عنوان مقاله :
بررسي صحت معاينه فيزيكي در مقايسه با ام آرآي در تشخيص آسيب هاي رباطي داخل زانو با آرتروسكوپي
عنوان به زبان ديگر :
Arthroscopic Confirmation of Clinical and MRI Evaluation for Meniscus and Cruciate Ligament Injuries of Knee
پديد آورندگان :
نوالي، اميرمحمد نويسنده دانشكده پزشكي-دانشگاه علوم پزشكي تبريز Navali, Amir Mohammad , محسني، محمدعلي 1331 نويسنده پزشكي Mohseni, Mohammad Ali , صفري، ميربهرام نويسنده دانشكده پزشكي-دانشگاه علوم پزشكي تبريز Safari , Mir Bahram , نوزاد، آيسان نويسنده دانشكده پزشكي-دانشگاه علوم پزشكي تبريز Nozad, ʹAisa
اطلاعات موجودي :
فصلنامه سال 1387 شماره 25
كليدواژه :
Magnetic Resonance Imaging , Ligaments , tibial , تصوير بزداري با تشديد مغناطيسي , آرتروسكوپي , منيسك تي بيا , رباط داخل زانو , Arthroscopy , articular , Menici
چكيده لاتين :
Background: Magnetic Resonance Imaging (MRI) of the knee joint has often been regarded as the noninvasive
alternative to diagnostic arthroscopy. New technology, however, masks the importance of history and physical
examination. This study aim s at evaluating the accuracy of physical examination and MRI scanning in diagnosis of knee
injury, including rneniscal tears and cruciate ligaments ruptures.
Methods: In a cross-seetional, analytic-descriptive study, 120 patients (108 males, 12 females) with knee injury who
were candidates for arthroscopy were recruited in a Hospital In Tabriz during a one-year period, Prior history o f
arthroscopy or knee surgery was considered as exclusion criteria. A complete history and physical examination was
performed and diagnosis was documented before looking at the MRI results. The final arthroscopic diagnosis was then
compared with clinical and MRI studies.
Results: 120 knee injury cases with a mean age of29 ( 16-54) years were enrolled. Accuracy, sensitivity and specificity
of clinical examination was respectively 85, 94.8 and 75.8 percent for medial meniscus, 85, 70.8 and 88.5 percent for lateral
meniscus. 95.8, 98.6 and 91.7 percent for anterior eructate ligament and 100 percent for posterior cruciate injuries.
Accuracy, sensitivity and specificity of MRI were respectively 77.5, 84.2 and 71.4 percent for medial meniscal. 85,8,56.5
and 92.8 percent tor lateral meniscal , 92.5, 98.6 and 83.3 percent for anterior cruciate, and 100 percent for posterior cruciate
injuries. Overall, in isolated injuries, the accuracy of clinical examination was relatively better than MRI in complex
injuries, while MRI had higher accuracy in complex intra-articular injuries.
Conclusion: According to our results, both physical examination and MRI scanning are very sensitive and accurate in
diagnosis of knee injuries, with a slight preference of physical examination, MRI should be reserved for doubtful or
complex injuries.
عنوان نشريه :
جراحي استخوان و مفاصل ايران
عنوان نشريه :
جراحي استخوان و مفاصل ايران
اطلاعات موجودي :
فصلنامه با شماره پیاپی 25 سال 1387
كلمات كليدي :
#تست#آزمون###امتحان