Shu Henry T, Wegener Nicholas R, Connors Katherine M, Yang Daniel S, Lockey Stephen D, Thomas Jennifer M, Argintar Evan H
Department of Orthopaedic Surgery, MedStar Washington Hospital Center, Washington, DC, 20007, USA.
School of Medicine, The Johns Hopkins University, Baltimore, MD, 21205, USA.
J Orthop. 2021 May 6;25:129-133. doi: 10.1016/j.jor.2021.05.002. eCollection 2021 May-Jun.
The purpose of this study is to evaluate the reliability of magnetic resonance imaging (MRI) in predicting the location of ACL tears in preoperative planning for anterior cruciate ligament (ACL) repair.
Thirty-four patients who underwent ACL repair were retrospectively analyzed to compare intraoperative arthroscopic findings with preoperative MRIs.
For identifying type I tears, the sensitivity of MRI was 9.0% and the accuracy of MRI was 8.8%. There was moderate interrater agreement between MRI findings for tear location and tear degree.
MRI alone may not necessarily be accurate in identifying which ACL tears are amenable to repair.
Retrospective case series; Level of Evidence: IV.
本研究的目的是评估磁共振成像(MRI)在预测前交叉韧带(ACL)修复术前计划中ACL撕裂位置的可靠性。
回顾性分析34例行ACL修复术的患者,将术中关节镜检查结果与术前MRI进行比较。
对于识别I型撕裂,MRI的敏感性为9.0%,准确性为8.8%。MRI对撕裂位置和撕裂程度的检查结果之间存在中等程度的评分者间一致性。
仅靠MRI不一定能准确识别哪些ACL撕裂适合修复。
回顾性病例系列;证据等级:IV级。