Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
This prospective study involved 30 patients with knee injuries, revealing that pain and instability were the predominant complaints. The data indicated a higher incidence of knee injuries among males, particularly affecting the right knee. The most frequently observed injury was an anterior cruciate ligament (ACL) tear, followed by medial meniscal injuries. Clinical assessments demonstrated excellent sensitivity for detecting ACL injuries, average sensitivity for medial meniscal injuries and good sensitivity for lateral meniscal tears. In contrast, magnetic resonance imaging (MRI) exhibited good sensitivity for ACL injuries, average sensitivity for medial meniscal injuries and poor sensitivity for lateral meniscal injuries. Previous studies suggesting that MRI is superior to arthroscopy for diagnosing meniscal and cruciate ligament tears were not corroborated by the findings of this study. Nonetheless, MRI remains a valuable non‐invasive diagnostic tool, exhibiting moderately high sensitivity, specificity and accuracy for meniscal and cruciate ligament injuries. The majority of patients were aged between 20 and 30 years, comprising 28 males and 2 females. The most common injuries identified were ACL tears and medial meniscal tears. The accuracy rates for MRI in diagnosing medial meniscal, lateral meniscal and ACL injuries were 70%, 70% and 80%, respectively. In comparison, the accuracy of clinical examinations for these injuries was 67%, 80% and 90%, respectively. For suspected ACL injuries, patients may be directed to undergo arthroscopy rather than MRI, given the higher accuracy of clinical evaluations. The study found that the number of cases with combined injuries (ACL and medial meniscus) exceeded those with isolated injuries. Additionally, the detection of medial meniscal tears in conjunction with ACL injuries was lower via MRI. These findings reflect the typical challenges faced by orthopedic surgeons in daily practice. MRI proves beneficial in scenarios where arthroscopy may not be effective, such as in cases of peripheral meniscal tears and inferior surface tears. Numerous anatomical variations may resemble tears on magnetic resonance imaging (MRI). It is not necessary to perform MRI on every patient with suspected ligamentous injury, particularly when clinical signs are clearly evident.
How to cite this article:
P. Satyanarayana Prasad, Aditya Kaja and Maduri Hari Prasad Rao. Correlation Between Clinical Findings MRI and Arthoscopic Findings in Anterior Cruciate Ligament and Meniscal Injuries of the Knee.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.11.562.566
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.11.562.566