Abougabal, K., Elsayed, M., Khalifa, A., Marzouk, A. (2020). CLINICAL, MRI, AND ARTHROSCOPIC CORRELATION INMENISCAL INJURIES OF THE KNEE. Egyptian Journal of Orthopedic Research, 1(2), 47-52. doi: 10.21608/ejor.2020.161936
Khalid Abougabal; Moustafa Elsayed; Abdelrahman Khalifa; Ashraf Marzouk. "CLINICAL, MRI, AND ARTHROSCOPIC CORRELATION INMENISCAL INJURIES OF THE KNEE". Egyptian Journal of Orthopedic Research, 1, 2, 2020, 47-52. doi: 10.21608/ejor.2020.161936
Abougabal, K., Elsayed, M., Khalifa, A., Marzouk, A. (2020). 'CLINICAL, MRI, AND ARTHROSCOPIC CORRELATION INMENISCAL INJURIES OF THE KNEE', Egyptian Journal of Orthopedic Research, 1(2), pp. 47-52. doi: 10.21608/ejor.2020.161936
Abougabal, K., Elsayed, M., Khalifa, A., Marzouk, A. CLINICAL, MRI, AND ARTHROSCOPIC CORRELATION INMENISCAL INJURIES OF THE KNEE. Egyptian Journal of Orthopedic Research, 2020; 1(2): 47-52. doi: 10.21608/ejor.2020.161936
CLINICAL, MRI, AND ARTHROSCOPIC CORRELATION INMENISCAL INJURIES OF THE KNEE
Orthopedic Surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt
Abstract
The aim of this study is to compare and correlate the clinical, magnetic resonance imaging (MRI), and arthroscopy findings in meniscal injuries of the knee. This was a prospective study of 30 cases of meniscal injuries of the knee admitted in Sohag University Hospital between January 2015 and June 2019, who underwent clinical examination, MRI, and arthroscopy of the knee. In our study of 30 cases, there were 24 male and six female patients with age ranging from 20 years to 39 years. Clinical examination had sensitivity of 86.9%, specificity of 85.7%, and accuracy of 86.6% for medial meniscus, and sensitivity of 57.2%, specificity of 95.6%, and accuracy of 86.6% for lateral meniscus. MRI had sensitivity of 95.6%, specificity of 85.7%, and accuracy of 93.33% for medial meniscus, and sensitivity of 85.7%, specificity of 69.56%, and accuracy of 73.33% for lateral meniscus. Clinical and MRI evaluations have no differences in the diagnosis of medial meniscus injuries. A trained radiologist obtained better sensitivity, specificity and accuracy in the diagnosis of lateral meniscus. Clinical diagnosis is of primary necessity. MRI is an additional diagnosing tool for meniscal injuries of the knee and can be used to exclude pathology, as the negative predictive value is high for all the lesions.