Reliability of clinical diagnosis in meniscal tears
Reliability of clinical diagnosis in meniscal tears
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DOI：
10.1007/s00264-006-0131-x
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发表时间：
2007-02-01
影响因子：
2.7
通讯作者：
Gosal, Harminder S.
中科院分区：
文献类型：
--
作者：
Mohan, B. R.;Gosal, Harminder S.
本回顾性研究旨在分析半月板撕裂伤临床诊断的可靠性。从2003年1月到2004年12月，所有到我诊所就诊的膝关节疼痛患者都进行了系统和彻底的临床评估。150例患者被临床诊断为半月板撕裂。所有患者均行关节镜膝关节手术治疗。临床诊断在此过程中得到证实。根据这些关节镜检查结果计算其准确性、敏感性和特异性。在我们的研究中，内侧半月板撕裂的临床诊断准确率为88%，外侧半月板撕裂的临床诊断准确率为92%。本研究结果表明，半月板撕裂的临床诊断与其他作者发表的磁共振成像（MRI）扫描结果一样可靠。我们建议对可疑、困难和复杂的膝关节损伤进行MRI检查。
This retrospective study was conducted to analyse the reliability of clinical diagnosis in meniscal tear injuries. All patients attending our clinic with knee pain from January 2003 to December 2004 underwent systematic and thorough clinical assessment. One hundred and fifty patients were clinically diagnosed to have meniscal 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. The accuracy of clinical diagnosis in our study was 88% for medial meniscal tears and 92% for lateral meniscal tears. The results of this study demonstrate that clinical diagnosis of meniscal tears is as reliable as the results published by other authors for magnetic resonance imaging (MRI) scan. We recommend the use of MRI for more doubtful, difficult and complex knee injuries.