Author/Authors :
Kostov, Hristijan Ss. Cyril and Methodius University - Medical Faculty, Traumatology Clinic, Macedonia , Stojmenski, Slavcho Ss. Cyril and Methodius University - Medical Faculty - Traumatology Clinic, Macedonia , Kostova, Elena Ss. Cyril and Methodius University - Faculty of Medicine - Department of Preclinical and Clinical Pharmacology and Toxicology, Macedonia
Abstract :
Introduction: This study was conducted to analyze the reliability of clinical diagnosis in ACL tear injuries. Material and methods: All patients attending our clinic with knee pain from 2009 to 2013 underwent systematic and thorough clinical assessment. From one hundred and three patients with knee problems in 73 were arhroscopicaly diagnosed ACL tears. All these patients underwent therapeutic arthroscopic knee surgery. The clinical diagnosis was confirmed during this procedure. The accuracy, sensitivity and specificity were calculated based on these arthroscopic findings. Results: The accuracy of clinical diagnosis in our study was 82.5% for ACL tears. Our study revealed high sensitivity and specificity and almost high accuracy for ACL injuries of knee joint in comparison to arthroscopy MRI is an appropriate screening tool for therapeutic arthroscopy, making diagnostic arthroscopy unnecessary in most patients. Conclusion: Magnetic resonance imaging is accurate and non invasive modality for the assessment of ligamentous injuries. It can be used as a first line investigation in patients with soft tissue trauma to knee.
Keywords :
MRI , arthroscopy , ACL , knee.
