核磁共振成像与关节镜评估之间的前交叉韧带损伤坡道病变。

IF 0.8 Q4 SURGERY

Chirurgia Pub Date : 2024-10-01 DOI:10.21614/chirurgia.119.eC.3032

Mohamed Samir, Ehab Alieldin, Ahmed T Ashour, Ahmed Abouelnaga, Ahmed Attia, Ahmed Ashour, Ahmed Ismail, Ahmed Waly, Tarek Elkhadrawy

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引用次数: 0

摘要

目的比较关节镜与核磁共振成像在诊断与前十字韧带（ACL）损伤相关的斜坡病变方面的准确性：前瞻性观察研究。材料与方法：我们纳入了 100 名前交叉韧带完全撕裂的患者：排除标准：1）前交叉韧带部分撕裂；2）前交叉韧带翻修手术或既往膝关节手术；3）膝关节多韧带损伤；4）大面积内侧半月板撕裂。结果九名患者被诊断为前交叉韧带相关性斜坡病变。所有九名患者均有磁共振成像（MRI）征象，但这些征象并无统计学意义（2=1.884，FEp=0.348）。有斜坡病变的患者半月板内侧斜率平均为 2.88 +- 0.46，无斜坡病变的患者半月板内侧斜率平均为 2.47 +- 0.55（T=2.146，P=0.034），这意味着关节镜检查具有统计学意义。结论：关节镜在诊断斜坡病变方面更具优势：结论：关节镜在诊断斜坡病变方面具有成本效益、直接可视性和即时治疗能力等优势。斜坡病变在磁共振成像中没有特异性体征，这进一步支持了这一结论。

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Ramp Lesions with ACL Injuries Between MRI and Arthroscopic Evaluation.

Objective: To compare the accuracy of arthroscopy with MRI in diagnosing ramp lesions associated with anterior cruciate ligament (ACL) injuries.

Design: Prospective observational study. Material and Methods: We included 100 patients with complete ACL tear.

Exclusion criteria: 1) Partial ACL tear, 2) ACL revision surgery or previous knee surgery, 3) Multi-ligamentous knee injury, 4) Extensive medial meniscus tear. Results: Nine patients were diagnosed with ACL-associated ramp lesions. All nine had magnetic resonance imaging (MRI) signs, but these were not statistically significant ( 2=1.884, FEp=0.348). Mean medial meniscal slope for patients with ramp lesions was 2.88 +- 0.46, without was 2.47 +- 0.55 (T=2.146, P=0.034), implying statistical significance as visualized by arthroscopy. Arthroscopy is superior in diagnosing ramp lesions.

Conclusion: Arthroscopy is superior in diagnosing ramp lesions due to cost-effectiveness, direct visualization, and immediate treatment capability. The absence of specific MRI signs for ramp lesions further supports this conclusion.

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来源期刊

Chirurgia Medicine-Surgery

CiteScore

1.00

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.