Correlación entre Hallazgos Clínicos, de Resonancia Magnética y Artroscópicos en el Diagnóstico de Rupturas Meniscales

Abstract

Introduction: The aim of this study is to compare the accuracy of clinical examination and MRI in diagnosing meniscal tears, with diagnostic arthroscopy as the gold standard.
Material and methods: In this study, designed as a diagnostic test, 140 patients underwent clinical examination by a specialist followed by MRI, and the results were compared to the presence or absence of meniscal tears during diagnostic arthroscopy.
Results: The accuracy of clinical examination was 82.2% for lateral meniscal tears and 84.4% for medial meniscal tears. The accuracy of MRI was 63.3% for lateral meniscal tears and 70% for medial meniscal tears.
Conclusion: MRI can, in some cases, be unnecessary when there is a positive clinical examination for meniscal tears and should be reserved for cases when clinical examination is not conclusive.

Study type: Diagnostic test.
Level of evidence: II