MRI ASSESSMENT OF CLINICALLY SUSPECTED MENISCAL TEARS

HASIBA MUAHMED SHUKRI; SALEEM KHADIR MUSALAH

HASIBA MUAHMED SHUKRI Physician, Department of Radiology, Azadi Teaching Hospital, Duhok, Kurdistan Region, Iraq
SALEEM KHADIR MUSALAH Lecturer, Department of Surgery, College of Medicine, University of Duhok, Kurdistan Region, Iraq

Keywords: MRI Assessment, Meniscal Tears

Abstract

https://doi.org/10.31386/dmj.2017.11.4

Background: Magnetic resonance imaging (MRI) is the tool commonly used in the diagnosis of meniscal tears. It has been suggested that, for clinically suspected meniscal tears, the adoption of routine MRI before therapeutic arthroscopy will reduce the number and cost of unnecessary invasive procedures.

The aim of this study was to document MRI yield in knee injuries clinically suspected as possible meniscal tears in Duhok city

Subject and Methods: This cross sectional study was conducted during the period from June to December 2014. A consecutive sampling procedure was used to enroll eighty cases of Knee injuries presenting with clinical features of meniscal tears. All patients underwent MRI examination by 1.5 Tesla machine.

Results: The mean age of the patients was 33.5 years. The number of males was 58 (72.5%) with mean age 29.55 years while females constituted 22 (27.5%) with mean age 44years.The results revealed that 64 patients (80%) were affected by tear in the medial meniscus compared to 16 patients (20%) in the lateral meniscus .

Isolated anterior horn tear was significantly more common in the lateral meniscus

(12.5%) than in the medial meniscus (1.25%) while isolated posterior horn tear was more common in the medial meniscus (66.25%) than the lateral meniscus (7.5%)

Conclusions: Meniscal tears were more common in males (~ 3/4th of cases) who presented at a younger age. Medial meniscal tears were four times as common as those affecting the lateral meniscus.

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References

1. Lento PH, Akuthota V. Meniscal injuries: a critical review. J Back Musculoskelet Rehabil. 2000; 15(2): 55-2.
2. Amendola, A. and Bonasia, D. E. The menisci: anatomy, healing response, and biomechanics. In: M.Bonnin, N. A.Amendola, J. Bellemans, S. J. MacDonald and J. Menetrey (eds.). the knee joint: surgical techniques and strategies. Paris: Springer, 2012 pp.5-9.
3. Verdonk, P., Depaepe, Y., Desmyter, S., De Muynck, Almqvist, K. F., Verstaete, K., and Verdonk, R. Normal and transplanted lateral knee menisci: evaluation of extrusion using magnetic resonance imaging and ultrasound. KSSTA, 2004 Sep., 12(5):411-9.
4. 4-Di Matteo, B., Tarabella, V., Filardo , G., Vigano, A., Tomba, P. And Marcacci, M. . Thomas Annandale: the first meniscus repair. KSSTA, 2013 Sep., 21(9):1963-6.
5. Thornton, D. and Rubin, D. Magnetic resonance imaging of the knee menisci.Seminars in Roentgenology , 2000 july.,35(3):217-230.
6. Ryzewicz, M., Peterson, B., Siparsky, P.N. and Bartz, R.L.. The diagnosis of meniscus tears: the role of MRI and clinical examination. Clinical Orthopaedics and Related Research, 2007 February, 455, pp.123-133.
7. Avcu, S., Altun, E., Akpinar, I., Bulut, M. D., Eresov, K., and Biren, T.(2010). Knee joint examinations by magnetic resonance imaging: the correlation of pathology, age, and sex. NAJMS 2010 Apr, 2(4):202-4
8. Jackson, D., Jennings, L., Maywood, R., and Berger, P. Magnetic resonance imaging of the knee. AJSM, 1988,16(1):29-8
9. 9-Barnett, M. MR diagnosis of internal derangements of the knee: effected of field strength on efficacy. AJR1993 March, 161(1):115-8.
10. 10-Baltazar, R.,Ma , C.,Shankman, S.,Beltran, .J. KNee.Dogra, in .J.R Haaga,V.S.Dogra, M. forsting, R. C. Gilkeson, H. K. Ha and M Sundaram (eds),CT and MRI of whole body .5th ed .Philadelphia PA, Mosby lsevier 2009, PP.2317-2371
11. Renton, P. and Green,. R. disease of joints. In Tex book of radiology and imaging .D.Sutton .7th ed. London .Churchill livingstone/ Elsevier., 2003, 1201-1246.
12. Helms, C.A .magnetic resonance imaging of the knee .In W.E..Brant and C.A.Helms .(eds) .fundamentals of diagnostic radiology 3rd ed. Philadelphia. Lippincott,Williams and Wilkins,pp.2007,1193-1205
13. Magee,T.andwilliams, D 3.0 T MRI of meniscal tears AJR 2006
14. Omar, O.D. the value of MRI examination in specific sequences in evaluation of the meniscal tears of the knee joint 2012 dissertation Arab board of radio diagnosis and medical image, Arabic commission of medical specialization. Iraq.
15. Ding, C., Martelpelletier, j., pelletier, jp., Abram, F.,Raynauld, JP Cieocuttini, F., Jones, G. meniscal tear as an osteoarthritis cohort .a cross-sectional study journal of rheumatology,2007,34(4), 776-784.
16. Wright, D.H., DeSmet, A.A. and Norris, M. Bucket -handle tears of the medial and lateral menisci of the knee., value of MR imaging in detecting displaced fragments. AJR, 1995, 165(3). 621-625.