9.

8. Mudhusudan TR, Kumar TM, Bastawrous SS, Sinha A. Clinical examination, MRI and arthroscopy in meniscal and ligamental knee injuries- a prospective study. Journal of Orthopaedic Surgery and Research. 2008; 15: 3-19.

9. Singh JP, Garg L, Shrimali R, Setia V, Gupta V. MR Imaging of knee with arthroscopic correlation in twisting injuries. IJRI. 2004;14: 33-40.

10. EsmailiJah AA, Sohrab K, Zarei R, Moghaddam AK. Accuracy of MRI in comparison with Clinical and Arthroscopic findings in ligamentous and meniscal injuries of the knee. Acta Orthop Belg. 2005; 71:189-96.

11. Noha H. Behairy, Mohsen A. Dorgham, Sherif. A.K. Accuracy of routine MRI in meniscal and ligamentous injuries of the knee: comparision with arthroscopy. Int Orthop SICOT. 2009;33(4): 961-7.

12. Glashow JL, Katz R, Schnieder M, Scott W. Double-blind assessment of the value of magnetic resonance imaging in the diagnosis of anterior cruciate and meniscal lesions. J Bone Joint Surg Am. 1989; 71: 113-9.

13. Reppeport ED, Mehta S, Wieslander SB, Lausten GS, Thomsen HS. MR imaging before arthroscopy in knee joint disorders. Acta Radiol. 1996;37(5): 602-9. [PubMed]

14. Kinnunen J, Bondestam S, K ivioja A, Ahovuo J, Toivakka SK, T ulikoura I et al. Diagnostic performance of low field MRI in acute knee injuries. Magn Reson Imaging. 1994; 12: 1155-60. [PubMed]

15. Incesu L, Dabak N, BeletU, Mazhar EL, Gulman B. Comparision of MRI and arthroscopic findings in knee Joint pathologies. Turk J Med Res. 1997; 15(1): 21-5.

16. Kumar S, Bansal A. A Comparative Study of Accuracy of Clinical Examination, MRI & Arthroscopy Findings in Cruciate Ligament and Meniscal Injuries of the Knee. Indian Journal of Basic & Applied Medical Research; December 2011: Issue-1, Vol.-1, P. 106-113.
A comparative study of MRI versus arthroscopic findings in meniscal injuries of knee
CITATION
DOI: 10.17511/ijmrr.2018.i03.10
Published: 2018-03-31
How to Cite
1.
Singh Baghel A, Vinod Singhania K. A comparative study of MRI versus arthroscopic findings in meniscal injuries of knee. Int J Med Res Rev [Internet]. 2018Mar.31 [cited 2024Dec.23];6(3):192-5. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/977
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Original Article