CAREFULLY PERFORMED KNEE EXAMINATION IS SUPERIOR TO MRI IN DIAGNOSIS OF MENISCAL TEAR

Ihsan Oudah Alsahar
2021 Annals of Tropical Medicine and Public Health  
The aim of study is to compare the results of clinical examination tests for meniscal tears namely ( McMurray test, joint line tenderness test, Apleys test) with result of MRI findings of knee joints examination for those patients with suspected meniscal tear, both results were compared to final arthroscopic findings which considered as reference for true diagnosis of meniscal tear. Clinical examination may be of diagnostic value by which we can go directly to arthroscopic examination without
more » ... amination without prior MRI. Eighty patients with knee injuries were examined by the same orthopedic surgeon for meniscal tear by using McMurray test, joint line tenderness test and Apleys test. All patients then underwent MRI examination. Final diagnosis done by arthroscopic examination, accuracy, sensitivity, positive and negative predictive values was compared. Our data showed that a carefully performed clinical examination by a well-trained orthopedic surgeon has significant superiority over the MRI regarding sensitivity, specificity, accuracy, positive and negative predictive valuesin diagnosing injuries of medial meniscus, while there was no significant difference between clinical examination and MRI finding in diagnosing lateral meniscus tears. Carful clinical examination has similar or better diagnos tic value than MRI for detection of meniscal tear and we can perform arthroscopic surgery depending on the result of clinical examination without the aid of MRI.
doi:10.36295/asro.2021.24440 fatcat:6xcmwx5yajcqbpsynundve7i6a