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[Comparison of MRI and arthroscopic images for the diagnosis of knee disorders]. / Comparación de las imágenes de resonancia y artroscopía para el diagnóstico de las afecciones de la rodilla.
Valles-Figueroa, Juan Francisco Javier; Malacara-Becerra, Mariana; Villegas-Paredes, Patricio; Caleti-Del Mazo, Enrique.
Afiliação
  • Valles-Figueroa JF; Servicio de Ortopedia y Traumatología, Hospital Español de México. drvallesf@yahoo.com.mx
Acta Ortop Mex ; 24(1): 8-13, 2010.
Article em Es | MEDLINE | ID: mdl-20377058
OBJECTIVE: The purpose of this study was to compare the diagnostic performance of magnetic resonance imaging with arthroscopy for intra-articular knee conditions. MATERIAL AND METHOD: Between January 2000 and February 2007, 93 patients with medial meniscal tear, lateral meniscal tear, anterior cruciate ligament rupture, and articular cartilage pathology were prospectively assessed. After the physical exam, magnetic resonance imaging studies and arthroscopic surgery of the knee were performed. The sensitivity, specificity, positive and negative predictive values and the diagnostic odds ratio were estimated to compare the magnetic resonance imaging diagnoses with the arthroscopic findings. RESULTS: Fifty-two patients were males and 41 females; mean patient age was 42.6 years (16-68 years). The diagnostic odds ratio was significant for medial meniscal tear, anterior cruciate ligament rupture and the coexistence of both meniscal and ligament lesions. CONCLUSION: The strength of the diagnostic association confirms the usefulness of magnetic resonance imaging for medial meniscal tears, anterior cruciate ligament rupture and the coexistence of both lesions. We do not recommend ordering a routine preoperative magnetic resonance imaging study as a condition for performing knee arthroscopy.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artroscopia / Imageamento por Ressonância Magnética / Traumatismos do Joelho Tipo de estudo: Diagnostic_studies / Etiology_studies / Evaluation_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: Es Revista: Acta Ortop Mex Assunto da revista: ORTOPEDIA Ano de publicação: 2010 Tipo de documento: Article País de publicação: México
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artroscopia / Imageamento por Ressonância Magnética / Traumatismos do Joelho Tipo de estudo: Diagnostic_studies / Etiology_studies / Evaluation_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: Es Revista: Acta Ortop Mex Assunto da revista: ORTOPEDIA Ano de publicação: 2010 Tipo de documento: Article País de publicação: México