半月板撕裂临床诊断的可靠性。
Reliability of clinical diagnosis in meniscal tears.
作者信息
Mohan B R, Gosal Harminder S
机构信息
Stoke Mandeville Hospital, 15, Aston House, Aylesbury, Buckinghamshire, UK.
出版信息
Int Orthop. 2007 Feb;31(1):57-60. doi: 10.1007/s00264-006-0131-x. Epub 2006 Apr 22.
Abstract
This retrospective study was conducted to analyse the reliability of clinical diagnosis in meniscal tear injuries. All patients attending our clinic with knee pain from January 2003 to December 2004 underwent systematic and thorough clinical assessment. One hundred and fifty patients were clinically diagnosed to have meniscal tears. All these patients underwent therapeutic arthroscopic knee surgery. The clinical diagnosis was confirmed during this procedure. The accuracy, sensitivity and specificity were calculated based on these arthroscopic findings. The accuracy of clinical diagnosis in our study was 88% for medial meniscal tears and 92% for lateral meniscal tears. The results of this study demonstrate that clinical diagnosis of meniscal tears is as reliable as the results published by other authors for magnetic resonance imaging (MRI) scan. We recommend the use of MRI for more doubtful, difficult and complex knee injuries.
摘要
本回顾性研究旨在分析半月板撕裂伤临床诊断的可靠性。2003年1月至2004年12月期间，所有因膝关节疼痛前来我院就诊的患者均接受了系统、全面的临床评估。150例患者临床诊断为半月板撕裂。所有这些患者均接受了治疗性膝关节镜手术。在此手术过程中，临床诊断得到了证实。根据这些关节镜检查结果计算了准确性、敏感性和特异性。在我们的研究中，内侧半月板撕裂临床诊断的准确性为88%，外侧半月板撕裂为92%。本研究结果表明，半月板撕裂的临床诊断与其他作者发表的磁共振成像（MRI）扫描结果一样可靠。对于更可疑、困难和复杂的膝关节损伤，我们建议使用MRI。
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本文引用的文献
1
The value of clinical examination versus magnetic resonance imaging in the diagnosis of meniscal tears and anterior cruciate ligament rupture.临床检查与磁共振成像在诊断半月板撕裂和前交叉韧带断裂中的价值。
Arthroscopy. 2004 Sep;20(7):696-700. doi: 10.1016/j.arthro.2004.06.008.
2
The accuracy of joint line tenderness by physical examination in the diagnosis of meniscal tears.体格检查中关节线压痛对半月板撕裂诊断的准确性。
Arthroscopy. 2003 Oct;19(8):850-4. doi: 10.1016/s0749-8063(03)00736-9.
3
[The accuracy of the clinical diagnosis of meniscal tears with or without associated anterior cruciate ligament tears].[伴有或不伴有前交叉韧带撕裂的半月板撕裂临床诊断的准确性]
Acta Orthop Traumatol Turc. 2003;37(3):193-8.
4
[Comparison of clinical examination with NMR spectroscopy in the diagnosis of meniscal lesions in daily practice].[日常实践中临床检查与核磁共振波谱在半月板损伤诊断中的比较]
Z Orthop Ihre Grenzgeb. 1999 Jan-Feb;137(1):38-42. doi: 10.1055/s-2008-1037033.
5
Clinical magnetic resonance imaging and arthroscopic findings in knees: a comparative prospective study of meniscus anterior cruciate ligament and cartilage lesions.
Arthroscopy. 1998 Mar;14(2):171-5. doi: 10.1016/s0749-8063(98)70036-2.
6
A prospective study comparing the accuracy of the clinical diagnosis of meniscus tear with magnetic resonance imaging and its effect on clinical outcome.一项前瞻性研究，比较半月板撕裂临床诊断与磁共振成像的准确性及其对临床结果的影响。
Arthroscopy. 1996 Aug;12(4):406-13. doi: 10.1016/s0749-8063(96)90033-x.
7
A comparison of accuracy between clinical examination and magnetic resonance imaging in the diagnosis of meniscal and anterior cruciate ligament tears.临床检查与磁共振成像在诊断半月板和前交叉韧带撕裂中的准确性比较。
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8
A prospective and blinded investigation of magnetic resonance imaging of the knee. Abnormal findings in asymptomatic subjects.
Clin Orthop Relat Res. 1992 Sep(282):177-85.
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