Evaluation of meniscal injury on magnetic resonance imaging and knee arthroscopy in patient with anterior cruciate ligament tear.

IF 1.8 Q2 ORTHOPEDICS
SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-12-12 DOI:10.1051/sicotj/2024051
Toan Thanh Vo, Duc Thien Nguyen, Nguyen Anh Dinh Le, Ky Hien Van Nguyen, Hiep Khanh Vuu, Tu Anh Le, Nguyen Ba Le Phan
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Abstract

Introduction: Meniscal injuries often occur in association with anterior cruciate ligament (ACL) injury. Failure to detect meniscal tears in patients with ACL injuries can lead to more complex tears and make them more difficult to repair.

Objective: To determine the degree of correlation between magnetic resonance imaging (MRI) and knee arthroscopy in diagnosing meniscal injuries in patients with ACL tears.

Methods: A prospective descriptive study was conducted on 185 patients diagnosed with ACL tears through knee arthroscopy at Thong Nhat Hospital from April 2023 to April 2024.

Results: The accuracy of MRI and its correlation with arthroscopy in detecting meniscal injuries is 69.2%, indicating a low degree of agreement between MRI and arthroscopy results. Diagnosis of meniscal injury location has an accuracy of 57.1%, indicating a minimal to low degree of agreement between MRI and arthroscopy results. Diagnosis of the injury region: Accuracy over 85%, with Kappa coefficients ranging from 0.3 to 0.59, p < 0.001. Diagnosis of the morphology of meniscal injuries: Accuracy over 89%, with Kappa coefficients ranging from 0.26 to 0.66, p < 0.001.

Conclusion: There is a minimal to moderate correlation between MRI and arthroscopy in detecting, and diagnosing the location, region, and morphology of meniscal injuries in patients with ACL tears. Therefore, caution is advised when diagnosing meniscal injuries based solely on MRI findings in patients with ACL tears.

前交叉韧带撕裂患者半月板损伤的磁共振成像和膝关节镜评价。
简介:半月板损伤通常与前交叉韧带(ACL)损伤有关。前交叉韧带损伤患者的半月板撕裂检测失败可能导致更复杂的撕裂,使其更难以修复。目的:探讨磁共振成像(MRI)与膝关节镜检查在前交叉韧带撕裂患者半月板损伤诊断中的相关性。方法:对2023年4月至2024年4月在Thong Nhat医院通过膝关节镜诊断为ACL撕裂的185例患者进行前瞻性描述性研究。结果:MRI及其与关节镜检查半月板损伤的相关性准确率为69.2%,MRI与关节镜检查结果的一致性较低。半月板损伤位置的诊断准确率为57.1%,表明MRI和关节镜检查结果之间的一致性很小。损伤区域的诊断:准确率超过85%,Kappa系数范围为0.3 ~ 0.59,p结论:MRI与关节镜在检测和诊断前交叉韧带撕裂患者半月板损伤的位置、区域和形态方面有轻微到中度的相关性。因此,在仅根据前交叉韧带撕裂患者的MRI结果诊断半月板损伤时,建议谨慎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
SICOT-J
SICOT-J ORTHOPEDICS-
CiteScore
3.20
自引率
12.50%
发文量
44
审稿时长
14 weeks
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