Clinical, Magnetic Resonance Imaging, and Arthroscopic Correlation in Anterior Cruciate Ligament and Meniscal Injuries of the Knee: 膝關節前交叉韌帶和半月板損傷的臨床、磁共振成像和關節鏡的相關性

ConclusionIn conclusion, the present study supports that clinical diagnosis is of primary necessity, as the positive predictive value is high for all the lesions. MRI is an additional diagnosing tool for ligament and meniscal injuries of the knee. Routine use of MRI to confirm the diagnosis is not indicated, as the positive predictive value is low, but can be used to exclude pathology, as the negative predictive value is high for all the lesions.中 文 摘 要背景研究的目的是比較和相關膝關節前交叉韌帶和半月板損傷的臨床、磁共振成像和關節鏡檢查結果。方法從2014年9月至2016年5月入院，對30例膝關節前交叉韌帶和半月板損傷患者接受臨床檢查、膝關節MRI和關節鏡檢查，進行前瞻性研究。結果本研究中30例，26例男性，4例女性，年齡18至60歲，絕大多數患者為21至30歲。臨床檢查對前交叉韌帶的靈敏性為90.91%，特異性為100%，準確率為93.33% ; 內側半月板的靈敏度為83.33%，特異性為77.78%，準確率為80% ; 外側半月板的靈敏性為75%，特異性為77.27%，準確率為76.67%。而磁共振成像對前交叉韌帶的靈敏性為95.45%，特異性為87.5%，準確率為93.33% ; 內側半月板的靈敏性為91.67%，特異性為55.56%，準確率為70% ;外側半月板的靈敏性為62.5%，特異性為72.73%，準確率為70％。結論本研究支持臨床診斷是首要必需的，因為所有病變的陽性預測值都很高。磁共�...

Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research