Menisküs Ve Bağ Yaralanmalarının Manyetik Rezonans Görüntüleme Ve Artroskopik Cerrahi Bulgularının Karşılaştırılması
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Tarih
2012
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info:eu-repo/semantics/openAccess
Özet
Amaç: Manyetik rezonans görüntüleme dizde menisküs ve bağ yaralanmalarının tanısında sıklıkla kullanılmaktadır. Bu çalışmadaki amacımız dizdeki bu tip patolojilerin artroskopi sonuçları ile manyetik rezonans görüntüleme verilerinin retrospektif olarak karşılaştırılmasıdır. Yöntem: Travma sonrası klinik olarak menisküs ve/veya bağ yaralanması düşünülen ve manyetik rezonans görüntüleme tetkiki yapılmış 62 hasta çalışmaya dahil edildi. Hastaların ortalama yaşı 36.8 (dağılım 1869 yaş) idi. Hastaların 37si (%59.7) erkek iken 25si (%40.3) kadın idi. 35 (%56.5) sol, 27 (%43.5) sağ dizde yaralanma mevcuttu. Klinik değerlendirmede ve manyetik rezonans görüntülemede patoloji düşünülüp diz artroskopisi yapılmış hastaların manyetik rezonans görüntüleme ve artroskopi sonuçları değerlendirildi. Bulgular: Artroskopi sonuçlarına göre 35 (%56.4) hastada izole medial menisküs yırtığı, 11 (%17.7) hastada izole lateral menisküs yırtığı, 5 (%8) hastada izole ön çapraz bağ yaralanması, 2 (%3.2) hastada medial menisküs yırtığı ve ön çapraz bağ yaralanması, 2 (%3.2) hastada lateral menisküs yırtığı ve ön çapraz bağ yaralanması, 5 (%8) hastada medial menisküs ve lateral menisküs yırtığı, 2 (%3.2) hastada medial menisküs, ön çapraz bağ ve arka çapraz bağ yırtığı tespit edildi. Yapılan değerlendirmede manyetik rezonans görüntülemede medial menisküs için sensitivite %95,5, spesifite %76,4, pozitif prediktif değeri (PPD) %91.4, negatif prediktif değeri (NPD) %86.6, doğruluk oranı %90,3; lateral menisküs için sensitivite %72.2, spesifite %93.1, PPD %81.2, NPD %89,1, doğruluk oranı %87; ön çapraz bağ için sensitivite %90.9, spesifite %88.2, PPD %62.5, NPD %97.8, doğruluk oranı %88.7; arka çapraz bağ için sensitivite %100, spesifite %98.3, PPD %66.6, NPD %100, doğruluk oranı %98.3 olarak tespit edilmiştir. Sonuç: Manyetik rezonans görüntüleme dizde menisküs ve bağ yaralanmalarının tanısında güvenle kullanılabilecek bir tetkikdir.
Purpose: Magnetic resonance imaging is frequently used in the diagnosis of the meniscal and ligamentous injuries. The aim of this study is to compare the results of the knee arthroscopy and magnetic resonance imaging findings retrospectively. Methods: Of the sixty-two patients 37 (59.7%) were male and 25 (40.3%) were female. The average age was 36.8 years (range 18-69 years). Patients who had been clinically diagnosed with meniscal and/or ligamentous injuries and subsequently undergone further magnetic resonance imaging examination were included to the study. The left knee was involved in 35 (56.5%) and the right knee in 27 (43.5%) cases. Patients had gone to knee arthroscopy according to clinical examination and magnetic resonance imaging findings, and the results were evaluated. Results: 35 (56.4%) of the 62 patients had isolated medial meniscal tear, 11 (17.7%) isolated lateral meniscal tear and 5 (8%) had isolated complete anterior cruciate ligament injury. 2 (3.2%) had medial meniscal tear and anterior cruciate ligament complete injury, 2 (3.2%) had lateral meniscal tear and complete anterior cruciate ligament injury and 5 (8%) had medial and lateral meniscal tear. 2 (3.2%) had medial meniscal tear, anterior and posterior cruciate ligament complete injuries. Magnetic resonance imaging evaluation of the medial meniscus, lateral meniscus, anterior cruciate ligament and posterior cruciate ligament revealed sensitivity 95.5%, 72.2%, 90.9%, 100%, specificity 76.4%, 93.1%, 88.2%, 98.3%, positive predictive value 91.4%, 81.2%, 62.5%, 66.6%, negative predictive value 86.6%, 89.1%, 97.8%, 100%, and accuracy 90.3%, 87.0%, 88.7%, 98.3% respectively. Conclusion: Magnetic resonance imaging is a safe and appropriate evaluation in the diagnosis of the meniscal and ligament injuries of the knee.
Purpose: Magnetic resonance imaging is frequently used in the diagnosis of the meniscal and ligamentous injuries. The aim of this study is to compare the results of the knee arthroscopy and magnetic resonance imaging findings retrospectively. Methods: Of the sixty-two patients 37 (59.7%) were male and 25 (40.3%) were female. The average age was 36.8 years (range 18-69 years). Patients who had been clinically diagnosed with meniscal and/or ligamentous injuries and subsequently undergone further magnetic resonance imaging examination were included to the study. The left knee was involved in 35 (56.5%) and the right knee in 27 (43.5%) cases. Patients had gone to knee arthroscopy according to clinical examination and magnetic resonance imaging findings, and the results were evaluated. Results: 35 (56.4%) of the 62 patients had isolated medial meniscal tear, 11 (17.7%) isolated lateral meniscal tear and 5 (8%) had isolated complete anterior cruciate ligament injury. 2 (3.2%) had medial meniscal tear and anterior cruciate ligament complete injury, 2 (3.2%) had lateral meniscal tear and complete anterior cruciate ligament injury and 5 (8%) had medial and lateral meniscal tear. 2 (3.2%) had medial meniscal tear, anterior and posterior cruciate ligament complete injuries. Magnetic resonance imaging evaluation of the medial meniscus, lateral meniscus, anterior cruciate ligament and posterior cruciate ligament revealed sensitivity 95.5%, 72.2%, 90.9%, 100%, specificity 76.4%, 93.1%, 88.2%, 98.3%, positive predictive value 91.4%, 81.2%, 62.5%, 66.6%, negative predictive value 86.6%, 89.1%, 97.8%, 100%, and accuracy 90.3%, 87.0%, 88.7%, 98.3% respectively. Conclusion: Magnetic resonance imaging is a safe and appropriate evaluation in the diagnosis of the meniscal and ligament injuries of the knee.
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