Descriptive study of knee lesions using magnetic resonance imaging and correlation between medical imaging diagnosis and suspected clinical diagnosis.
Clinical diagnosis
cruciate ligament lesions
magnetic resonance imaging diagnosis
meniscus lesions
Journal
Journal of family medicine and primary care
ISSN: 2249-4863
Titre abrégé: J Family Med Prim Care
Pays: India
ID NLM: 101610082
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
28
10
2019
revised:
27
12
2019
accepted:
08
01
2020
entrez:
23
4
2020
pubmed:
23
4
2020
medline:
23
4
2020
Statut:
epublish
Résumé
This study aimed to assess the meniscus and cruciate ligament lesions of the knee using magnetic resonance imaging (MRI) and to investigate the correlation between clinical and MRI diagnoses. Herein, we reviewed the electronic medical records of 240 patients who underwent knee MRI. The images were evaluated and then the clinical and MRI diagnoses were compared. Of the 240 patients, 66% were male and the mean age was 40.6 ± 15.5 years (range, 2-79 years). Knee pain alone was the most common presenting symptom (50.64%) followed by pain after trauma (47.92%). Majority of the knee lesions were medial meniscus (MM) lesions (63%) followed by osteoarthritis (48%) and ACL lesions (35%). The majority of the MM and ACL lesions were tears (54.6% and 69.41%, respectively) followed by degeneration (33.55% and 17.65%, respectively). However, the MM lesions were predominantly observed in the posterior horn (Odds ratio [OR], 152; 95% confidence interval (CI), 21.550-1072.113; MM and ACL lesions are the most common injuries of the knee, which can be diagnosed by physical examination in most cases. Further confirmation by MRI should be reserved for doubtful cases only.
Identifiants
pubmed: 32318484
doi: 10.4103/jfmpc.jfmpc_949_19
pii: JFMPC-9-1154
pmc: PMC7113962
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1154-1159Informations de copyright
Copyright: © Journal of Family Medicine and Primary Care.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
Osteoarthritis Cartilage. 2014 Aug;22(8):1100-6
pubmed: 24999111
N Engl J Med. 2008 Sep 11;359(11):1108-15
pubmed: 18784100
J Knee Surg. 2018 Feb;31(2):166-183
pubmed: 29329471
Medicine (Baltimore). 2018 Mar;97(10):e0001
pubmed: 29517656
Int Orthop. 2009 Feb;33(1):129-32
pubmed: 18297284
Iowa Orthop J. 2017;37:91-94
pubmed: 28852341
Sports Health. 2013 Jan;5(1):78-107
pubmed: 24381701
Knee Surg Sports Traumatol Arthrosc. 2016 Jun;24(6):1763-74
pubmed: 27085362
EFORT Open Rev. 2017 May 11;2(5):195-203
pubmed: 28698804
Pol Orthop Traumatol. 2013 Feb 18;78:59-63
pubmed: 23416722
Br J Hosp Med (Lond). 2019 Jan 2;80(1):46-50
pubmed: 30592671
Int Orthop. 2018 Sep;42(9):2113-2121
pubmed: 29804224
Radiographics. 2014 Jul-Aug;34(4):981-99
pubmed: 25019436
Pak J Med Sci. 2015 Mar-Apr;31(2):263-8
pubmed: 26101472
EFORT Open Rev. 2018 May 21;3(5):260-268
pubmed: 29951265
Am J Sports Med. 2016 Jun;44(6):1502-7
pubmed: 26920430
Am J Sports Med. 2015 Jan;43(1):128-37
pubmed: 25451791
Rev Bras Ortop. 2015 Oct 19;50(6):712-9
pubmed: 27218085
Knee Surg Sports Traumatol Arthrosc. 2009 Jul;17(7):806-11
pubmed: 19399477
J Orthop Sports Phys Ther. 2007 Sep;37(9):541-50
pubmed: 17939613
Evid Based Med. 2015 Jun;20(3):88-97
pubmed: 25724195