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2021, Number 1

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Acta Med 2021; 19 (1)

Is there a correlation between findings by MRI and arthroscopy in knee meniscal lesions?

García LR, Jeong M, Saucedo MEM
Full text How to cite this article 10.35366/98567

DOI

DOI: 10.35366/98567
URL: https://dx.doi.org/10.35366/98567

Language: Spanish
References: 9
Page: 35-39
PDF size: 176.91 Kb.


Key words:

Knee arthroscopy, meniscal injury, knee nuclear magnetic resonance imaging.

ABSTRACT

In the detection of meniscal injuries, the clinic is useful and, as a supplementary study, it is suggested to use nuclear magnetic resonance imaging (MRI), which allows a deeper look of the joint and topographically describe the type of injury in the meniscus. However, there are situations in which the meniscus appears intact in the MRI and broken in the arthroscopy. Prospective, longitudinal, descriptive study, with data from records of patients that were intervened in a period from March 2013 to February 2018, at a third-level private sector hospital in Mexico City. Subjects over 18 years of age, of any gender, diagnosed with meniscus injury, unilateral or bilateral, who were operated arthroscopically where included. The diagnosis was made using magnetic resonance imaging and compared with arthroscopy. MRI in medial meniscus injuries has low specificity (47.6%) and sensitivity (58.8%) compared to various studies worldwide; the authors believe this could be because of the interpretation. In contrast, in lateral meniscus injuries, it has low sensitivity (10.35%) and high specificity (92%). The NPV found was 89.7% for lateral meniscus and 47.8% for medial.


REFERENCES

  1. Pujol N, Boisrenoult P, Beaufils P. Lesiones traumáticas de los meniscos de la rodilla. EMC - Aparato Locomotor. 2014; 47 (2): 1-10.

  2. De Smet AA, Graf BK. Meniscal tears missed on MR imaging: relationship to meniscal tear patterns and anterior cruciate ligament tears. AJR Am J Roentgenol. 1994; 162 (4): 905-911.

  3. Wright DH, De Smet AA, Norris M. Bucket-handle tears of the medial and lateral menisci of the knee: value of MR imaging in detecting displaced fragments. AJR Am J Roentgenol. 1995; 165 (3): 621-625.

  4. Helms CA, Laorr A, Cannon WD Jr. The absent bow tie sign in bucket-handle tears of the menisci in the knee. AJR Am J Roentgenol. 1998; 170 (1): 57-61.

  5. Bin SI, Kim JM, Shin SJ. Radial tears of the posterior horn of the medial meniscus. Arthroscopy. 2004; 20 (4): 373-378.

  6. Bolog NV, Andreisek G. Reporting knee meniscal tears: technical aspects, typical pitfalls and how to avoid them. Insights Imaging. 2016; 7 (3): 385-398.

  7. Lee CS, Davis SM, McGroder C, Stetson WB, Powell SE. Analysis of low-field magnetic resonance imaging scanners for evaluation of knee pathology based on arthroscopy. Orthop J Sports Med. 2013; 1 (7): 2325967113513423.

  8. Singh N, Hanekom H, Suleman FE. The accuracy of magnetic resonance imaging diagnosis of non-osseous knee injury at Steve Biko Academic Hospital. SA J Radiol. 2019; 23 (1): 1754.

  9. Bruno F, Goderecci R, Barile A, Calvisi V. Comparative evaluation of meniscal pathology: MRI vs arthroscopy. J Biol Regul Homeost Agents. 2019; 33 (2 Suppl. 1): 9-14.




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Acta Med. 2021;19