Evaluation of Accuracy of Clinical Examination and MRI on Diagnosing Anterior Cruciate Ligament and Meniscal Tears in Comparison to Diagnostic Arthroscopy among Patients Attending at Muhimbili Orthopedic Institute  

作　　者：Hellen Machagge Felix Mrita Mohamed Muhamedhussen Billy Haonga Cuthbert N. Mcharo Hellen Machagge;Felix Mrita;Mohamed Muhamedhussen;Billy Haonga;Cuthbert N. Mcharo(Muhimbili Orthopedic Institute, Dar-es-Salaam, Tanzania;Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania;Ebrahim Haji Charitable Health Centre, Dar-es-Salaam, Tanzania)

机构地区：[1]Muhimbili Orthopedic Institute, Dar-es-Salaam, Tanzania [2]Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania [3]Ebrahim Haji Charitable Health Centre, Dar-es-Salaam, Tanzania

出　　处：《Open Journal of Orthopedics》2021年第12期353-370,共18页矫形学期刊（英文）

摘　　要：Routine use of Magnetic Resonance Imaging (MRI) as screening test after </span><span style="font-family:Verdana;">clinical diagnosis for meniscal and/or anterior cruciate ligament</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">(ACL) has a detrimental effect on patients in limited resourced countries. This study was done to compare accuracy of clinical examination and that of (MRI) on diagnosing meniscal and or</span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">(ACL) tears. </span><b><span style="font-family:Verdana;">Methodology</span></b><span style="font-family:Verdana;">: A cross-sectional-descriptive </span></span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">study was done on 57 knees of patients. Clinical examination, MRI and then diagnostic arthroscopy, as the gold standard, were done to all the cases. Results were recorded;the accuracies of MRI and clinical examination were evaluated and their results were compared. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Median age of patients was 40 </span><span style="font-family:Verdana;">years. Clinical examination had sensitivity of 93.62% and specificity of 40% f</span><span style="font-family:Verdana;">or diagnosing meniscal tears;and sensitivity of 100%;and specificity of 97.67% for diagnosing ACL tear. MRI had sensitivity of 85.11%, and specificity of 40% for meniscal tear diagnosis and 71% and 100% respectively for ACL tear diagnosis. Diagnostic accuracy was 84.21% for meniscal and 98.24% for ACL tears by clinical examination and by MRI w</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">as</span></span></span><span><span><span style="fonRoutine use of Magnetic Resonance Imaging (MRI) as screening test after </span><span style="font-family:Verdana;">clinical diagnosis for meniscal and/or anterior cruciate ligament</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">(ACL) has a detrimental effect on patients in limited resourced countries. This study was done to compare accuracy of clinical examination and that of (MRI) on diagnosing meniscal and or</span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">(ACL) tears. </span><b><span style="font-family:Verdana;">Methodology</span></b><span style="font-family:Verdana;">: A cross-sectional-descriptive </span></span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">study was done on 57 knees of patients. Clinical examination, MRI and then diagnostic arthroscopy, as the gold standard, were done to all the cases. Results were recorded;the accuracies of MRI and clinical examination were evaluated and their results were compared. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Median age of patients was 40 </span><span style="font-family:Verdana;">years. Clinical examination had sensitivity of 93.62% and specificity of 40% f</span><span style="font-family:Verdana;">or diagnosing meniscal tears;and sensitivity of 100%;and specificity of 97.67% for diagnosing ACL tear. MRI had sensitivity of 85.11%, and specificity of 40% for meniscal tear diagnosis and 71% and 100% respectively for ACL tear diagnosis. Diagnostic accuracy was 84.21% for meniscal and 98.24% for ACL tears by clinical examination and by MRI w</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">as</span></span></span><span><span><span style="fon

关 键 词：MRI Clinical Examination Diagnostic Accuracy ACL Meniscal 

分 类 号：R68[医药卫生—骨科学]