Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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A Hospital Based Cross‐Sectional Study on Comparison of Magnetic Resonance Imaging and Arthroscopy in the Diagnosis of Knee Injuries
Rajkumar Indrasen Suryawanshi, Sidhant Goyal, Rajendra Hanumandas Agrawal, Pankaj Pandurang Ghogare, Amol Champalal Patil, Aditya Vijaykumar Jadhav, Shanshah Shamsher Ali Sheikh, Hanumant Shivaji Kale and Krishna R. Suryawanshi
Page: 43-48 | Received 19 Nov 2024, Published online: 07 Jan 2025
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Abstract
Knee injuries are common and have a significant impact on mobility and quality of life. Accurate diagnosis is essential for effective treatment. Magnetic Resonance Imaging (MRI) and arthroscopy are commonly used diagnostic tools, each with its own advantages and limitations. To compare the diagnostic accuracy of MRI and arthroscopy in identifying various types of knee injuries and to assess the concordance between these two modalities. This hospital‐based cross‐sectional study involved 120 patients suspected of having knee injuries. All participants underwent both MRI and arthroscopy. The diagnostic outcomes (true positives, true negatives, false positives and false negatives), sensitivity, specificity and concordance rates were analyzed and compared between the two modalities. Arthroscopy demonstrated higher true positive rates (68.3%) compared to MRI (56.7%), with a statistically significant difference (p=0.045). However, there were no significant differences in false positives and false negatives between the two techniques. The overall concordance rate between MRI and arthroscopy was high at 86.7% (p<0.001). Arthroscopy showed higher sensitivity and specificity across most types of knee injuries, particularly in detecting ligament tears and cartilage damage. The use of arthroscopy also led to more accurate treatment initiation and slightly better outcomes regarding recovery time, although this did not significantly affect complication rates. Arthroscopy has a higher diagnostic accuracy compared to MRI, particularly for specific types of knee injuries. However, the high concordance rate suggests that MRI remains a valuable non‐invasive tool for initial evaluation. Combining MRI and arthroscopy may offer the best diagnostic strategy, depending on individual patient circumstances and clinical judgment.
How to cite this article:
Rajkumar Indrasen Suryawanshi, Sidhant Goyal, Rajendra Hanumandas Agrawal, Pankaj Pandurang Ghogare, Amol Champalal Patil, Aditya Vijaykumar Jadhav, Shanshah Shamsher Ali Sheikh, Hanumant Shivaji Kale and Krishna R. Suryawanshi. A Hospital Based Cross‐Sectional Study on Comparison of Magnetic Resonance Imaging and Arthroscopy in the Diagnosis of Knee Injuries.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.2.43.48
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.2.43.48