CORRELATION OF CLINICAL EXAMINATION ANDMRI FINDINGS WITH ARTHROSCOPIC EVALUATIONOF MENISCUS TEARS AND CRUCIATE LIGAMENT RUPTURES
Objectives: This study aimed to evaluate the correlation between clinical examination and MRI findings with arthroscopy in diagnosing meniscal tears and cruciate ligament ruptures. Methods: The research involved a retrospective review of 165 patients, including 142 males and 23 females, who under...
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| Format: | Article |
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Baqai University Press
2024-12-01
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| Series: | Baqai Journal of Health Sciences |
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| Online Access: | https://journals.baqai.edu.pk/index.php/CS/article/view/123 |
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| author | Saad Iqbal Sumaiya Khan Raza Mehmood Muhammad Sufyan Muhammad Kazim Najjad Aimen Najam |
| author_facet | Saad Iqbal Sumaiya Khan Raza Mehmood Muhammad Sufyan Muhammad Kazim Najjad Aimen Najam |
| author_sort | Saad Iqbal |
| collection | DOAJ |
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Objectives: This study aimed to evaluate the correlation between clinical examination and MRI findings with arthroscopy in diagnosing meniscal tears and cruciate ligament ruptures.
Methods: The research involved a retrospective review of 165 patients, including 142 males and 23 females, who underwent arthroscopy for meniscal or cruciate ligament injuries between January 2018 and July 2020. The arthroscopic findings were compared with MRI reports and clinical examination results, including Lachman, anterior and posterior drawer tests for cruciate ligament injuries, and McMurray tests for medial and lateral meniscus injuries.
Results: The study demonstrated that clinical examination showed strong sensitivity and specificity when compared to arthroscopy: Lachman test (84.76% sensitivity, 95% specificity), anterior drawer test (88.54%, 91.66%), and posterior drawer test (92.85%, 96.6%). McMurray tests for medial and lateral meniscus injuries yielded sensitivities of 81.51% and 68.42%, respectively, with corresponding specificities of 58.6% and 86.11%. MRI performance was also evaluated, with anterior cruciate ligament (ACL) tears showing 93.33% sensitivity and 90% specificity, while medial meniscus injuries had 84.87% sensitivity and 80.43% specificity. The lowest sensitivity was observed in diagnosing articular cartilage defects (29.16%), highlighting MRI's limitations in certain areas.
Conclusion: In conclusion, despite arthroscopy’s superiority as the gold standard for knee injury diagnosis, it remains an invasive procedure. A well-conducted clinical examination, supplemented by MRI, remains invaluable in the diagnostic process, allowing for precise management of meniscal tears and ligamentous injuries.
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| format | Article |
| id | doaj-art-6ebdfb854da348eca918040561384679 |
| institution | Kabale University |
| issn | 2312-4423 2312-6884 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Baqai University Press |
| record_format | Article |
| series | Baqai Journal of Health Sciences |
| spelling | doaj-art-6ebdfb854da348eca9180405613846792025-02-11T18:45:32ZengBaqai University PressBaqai Journal of Health Sciences2312-44232312-68842024-12-01252CORRELATION OF CLINICAL EXAMINATION ANDMRI FINDINGS WITH ARTHROSCOPIC EVALUATIONOF MENISCUS TEARS AND CRUCIATE LIGAMENT RUPTURESSaad Iqbal0Sumaiya Khan1Raza Mehmood2Muhammad Sufyan3Muhammad Kazim Najjad4Aimen Najam5Liaquat National Hospital and Medical CollegeOrthopedic Department, Liaquat National Hospital and Medical College, Karachi-PakistanShaheed Mohtarma Benazir Bhutto Institute of TraumaLiaquat National Hospital and Medical CollegeLiaquat National Hospital and Medical CollegeLiaquat National Hospital and Medical College Objectives: This study aimed to evaluate the correlation between clinical examination and MRI findings with arthroscopy in diagnosing meniscal tears and cruciate ligament ruptures. Methods: The research involved a retrospective review of 165 patients, including 142 males and 23 females, who underwent arthroscopy for meniscal or cruciate ligament injuries between January 2018 and July 2020. The arthroscopic findings were compared with MRI reports and clinical examination results, including Lachman, anterior and posterior drawer tests for cruciate ligament injuries, and McMurray tests for medial and lateral meniscus injuries. Results: The study demonstrated that clinical examination showed strong sensitivity and specificity when compared to arthroscopy: Lachman test (84.76% sensitivity, 95% specificity), anterior drawer test (88.54%, 91.66%), and posterior drawer test (92.85%, 96.6%). McMurray tests for medial and lateral meniscus injuries yielded sensitivities of 81.51% and 68.42%, respectively, with corresponding specificities of 58.6% and 86.11%. MRI performance was also evaluated, with anterior cruciate ligament (ACL) tears showing 93.33% sensitivity and 90% specificity, while medial meniscus injuries had 84.87% sensitivity and 80.43% specificity. The lowest sensitivity was observed in diagnosing articular cartilage defects (29.16%), highlighting MRI's limitations in certain areas. Conclusion: In conclusion, despite arthroscopy’s superiority as the gold standard for knee injury diagnosis, it remains an invasive procedure. A well-conducted clinical examination, supplemented by MRI, remains invaluable in the diagnostic process, allowing for precise management of meniscal tears and ligamentous injuries. https://journals.baqai.edu.pk/index.php/CS/article/view/123Meniscal injuryACL injuryPCL injuryArthroscopyClinical examination |
| spellingShingle | Saad Iqbal Sumaiya Khan Raza Mehmood Muhammad Sufyan Muhammad Kazim Najjad Aimen Najam CORRELATION OF CLINICAL EXAMINATION ANDMRI FINDINGS WITH ARTHROSCOPIC EVALUATIONOF MENISCUS TEARS AND CRUCIATE LIGAMENT RUPTURES Baqai Journal of Health Sciences Meniscal injury ACL injury PCL injury Arthroscopy Clinical examination |
| title | CORRELATION OF CLINICAL EXAMINATION ANDMRI FINDINGS WITH ARTHROSCOPIC EVALUATIONOF MENISCUS TEARS AND CRUCIATE LIGAMENT RUPTURES |
| title_full | CORRELATION OF CLINICAL EXAMINATION ANDMRI FINDINGS WITH ARTHROSCOPIC EVALUATIONOF MENISCUS TEARS AND CRUCIATE LIGAMENT RUPTURES |
| title_fullStr | CORRELATION OF CLINICAL EXAMINATION ANDMRI FINDINGS WITH ARTHROSCOPIC EVALUATIONOF MENISCUS TEARS AND CRUCIATE LIGAMENT RUPTURES |
| title_full_unstemmed | CORRELATION OF CLINICAL EXAMINATION ANDMRI FINDINGS WITH ARTHROSCOPIC EVALUATIONOF MENISCUS TEARS AND CRUCIATE LIGAMENT RUPTURES |
| title_short | CORRELATION OF CLINICAL EXAMINATION ANDMRI FINDINGS WITH ARTHROSCOPIC EVALUATIONOF MENISCUS TEARS AND CRUCIATE LIGAMENT RUPTURES |
| title_sort | correlation of clinical examination andmri findings with arthroscopic evaluationof meniscus tears and cruciate ligament ruptures |
| topic | Meniscal injury ACL injury PCL injury Arthroscopy Clinical examination |
| url | https://journals.baqai.edu.pk/index.php/CS/article/view/123 |
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