Jamie S Brown, Ola Olsson, Anders Isacsson, Martin Englund
{"title":"Clinical versus MRI grading of the medial collateral ligament in acute knee injury.","authors":"Jamie S Brown, Ola Olsson, Anders Isacsson, Martin Englund","doi":"10.1080/15438627.2022.2079981","DOIUrl":null,"url":null,"abstract":"<p><p>Sensitivity, specificity, and agreement between clinical and magnetic resonance imaging (MRI) gradings of the medial collateral ligament (MCL) after acute knee injury were evaluated in 362 patients. Ninety-seven per cent were injured during sports/recreation. Sensitivity and specificity of MRI for grade II or III MCL injury was 68% (95% CI 58-77%) and 90% (95% CI 86-93%), respectively. Weighted Kappa analysis showed moderate agreement between clinical and MRI grading (0.56 [95% CI 0.48-0.65]). Findings were similar for patients with and without concomitant cruciate ligament rupture (0.57 [95% CI 0.48-0.66] and 0.55 [95% CI 0.35-0.75], respectively) and for specialists in orthopaedics and knee sub-specialists (0.55 [95% CI 0.39-0.70] and 0.57 [95% CI 0.47-0.67], respectively). Agreement between clinical and MRI grading of MCL injuries by orthopaedic specialists in a general hospital is at least moderate regardless of the presence of cruciate ligament injury.</p>","PeriodicalId":21255,"journal":{"name":"Rheumatology","volume":"54 1","pages":"12-16"},"PeriodicalIF":4.7000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Rheumatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/15438627.2022.2079981","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/5/27 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"RHEUMATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Sensitivity, specificity, and agreement between clinical and magnetic resonance imaging (MRI) gradings of the medial collateral ligament (MCL) after acute knee injury were evaluated in 362 patients. Ninety-seven per cent were injured during sports/recreation. Sensitivity and specificity of MRI for grade II or III MCL injury was 68% (95% CI 58-77%) and 90% (95% CI 86-93%), respectively. Weighted Kappa analysis showed moderate agreement between clinical and MRI grading (0.56 [95% CI 0.48-0.65]). Findings were similar for patients with and without concomitant cruciate ligament rupture (0.57 [95% CI 0.48-0.66] and 0.55 [95% CI 0.35-0.75], respectively) and for specialists in orthopaedics and knee sub-specialists (0.55 [95% CI 0.39-0.70] and 0.57 [95% CI 0.47-0.67], respectively). Agreement between clinical and MRI grading of MCL injuries by orthopaedic specialists in a general hospital is at least moderate regardless of the presence of cruciate ligament injury.
我们对 362 名患者急性膝关节损伤后内侧副韧带（MCL）的敏感性、特异性以及临床与磁共振成像（MRI）分级之间的一致性进行了评估。97%的患者是在运动/娱乐过程中受伤的。MRI 对 II 级或 III 级 MCL 损伤的敏感性和特异性分别为 68%（95% CI 58-77%）和 90%（95% CI 86-93%）。加权卡帕分析表明，临床分级与 MRI 分级之间存在一定的一致性（0.56 [95% CI 0.48-0.65]）。对于伴有和不伴有十字韧带断裂的患者（分别为 0.57 [95% CI 0.48-0.66] 和 0.55 [95% CI 0.35-0.75]），以及骨科专家和膝关节亚专科专家（分别为 0.55 [95% CI 0.39-0.70] 和 0.57 [95% CI 0.47-0.67]），结果相似。无论是否存在十字韧带损伤，综合医院骨科专家对 MCL 损伤的临床分级和 MRI 分级之间的一致性至少为中等。
期刊介绍：
Rheumatology strives to support research and discovery by publishing the highest quality original scientific papers with a focus on basic, clinical and translational research. The journal’s subject areas cover a wide range of paediatric and adult rheumatological conditions from an international perspective. It is an official journal of the British Society for Rheumatology, published by Oxford University Press.
Rheumatology publishes original articles, reviews, editorials, guidelines, concise reports, meta-analyses, original case reports, clinical vignettes, letters and matters arising from published material. The journal takes pride in serving the global rheumatology community, with a focus on high societal impact in the form of podcasts, videos and extended social media presence, and utilizing metrics such as Altmetric. Keep up to date by following the journal on Twitter @RheumJnl.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
