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International Orthopaedics
Published in: International Orthopaedics 1/2009

01-02-2009 | Original Paper

Clinical, MRI, and arthroscopic correlation in meniscal and anterior cruciate ligament injuries

Authors: F. Rayan, Sachin Bhonsle, Divyang D. Shukla

Published in: International Orthopaedics | Issue 1/2009

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Abstract

The aim of this prospective study was to compare and correlate clinical, magnetic resonance imaging (MRI), and arthroscopic findings in cases of meniscal tear and anterior cruciate ligament (ACL) injuries. MRI scan results and clinical diagnosis are compared against the arthroscopic confirmation of the diagnosis. One hundred and thirty-one patients had suspected traumatic meniscal or anterior cruciate ligament (ACL) injury. Clinical examination had better sensitivity (0.86 vs. 0.76), specificity (0.73 vs. 0.52), predictive values, and diagnostic accuracy in comparison to MRI scan in diagnosis for medial meniscal tears. These parameters showed only marginal difference in lateral meniscal and anterior cruciate ligament injuries. We conclude that carefully performed clinical examination can give equal or better diagnosis of meniscal and ACL injuries in comparison to MRI scan. MRI may be used to rule out such injuries rather than to diagnose them.
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Metadata
Title
Clinical, MRI, and arthroscopic correlation in meniscal and anterior cruciate ligament injuries
Authors
F. Rayan
Sachin Bhonsle
Divyang D. Shukla
Publication date
01-02-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 1/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0520-4

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