Evaluation of MRI Versus Arthroscopy in Anterior Cruciate Ligament and Meniscal Injuries
Published: December 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.5331
Amreen Abdul Bari, Shivali Vaibhav Kashikar, Bhushan Narayan Lakhkar, Mohammad Saleem Ahsan
1. Resident, Department of Radiodiagnosis, JNMC, DMIMS, Sawangi (Meghe) Wardha, Maharashtra, India.
2. Professor, Department of Radiodiagnosis, JNMC, DMIMS, Sawangi (Meghe) Wardha, Maharashtra, India.
3. Professor, Department of Radiodiagnosis, JNMC, DMIMS, Sawangi (Meghe) Wardha, Maharashtra, India.
4. Lecturer, Department of Anaesthesia, JNMC, DMIMS, Sawangi (Meghe) Wardha, Maharashtra, India.
Correspondence
Dr. Amreen Abdul Bari,
Flat No. 12, Building No. 1, Meghe Heights, JNMC Campus, Datta Meghe Institute of Medical Sciences,
Sawangi (Meghe), Wardha-442004, Maharashtra, India.
Phone : +91 9096364778, E-mail : dramreen08@gmail.com
Aims and Objectives: To find out the incidence of ACL & meniscal injuries, to co-relate MRI findings with arthroscopy by calculating Sensitivity, Specificity, Positive And Negative Predictive Values (PPV & NPV) keeping arthroscopy as a gold standard, to find out the degree of subluxation and to grade it and to find a threshold value of fluid in knee.
Settings and Design: Prospective analytical study. Materials and Methods: MRI of 230 patients with 71 arthroscopic co- relation in year 2012-14 was analysed.
Statistical Analysis: Descriptive statistics using Chi square test and predictive values was done. The spearman correlation coefficient was done by using statistical software SPSS 17.0.
Results: The sensitivity, specificity, PPV and NPV was calculated (in %). For ACL it was 87.87, 81.57, 80.55, 88.57 for MM 93.54, 87.50, 85.29, 94.59 and for LM 77.77, 81.81, 72.41, 85.71 respectively. We found 35.6% incidence of anterior tibial subluxation with maximum patients having grade 1 category subluxation. Two hundred and one cases showed joint fluid in lateral aspect of the suprapatellar pouch (AP diameter >10mm) with internal derangement.
Conclusion: MRI is helpful in diagnosing meniscal and cruciate ligament injuries. Arthroscopy still remains gold standard for definitive diagnosis.
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