Clinical and MRI profile of patients with knee injuries and correlation of MRI with arthroscopic findings
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20230463Keywords:
MRI, Knee joint, Arthroscopy, Ligament injuriesAbstract
Background: MRI is radiation free modality and has ability to understand the soft tissue, anatomy and musculoskeletal system pathologies. MRI has the advantage of demonstrating the cartilages, bones, soft tissue in detail. Objectives of current study were evaluation of ligaments and meniscal injuries using magnetic resonance imaging, to study the pattern and spectrum of knee injuries in relation to mechanism of injury and to correlate MRI findings with that of arthroscopic findings.
Methods: All the MRI studies were done using a 1.5T MRI scanner (Siemens Magnetom) in our department, department of radiodiagnosis, ACS medical college, Chennai. Patient taken up for arthroscopy and the arthroscopic findings were collected. The data of MRI collected was compared with arthroscopy findings.
Results: On correlation of the overall findings the sensitivity of MRI versus arthroscopy was 90.62% Specificity was 84.55% positive predictive value was 92.06%, negative predictive value was 80.00% Between them with a kappa 0.059
Conclusions: MRI of knee is considered efficacious especially in the setting of indeterminate clinical finding and can stratify patients, thereby increasing the diagnostic confidence of the clinicians leading to appropriate surgical planning and management.
References
Rayan F, Bhonsle S, Shukla DD. Clinical, MRI, and arthroscopic correlation in meniscal and anterior cruciate ligament injuries. Int Orthop. 2009;33(1):129-32.
Englund M, Guermazi A, Gale D, Hunter DJ, Aliabadi P, Clancy M, Felson DT. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med. 2008;359(11):1108-15.
Munshi M, Davidson M, MacDonald PB, Froese W, Sutherland K. The efficacy of magnetic resonance imaging in acute knee injuries. Clin J Sport Med. 2000; 10(1):34-9.
Mackenzie R, Dixon AK, Keene GS, Hollingworth W, Lomas DJ, Villar RN. Magnetic resonance imaging of the knee: assessment of effectiveness. Clin Radiol. 1996;51(4):245-50.
Prickett WD, Ward SI, Matava MJ. Magnetic resonance imaging of the knee. Sports Med. 2001; 31(14):997-1019.
Blackburn TA, Craig E. Knee Anatomy A Brief Review. Physic Ther. 1980;60:1556-60
Watanabe Y, Moriya H, Takahashi K, Yamagata M, Sonoda M, Shimada Y, et al. Functional anatomy of the posterolateral structures of the knee. Arthros J Arthros Related Surg. 1993;9:57-62
Wilson DR, Feikes JD, Zavatsky AB, O'connor JJ. The components of passive knee movement are coupled to flexion angle. J Biomech. 2000;33:465-73.
Müller W. The knee: form, function, and ligament reconstruction. USA: Springer Science & Business Media; 1983.
Blackburn TA, Craig E. Knee anatomy: a brief review. Physic Ther. 1980;60(12):1556-60.
Muthuri SG, McWilliams DF, Doherty M, Zhang W. History of knee injuries and knee osteoarthritis: a meta-analysis of observational studies. Osteoarthr Cartil. 2011;19(11):1286-93
Awwad GE, Coleman JH, Dunkley CJ, Dewar DC. An analysis of knee injuries in rugby league: the experience at the newcastle knights professional rugby league team. Sports Med. 2019;5(1):33
Bellon EM, Keith MW, Coleman PE, Shah ZR. Magnetic resonance imaging of internal derangements of the knee. Radiographics. 1988;8(1):95-118.
Dandy DJ. Arthroscopy and MRI for the knee. Radiographics. 1992;23:124-9.
Miranda H, Viikari-Juntura E, Martikainen R, Riihimäki H. A prospective study on knee pain and its risk factors. Osteoarthr Cartil. 2002;10(8):623-30.
O'Kane JW, Gray KE, Levy MR, Neradilek M, Tencer AF, Polissar NL, et al. Shoe and field surface risk factors for acute lower extremity injuries among female youth soccer players. Clin J Sport Med. 2016; 26(3):24
Levy MR, Neradilek M, Tencer AF. Comparison to knee arthroscopy in diagnosing cruciate ligament tear and meniscal tears in organized sports and physical exercise related knee injuries in armed forces personnel. Int J Adv Med. 2018;5(6):1407.
Nikolaou VS, Chronopoulos E, Savvidou C, Plessas S, Giannoudis P, Efstathopoulos N, Papachristou G. MRI efficacy in diagnosing internal lesions of the knee: a retrospective analysis. J Trauma Manage Outcomes. 2008;2(1):4
Drosos GI, Pozo JL. The causes and mechanisms of meniscal injuries in the sporting and non-sporting environment in an unselected population. Knee. 2004;11(2):143-9.
Sonin AH, Pensy RA, Mulligan ME, Hatem S. Grading articular cartilage of the knee using fast spin-echo proton density-weighted MR imaging without fat suppression. Am J Roentgenol. 2002;179(5):1159-66.
Dutka J, Skowronek M, Skowronek P, Dutka Ł. Arthroscopic verification of objectivity of the orthopaedic examination and magnetic resonance imaging in intraarticular knee injury. Retrospective study. Videosurg Other Miniinvas Tech. 2012;7(1):13.
Pereddy SR. MRI versus Arthroscopy: a comparison of findings. J Evol Med Dent Sci. 2016;5(49):3149-55.
Sonin AH, Fitzgerald SW, Hoff FL, Friedman H, Bresler ME. MR imaging of the posterior cruciate ligament: normal, abnormal, and associated injury patterns. Radiographics. 1995;15(3):551-61.
Crues JV, Mink J, Levy TL, Lotysch M, Stoller DW. Meniscal tears of the knee: accuracy of MR imaging. Radiology. 1987;164(2):445-8.
Englund M, Guermazi A, Gale D, Hunter DJ, Aliabadi P, Clancy M, Felson DT. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med. 2008;359(11):1108-15.
Kulkarni OP, Pundkar GN, Sonar SB. A comparative study of MRI versus arthroscopic findings in ACL and meniscal injuries of the knee. Int J Res Orthopaed. 2018;4(2):198.
Drosos GI, Pozo JL. The causes and mechanisms of meniscal injuries in the sporting and non-sporting environment in an unselected population. Knee. 2004;11(2):143-9.
Murmu C, Tiwari P, Sircar S, Agrawal V. Accuracy of magnetic resonance imaging in diagnosis of knee injuries. Int J Orthop. 2017;3(1):85-8.
Seshadri BM, Ashwathappa S, Swamy IN. Magnetic resonance imaging evaluation of ligamentous tears of the knee joint and association of meniscal tears with anterior cruciate ligament tears. J Evol Med Dent Sci. 2016;5(43):2764-8.
