چكيده لاتين :
Background/Objective: The concept of evaluating the musculoskeletal system with ultrasound
was initially introduced in the late 1970s. For evaluating meniscal tears, which are a
common injury in traumatic events of knee, linear probes with high resolution have been
used. In this study, we compared the results of sonography with arthroscopy in diagnosing
bucket handle tear of meniscus and MCL tear.
Patients and Methods: 218 clinically symptomatic knee joints with clinical indication of arthroscopy
were examined by sonography in a referral sport medicine center. The patients eventually
had arthroscopic exam. The results were compared, and statistically analyzed using
Fisher’s exact.
Results: In this study, of 218 patient who had arthroscopy and sonography, the sensitivity and
specificity of sonography in meniscal tear were 68.1% and 100%, respectively. 34 patients had
bucket handle tear of the posterior horn of the medial meniscus on sonography; six cases
(17.6%) of which had abnormally small posterior horns of medial meniscus (in favor of meniscal
tear) but in 60 patients with other types of meniscal tear, sonography revealed tear in 58
(96.6%)(P<0.0001). Six patients had complete MCL tear in arthroscopy, while in sonography 4
complete MCL tears were shown. Sensitivity of ultrasound in diagnosing complete MCL tear
was 66.6% and specificity of 98%.
Conclusion: Ultrasound is easily applicable in evaluation of knee derangement: however, for
bucket handle tears it has limited application. For MCL tears, sonography seems an accurate
method. Ultrasonography is rapid, low-cost and non-invasive examination.
