MRI evaluation of meniscal injuries of knee with arthroscopy correlation: A comparative study in a tertiary care hospital
Among various osseous, ligamentous structures around knee meniscus play important role in decreasing load on articular cartilage, smooth movement, reducing friction between opposing articular surfaces of femur, tibia during movement. An accurate diagnosis regarding site, type, grade of meniscal tear...
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Deccan College of Medical Sciences
2022-01-01
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| Series: | Journal of Medical and Allied Sciences |
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| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=138402 |
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| author | Anil Nethikoppula Vijaypavan Kumar Dasaraju Srinivas Tadivaka Madhavi Latha Gundamaraju Himaja Gollu Pavani Kandikanti Naveen Tirumalasetti |
| author_facet | Anil Nethikoppula Vijaypavan Kumar Dasaraju Srinivas Tadivaka Madhavi Latha Gundamaraju Himaja Gollu Pavani Kandikanti Naveen Tirumalasetti |
| author_sort | Anil Nethikoppula |
| collection | DOAJ |
| description | Among various osseous, ligamentous structures around knee meniscus play important role in decreasing load on articular cartilage, smooth movement, reducing friction between opposing articular surfaces of femur, tibia during movement. An accurate diagnosis regarding site, type, grade of meniscal tear along with other associated injury is essential for early operative treatment or non-operative conservative management. This was a descriptive retrospective comparative study to determine the role of MRI in evaluating spectrum and grading of meniscal injuries of knee joint and correlate the findings with arthroscopy. A total of 30 patients clinically suspected of having meniscal injury were evaluated over a period of 1 ½ year from July 2018 to December 2019. Clinical evaluation for meniscal injury with emphasis on medial and lateral joint tenderness, McMurrey test, Appley grinding test were performed by experienced an orthopedician. MRI was performed on 1.5 tesla machine followed by arthroscopy in all patients. Taking arthroscopy as gold standard; sensitivity, specificity, PPV, NPV, accuracy of MRI was determined. In our study, most common meniscal injury was medial meniscal injury (63.3%). Lateral meniscal injury comprised of 33.3%, both menisci were injured in 3.3% of cases. Most common type of tear was longitudinal tear and Grade III tear was most common in both medial and lateral menisci. The sensitivity, specificity, PPV, NPV accuracy of MRI for medial meniscal injury was 94.4%, 83.3%, 89.5%, 90.5%, 90.5%. The sensitivity, specificity, PPV, NPV accuracy of MRI for lateral meniscal injury was 90.0%, 95.0%, 90.0%, 95.0%, 93.3%. There is a good correlation between MRI and arthroscopy findings for meniscal injuries thus supporting MRI as excellent primary non invasive diagnostic tool prior to any invasive arthroscopy. [J Med Allied Sci. 2022; 12(1): 22-27] |
| first_indexed | 2024-03-12T13:24:01Z |
| format | Article |
| id | doaj.art-260cffe983e14bbbb29ed4f1b68bb5e6 |
| institution | Directory Open Access Journal |
| issn | 2231-1696 2231-170X |
| language | English |
| last_indexed | 2024-03-12T13:24:01Z |
| publishDate | 2022-01-01 |
| publisher | Deccan College of Medical Sciences |
| record_format | Article |
| series | Journal of Medical and Allied Sciences |
| spelling | doaj.art-260cffe983e14bbbb29ed4f1b68bb5e62023-08-25T09:44:49ZengDeccan College of Medical SciencesJournal of Medical and Allied Sciences2231-16962231-170X2022-01-01121222710.5455/jmas.138402138402MRI evaluation of meniscal injuries of knee with arthroscopy correlation: A comparative study in a tertiary care hospitalAnil Nethikoppula0Vijaypavan Kumar Dasaraju1Srinivas Tadivaka2Madhavi Latha Gundamaraju3Himaja Gollu4Pavani Kandikanti5Naveen Tirumalasetti6Department of Radiodiagnosis, Gandhi Medical College, Secunderabad-500003, Telangana, IndiaDepartment of Radiodiagnosis, Gandhi Medical College, Secunderabad-500003, Telangana, IndiaDepartment of Radiodiagnosis, Gandhi Medical College, Secunderabad-500003, Telangana, IndiaDepartment of Radiodiagnosis, Gandhi Medical College, Secunderabad-500003, Telangana, IndiaCommunity Health Center, Gajapathinagaram, Vizianagaram District-535270, Andhra Pradesh, IndiaDepartment of Radiodiagnosis, Gandhi Medical College, Secunderabad-500003, Telangana, IndiaDepartment of Radiodiagnosis, Gandhi Medical College, Secunderabad-500003, Telangana, IndiaAmong various osseous, ligamentous structures around knee meniscus play important role in decreasing load on articular cartilage, smooth movement, reducing friction between opposing articular surfaces of femur, tibia during movement. An accurate diagnosis regarding site, type, grade of meniscal tear along with other associated injury is essential for early operative treatment or non-operative conservative management. This was a descriptive retrospective comparative study to determine the role of MRI in evaluating spectrum and grading of meniscal injuries of knee joint and correlate the findings with arthroscopy. A total of 30 patients clinically suspected of having meniscal injury were evaluated over a period of 1 ½ year from July 2018 to December 2019. Clinical evaluation for meniscal injury with emphasis on medial and lateral joint tenderness, McMurrey test, Appley grinding test were performed by experienced an orthopedician. MRI was performed on 1.5 tesla machine followed by arthroscopy in all patients. Taking arthroscopy as gold standard; sensitivity, specificity, PPV, NPV, accuracy of MRI was determined. In our study, most common meniscal injury was medial meniscal injury (63.3%). Lateral meniscal injury comprised of 33.3%, both menisci were injured in 3.3% of cases. Most common type of tear was longitudinal tear and Grade III tear was most common in both medial and lateral menisci. The sensitivity, specificity, PPV, NPV accuracy of MRI for medial meniscal injury was 94.4%, 83.3%, 89.5%, 90.5%, 90.5%. The sensitivity, specificity, PPV, NPV accuracy of MRI for lateral meniscal injury was 90.0%, 95.0%, 90.0%, 95.0%, 93.3%. There is a good correlation between MRI and arthroscopy findings for meniscal injuries thus supporting MRI as excellent primary non invasive diagnostic tool prior to any invasive arthroscopy. [J Med Allied Sci. 2022; 12(1): 22-27]http://www.ejmanager.com/fulltextpdf.php?mno=138402arthroscopymeniscal tearmri |
| spellingShingle | Anil Nethikoppula Vijaypavan Kumar Dasaraju Srinivas Tadivaka Madhavi Latha Gundamaraju Himaja Gollu Pavani Kandikanti Naveen Tirumalasetti MRI evaluation of meniscal injuries of knee with arthroscopy correlation: A comparative study in a tertiary care hospital Journal of Medical and Allied Sciences arthroscopy meniscal tear mri |
| title | MRI evaluation of meniscal injuries of knee with arthroscopy correlation: A comparative study in a tertiary care hospital |
| title_full | MRI evaluation of meniscal injuries of knee with arthroscopy correlation: A comparative study in a tertiary care hospital |
| title_fullStr | MRI evaluation of meniscal injuries of knee with arthroscopy correlation: A comparative study in a tertiary care hospital |
| title_full_unstemmed | MRI evaluation of meniscal injuries of knee with arthroscopy correlation: A comparative study in a tertiary care hospital |
| title_short | MRI evaluation of meniscal injuries of knee with arthroscopy correlation: A comparative study in a tertiary care hospital |
| title_sort | mri evaluation of meniscal injuries of knee with arthroscopy correlation a comparative study in a tertiary care hospital |
| topic | arthroscopy meniscal tear mri |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=138402 |
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