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《The Journal of Bone and Joint Injury》 1995-01
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Evaluation of Kinds of Method in the Diagnosis of Meniscal Lesion-A Comparison of Physical Examination, Arthrography.B-ultrasound and MRI with the Findings of Arthroscopy

Bat Weidong ,Lou Siquan. Department of Orthopedics,The Third Hospital,Bei Jing Medical Univerity, 100083  
Sixty - five arthroscopic results of knee which were suspected of meniscal lesions preoperatively were analysed in this paper. The accuracy rate of physical examination,arthrogarphy. B - ultrasound and MRI were reported respectively,and every method was evaluated in different respects. Of 65 cases,20 were examined by physical examination , arthrography,B-ultrasound,MRI and arthroscopy. For medial meniscal lesions the rate of accuracy is 60%,85%,50%,80%,respectively, the sensitivity is 42. 9%,57. 1%,14. 3%,71. 4% sand the specificity is62. 9% ,100%, 69. 2%,84. 6%,For lateral meniscal lesions the rate of accuracy is 65% ,75%,65% ,90%, respectively;the sensitivity is 81. 8%,63. 6%,63. 6%,81. 8%;the specificity is 44. 4%,88. 9%,66. 7%,100%. Based on this paper it was concluded it may be difficult to make a correct diagnosis for meniscal lesions only by way of physical examination or B-ultrasound . Arthrography provides reliable information for medial meniscal lesions. The accuracy, sensitivity and specficity of MRI is higher than other methods. It is a valuable method and can replace arthrography and B-ultrasound and diagnostic arthroscopy.
【CateGory Index】: R684.7
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