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2011, Number 1

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Acta Med 2011; 9 (1)

Diagnostic correlation in ligamentous and meniscal knee lesions: Magnetic resonance vs arthroscopy

Pichardo FA, García MJA
Full text How to cite this article

Language: Spanish
References: 6
Page: 17-19
PDF size: 172.01 Kb.


Key words:

Meniscus, knee, ligaments, magnetic resonance.

ABSTRACT

Purpose:To determine how helpful is the magnetic resonance to diagnose meniscal and cruciate ligaments injuries in the knee, taking the arthroscopy as reference standard for the diagnosis of these lesions. Material and methods: We included 27 patients who had undergone knee magnetic resonance at Hospital Angeles Mocel with diagnosis of meniscal and cruciate ligament lesions. We perform a therapeutic arthroscopy to these patients and we compared the diagnostic images to magnetic resonance. Results: The diagnosis in magnetic resonance was more accurate and specific in patients between 30 and 50 years old. We found the most accuracy in cruciate ligaments, with a sensitivity of 100%, the lateral meniscus with the lowest sensitivity of 66% and all the lesions with specificity above 90%. Conclusions: The magnetic resonance diagnosis of meniscal and cruciate ligaments is highly accurate. Is the most adequate diagnostic tool to decide for a therapeutic arthroscopy, that is preferred than a diagnostic arthroscopy, it is faster and we avoid surgery risks.


REFERENCES

  1. Ramnath R, Magee T et al. Accuracy of 3-T MRI Using fast spin-echo technique to detect meniscal tears of the knee. AJR 2006; 187: 221-225.

  2. Sein PJ et al. Meniscal flounce on knee MRI : Correlation with meniscal locations after positional changes. AJR 2006; 187: 364-370.

  3. De Smet A et al. Clinical, MRI, and arthroscopic findings associated with failure to diagnose a lateral meniscal tear on knee M. AJR 2008; 190: 22-26.

  4. De Semet A et al. Clinical and MRI findings associated with false-positive knee MR diagnoses of medial meniscal tears. AJR 2008; 191: 93-99.

  5. Crawford R et al. Magnetic resonance imaging versus arthroscopy in the diagnosis of knee pathology, concentrating on meniscal lesions and ACL tears: a systematic review. Br Med Bull 2007; 84: 5-23.

  6. Miller M, Osbourne J, Warner J, Fu F. Resonancia magnética y artroscopia, correlación en la patología articular. Capítulo 2 rodilla. Harcourt Brace, Madrid, España 1998: 20-54.




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C?MO CITAR (Vancouver)

Acta Med. 2011;9