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膝关节损伤中磁共振成像与关节镜检查结果相关性的比较研究

A Comparative Study on Correlation between Magnetic Resonance Imaging and Arthroscopic Findings in the Knee Joint Injuries.

作者信息

Kumar K V Arun, Thavasianantham Krishnavel, Pandian Prashanth, Pandian Haemanath, Pradeep E, Sheik Mohideen

机构信息

Department of Orthopaedics, Chettinad Hospital and Research Education, Chettinad Academy of Research and Education, Kelambakkam, Tamil Nadu, India.

出版信息

J Orthop Case Rep. 2024 Aug;14(8):200-204. doi: 10.13107/jocr.2024.v14.i08.4698.

Abstract

INTRODUCTION

The knee joint primarily allows for flexion and extension and is essentially a hinge joint. The knee joint, like all hinge joints, is strengthened by collateral ligaments - one on each side of the joint.

OBJECTIVE

Our study sought to investigate potential correlations between arthroscopy and magnetic resonance imaging (MRl) examination in the diagnosis of traumatic diseases of the knee.

METHODS AND MATERIALS

A prospective study was conducted on 30 persons who showed signs of having traumatic knee disease. Following a comprehensive evaluation of the patient s medical history and current state of health, we opted to undergo an arthroscopic evaluation and knee MRL.

RESULTS

The sensitivity of the MRI was 93.87%, the specificity was 91.54%, the accuracy was 92.50%, and the negative predictive value was 95.58% when compared to arthroscopic inspection as the gold standard.

CONCLUSION

This study demonstrates that MRIs frequently misdiagnose individuals with multiple knee injuries or fail to detect a lesion while doing a diagnostic evaluation. Therefore, if the MRI comes out normal, there is no reason to deny the patient arthroscopy. Due to this MRI flaw, researchers have determined that arthroscopy can be performed following a comprehensive clinical assessment without the need for an MRI.

摘要

引言

膝关节主要允许屈伸,本质上是一个铰链关节。膝关节与所有铰链关节一样,由侧副韧带加强——关节两侧各有一条。

目的

我们的研究旨在探讨关节镜检查与磁共振成像(MRI)检查在膝关节创伤性疾病诊断中的潜在相关性。

方法和材料

对30名有膝关节创伤性疾病迹象的患者进行了一项前瞻性研究。在对患者的病史和当前健康状况进行全面评估后,我们选择进行关节镜评估和膝关节MRI检查。

结果

与作为金标准的关节镜检查相比,MRI的敏感性为93.87%,特异性为91.54%,准确性为92.50%,阴性预测值为95.58%。

结论

本研究表明,MRI在对有多处膝关节损伤的个体进行诊断评估时经常误诊或未能检测到病变。因此,如果MRI结果正常,没有理由拒绝患者进行关节镜检查。由于MRI存在这一缺陷,研究人员已确定,在进行全面的临床评估后可以进行关节镜检查,而无需进行MRI检查。

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