Correlation between MRI Findings and Arthroscopic Findings in Internal Degeneration of Knee
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Aim: The aim of this study is to compare the MRI findings with arthroscopy findings in internal derangement of knee. Material and methods: 124 patients of different age group and sex with internal derangement of knee (IDK) were subjected to MRI for determining ACL, PCL, medial and lateral meniscus injury and later were subjected to arthroscopy. Accuracy of MRI diagnosis as had been made earlier was compared with arthroscopic examination findings. Results: MRI performed on the injured knees revealed 90 tears of the menisci, of which 54 were of medial meniscus and 36 tears of lateral meniscus.There were 112 tears of the cruciate ligaments, out of which 104 were tears of ACL and 8 of PCL. Arthroscopy performed on the same knees revealed 78 tears of menisci, 48 of these were of medial meniscus and 30 of lateral meniscus. There were 118 tears of cruciates, of which 110 were of ACL and 8 of PCL. The accuracy of MRI in diagnosing acl injury is 89%, for PCL is 100%, for medial meniscus is 82.34% and for lateral meniscus is 78.16%. Conclusion: Magnetic resonance imaging is useful as a pre operative diagnostic tool in selected cases where a clinical examination cannot be performed as in acute injuries or in cases where clinical examination is inconclusive. The efficacy of MRI in diagnosing a tear varies among different intra articular structures.
Authors and Affiliations
Mahibul Islam, Rohit Ailani, T. D. Bhattacharyya, P. S. Chakrabarty, Sidhartha Baruah
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