Open AccessA STUDY IN INDIAN POPULATION CORRELATING THE DIAGNOSTIC ACCURACY OF CLINICAL EXAMINATION AND MRI IN ACL AND MENISCUS INJURIES
Author(s) -
Ashish Rustagi,
Loveneesh G. Krishna,
Sarang Agarwal,
Jatin Talwar,
Vivek Kumar
Publication year - 2021
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/4300283
Subject(s) - medicine , magnetic resonance imaging , anterior cruciate ligament , lateral meniscus , meniscus , arthroscopy , medial meniscus , physical examination , radiology , population , tears , ligament , cruciate ligament , acl injury , surgery , osteoarthritis , pathology , incidence (geometry) , physics , alternative medicine , environmental health , optics
In the modern era of medicine, magnetic resonance imaging (MRI) has become an indispensable part in diagnosingknee injuries.Due to an increased dependence and reliance on MRI,clinical findings are often ignored and this leads to aneglect in diagnosing ligament injury. Considering a highly variable result in clinical findings & less studies beingperformed in Indian population we did an agreement study comparing the role of clinical examination,MRI findings anddiagnostic arthroscopy in the diagnosis of traumatic chronic anterior cruciate ligament & meniscal injuries in ourtertiary care hospital. In our prospective study we included 267 patients with anterior cruciate ligament, medialmeniscus and lateral meniscus injuries.First these patients were examined clinically,then subjected to an MRI scan andarthroscopic surgery.Here we report a superior sensitivity and specificity of clinical examination in comparison to MRIscan for diagnosis of medial meniscal tears. For the diagnosis of anterior cruciate ligament (ACL) and lateral meniscusinjury the results were found to be aequivocal.We recommend that when suspected clinically, a normal MRI should notbe considered as a sufficient evidence to defer an arthroscopy in knee injury patient.