Alpha 2.0
Login Register
» Articles » PMID: 18506445

Accuracy of Routine Magnetic Resonance Imaging in Meniscal and Ligamentous Injuries of the Knee: Comparison with Arthroscopy

Overview
Journal Int Orthop
Specialty Orthopedics
Date 2008 May 29
PMID 18506445
Citations 22
Authors
Noha H Behairy
Mohsen A Dorgham
Sherif A Khaled
Affiliations
Soon will be listed here.
Abstract

Unlabelled: 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.

Citing Articles

The relevance of knee arthroscopy photographs in medicolegal proceedings.

Horteur C, Della Rosa T, Gaulin B, Morin V, Duval B, Barth J Int Orthop. 2024; 48(5):1133-1138.

PMID: 38430224 DOI: 10.1007/s00264-024-06129-0.

Correlation of preoperative CT imaging shift parameters of the lateral plateau with lateral meniscal injury in Schatzker IV-C tibial plateau fractures.

Liu Y, Fang R, Tu B, Zhu Z, Zhang C, Ning R BMC Musculoskelet Disord. 2023; 24(1):793.

PMID: 37803358 PMC: 10557321. DOI: 10.1186/s12891-023-06924-7.

Degenerative Meniscus in Knee Osteoarthritis: From Pathology to Treatment.

Ozeki N, Koga H, Sekiya I Life (Basel). 2022; 12(4).

PMID: 35455094 PMC: 9032096. DOI: 10.3390/life12040603.

Iyengar-Botchu (IB) confluence of the medial knee- anatomy and clinico-radiological review.

Iyengar K, Jain V, Gupta H, Azzopardi C, Botchu R J Clin Orthop Trauma. 2021; 22:101591.

PMID: 34567973 PMC: 8447233. DOI: 10.1016/j.jcot.2021.101591.

Accuracy measures of 1.5-tesla MRI for the diagnosis of ACL, meniscus and articular knee cartilage damage and characteristics of false negative lesions: a level III prognostic study.

Koch J, Ben-Elyahu R, Khateeb B, Ringart M, Nyska M, Ohana N BMC Musculoskelet Disord. 2021; 22(1):124.

PMID: 33514358 PMC: 7847141. DOI: 10.1186/s12891-021-04011-3.

References
1.
Winters K, Tregonning R . Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. N Z Med J. 2005; 118(1209):U1301. View
2.
Helms C . The meniscus: recent advances in MR imaging of the knee. AJR Am J Roentgenol. 2002; 179(5):1115-22. DOI: 10.2214/ajr.179.5.1791115. View
3.
Cotten A, Delfaut E, Demondion X, Lapegue F, Boukhelifa M, Boutry N . MR imaging of the knee at 0.2 and 1.5 T: correlation with surgery. AJR Am J Roentgenol. 2000; 174(4):1093-7. DOI: 10.2214/ajr.174.4.1741093. View
4.
Oei E, Nikken J, Verstijnen A, Ginai A, Hunink M . MR imaging of the menisci and cruciate ligaments: a systematic review. Radiology. 2003; 226(3):837-48. DOI: 10.1148/radiol.2263011892. View
5.
Jah A, Keyhani S, Zarei R, Moghaddam A . Accuracy of MRI in comparison with clinical and arthroscopic findings in ligamentous and meniscal injuries of the knee. Acta Orthop Belg. 2005; 71(2):189-96. View