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285027

Magnetic Resonance Imaging Compared to Magnetic Resonance Arthrography in Assessment of Recurrent Meniscal Injury

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Last updated: 03 Jan 2025

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Abstract

Background: Arthroscopic knee surgery including partial meniscectomy & meniscal repair are of the world's most performed surgical procedures. Magnetic Resonance arthrography is the cornerstone imaging modality in evaluating postoperative symptomatic patients. Objective: This study aimed to evaluate the diagnostic value of conventional MR compared to MR arthrography in the diagnosis of recurrent meniscal tear. Subjects and methods: Our prospective cross-sectional study included 20 patients with postoperative meniscus surgery admitted to Orthopedic Department, Suez Canal University Hospital through the period from April 2020 to September 2021.  Results: In the meniscus surgery group (total 20 patients), 6 studied cases (30%) were treated with meniscal repair, 13 studied cases (65%) had meniscectomy and one patient (5%) had meniscal transplants. Conventional MRI showed 77% sensitivity, 58% specificity and 67.5% accuracy in the meniscal surgeries group. MRI and MRA showed high agreement (K= 0.66) in meniscal transplant and meniscectomy less than 25%, while MRI has a low agreement (K=0.1 &0.5) with MRA in meniscal repair and meniscectomy more than 25%. Conclusions:Conventional MRI alone has low sensitivity and specificity in the assessment of recurrent tears in post-meniscal surgeries where MR arthrography is essential in the detection of recurrent meniscal tears in cases of meniscal repair and partial meniscectomy more than 25%. However, when meniscus resection is minimal (less than 25%) conventional MRI is usually enough for diagnosis.  

DOI

10.21608/ejhm.2023.285027

Keywords

MRI, MR arthrography, meniscal repair, Partial meniscectomy

Authors

First Name

Nermeen Ali

Last Name

Tawfik

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Email

nermeenalitawfik91@gmail.com

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Orcid

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First Name

Tarek Hassan

Last Name

Khalil

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Ahmed Ali

Last Name

Toreih

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Waleed Mosallam

Last Name

Hussein

MiddleName

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Affiliation

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Orcid

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Volume

90

Article Issue

2

Related Issue

39562

Issue Date

2023-01-01

Receive Date

2023-02-11

Publish Date

2023-01-01

Page Start

2,032

Page End

2,040

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_285027.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=285027

Order

4

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Magnetic Resonance Imaging Compared to Magnetic Resonance Arthrography in Assessment of Recurrent Meniscal Injury

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Article

Created At

24 Dec 2024