急性膝关节损伤时内侧副韧带的临床分级与核磁共振成像分级。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-01-01 Epub Date: 2022-05-27 DOI:10.1080/15438627.2022.2079981

Jamie S Brown, Ola Olsson, Anders Isacsson, Martin Englund

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引用次数: 0

摘要

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。

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Clinical versus MRI grading of the medial collateral ligament in acute knee injury.

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.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.