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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(05): e707-e711
DOI: 10.1055/s-0044-1785508
Artigo Original
Joelho

Precision of Magnetic Resonance Imaging in Detection of Anterior Cruciate Ligament and Posterior Cruciate Ligament Ruptures and Subsequent Arthroscopic Correlations: An Investigation

Artikel in mehreren Sprachen: português | English
Vijendra Yadav 
1   Sanjay Gandhi Institute of Trauma and Orthopedics, Bangalore, Karnataka, Índia
,
Chidanand Kaudki Janekunte Chandrashekhar 
1   Sanjay Gandhi Institute of Trauma and Orthopedics, Bangalore, Karnataka, Índia
,
Rishi Pothuri Ram 
1   Sanjay Gandhi Institute of Trauma and Orthopedics, Bangalore, Karnataka, Índia
,
Rafeeq Mohammed
1   Sanjay Gandhi Institute of Trauma and Orthopedics, Bangalore, Karnataka, Índia
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Abstract

Objective The present study endeavors to scrutinize the precision of magnetic resonance imaging as a diagnostic modality for detecting ligament disruption of the knee, with arthroscopy serving as the gold standard. The study delves into the sensitivity, specificity, positive predictive value, and negative predictive value of magnetic resonance imaging (MRI) results in a cohort of 200 patients against diagnostic arthroscopy.

Methods Our institution conducted a comprehensive clinical examination of all patients with knee injuries, and those with affirmative findings suggestive of ligament disruption were subjected to an MRI scan. The study comprised 200 patients with MRI-confirmed anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) tears, who subsequently underwent arthroscopy for both diagnostic and therapeutic purposes. The results were subjected to various statistical tests to compare and analyze the outcomes.

Results The study has demonstrated a remarkably high sensitivity and specificity, providing near-optimal accuracy for the diagnosis of ACL and PCL injuries via MRI compared with arthroscopy. Patients with affirmative MRI findings could proceed to undergo diagnostic/therapeutic arthroscopic procedures.

Conclusion The study emphasizes the significance of MRI as a noninvasive and highly precise method for assessing ligament injuries in the knee. Although MRI can be used as a first-line investigation, it must be emphasized that arthroscopy remains the gold standard for diagnosing ACL and PCL tears. The current study recommends the use of MRI as a valuable screening tool in patients with suspected knee ligament disruption, with potential to reduce the number of diagnostic arthroscopies in patients with inconclusive clinical findings, thereby minimizing patient discomfort and healthcare costs.

Keywords

anterior cruciate ligament - arthroscopy - knee - magnetic resonance imaging - meniscus

Work carried out at the Sanjay Gandhi Institute of Trauma and Orthopaedics, India.




Publikationsverlauf

Eingereicht: 03. März 2023

Angenommen: 21. Juli 2023

Artikel online veröffentlicht:
07. Dezember 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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  • Referências

  • 1 Kaplan PA, Walker CW, Kilcoyne RF, Brown DE, Tusek D, Dussault RG. Occult fracture patterns of the knee associated with anterior cruciate ligament tears: assessment with MR imaging. Radiology 1992; 183 (03) 835-838
    CrossrefPubMedSuche in Google Scholar
  • 2 Levine WN, Bergfeld JA, Tessendorf W, Moorman CT. Intracapsular and extracapsular structure relationships at the knee: magnetic resonance imaging and arthroscopic correlation. Arthroscopy 1997; 13 (02) 166-1707
    PubMedSuche in Google Scholar
  • 3 Avcu S, Altun E, Akpinar I, Bulut MD, Eresov K, Biren T. Knee joint examinations by magnetic resonance imaging: The correlation of pathology, age, and sex. N Am J Med Sci 2010; 2 (04) 202-204
    PubMedSuche in Google Scholar
  • 4 Rubin DA, Kettering JM, Towers JD, Britton CA. MR imaging of knees having isolated and combined ligament injuries. AJR Am J Roentgenol 1998; 170 (05) 1207-1213
    CrossrefPubMedSuche in Google Scholar
  • 5 Lee K, Seigel MJ, Lau DM, Hildebolt CF, Matava MJ. Anterior cruciate ligament tears: MR imaging-based diagnosis in a pediatric population. Radiology 1999; 213 (03) 697-704
    CrossrefPubMedSuche in Google Scholar
  • 6 Oei EH, Nikken JJ, Verstijnen AC, Ginai AZ, Myriam Hunink MG. MR imaging of the menisci and cruciate ligaments: a systematic review. Radiology 2003; 226 (03) 837-848
    CrossrefPubMedSuche in Google Scholar
  • 7 Esmaili Jah AA, Keyhani S, Zarei R, Moghaddam AK. Accuracy of MRI in comparison with clinical and arthroscopic findings in ligamentous and meniscal injuries of the knee. Acta Orthop Belg 2005; 71 (02) 189-196
    PubMedSuche in Google Scholar
  • 8 Navali AM, Bazavar M, Mohseni MA, Safari B, Tabrizi A. Arthroscopic evaluation of the accuracy of clinical examination versus MRI in diagnosing meniscus tears and cruciate ligament ruptures. Arch Iran Med 2013; 16 (04) 229-232
    PubMedSuche in Google Scholar
  • 9 Li K, Du J, Huang LX, Ni L, Liu T, Yang HL. The diagnostic accuracy of magnetic resonance imaging for anterior cruciate ligament injury in comparison to arthroscopy: a meta-analysis. Sci Rep 2017; 7 (01) 7583
    CrossrefPubMedSuche in Google Scholar
  • 10 Shantanu K, Singh S, Srivastava S, Saroj AK. The Validation of Clinical Examination and MRI as a Diagnostic Tool for Cruciate Ligaments and Meniscus Injuries of the Knee Against Diagnostic Arthroscopy. Cureus 2021; 13 (06) e15727
    PubMedSuche in Google Scholar