The Value of High-Resolution Ultrasound in Evaluation of Meniscal and Ligamentous Lesions; A Comparative Study To MRI | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 7, July 2025, Pages 112-118 PDF (568.46 K) | ||
| Document Type: Original Article | ||
| DOI: https://doi.org/10.21608/aimj.2025.446645 | ||
| Authors | ||
| Abdulnaby Bioumy Mohamed1; Mohamed Abo Alnga Beleh2; Yasser Zakaria Mohamed Shalaby* 3 | ||
| 1Professor of Radiodiagnosis, Faculty of Medicine, Al-Azhar University, Cairo, Egypt; | ||
| 2Assistant Professor of Radiodiagnosis, Faculty of Medicine, Al-Azhar University, Cairo, Egypt; | ||
| 3MSc, Radiodiagnosis, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. | ||
| Abstract | ||
| Background: In terms of mobility, the knee joint is paramount. Therefore, it is crucial to identify and treat knee pain as soon as possible. Osteoarthritis and meniscus tears are two major knee joint problems. Aim and objectives: An evaluation of high-resolution ultrasonography's diagnostic capacity for ligamental and meniscal lesions can be conducted prospectively by comparing the results of the two imaging modalities with those of magnetic resonance imaging (MRI). Subjects and methods: Participants' ages ranged from fifteen to fifty years old, and the study included sixty total participants: forty-five men and fifteen girls. These individuals were seen at Al-Hussain University Hospital's orthopedic outpatient clinic and radiology department. Results: Finding meniscal and ligament problems is made easier with high-resolution ultrasonography, according to the study. The ultrasonography demonstrated a sensitivity of 94.7%, specificity of 95.1%, NPV of 97.5%, and PPV of 90% for meniscal injuries, respectively. When it came to damage to the medial collateral ligament, the ultrasonography had a sensitivity of 100%, specificity of 96.2%, NPV of 100%, and PPV of 80%. Values were 100%, 100%, 96.4%, and 71.3% for lateral collateral ligament injuries, respectively. Conclusion: High-resolution ultrasound has demonstrated high accuracy in detecting meniscal and ligament injuries, particularly in young individuals and patients with acute injuries. It shows high sensitivity for detecting injuries to the medial and lateral collateral ligaments and acceptable sensitivity for anterior cruciate ligament injuries. | ||
| Keywords | ||
| Ultrasound; MRI; Meniscal and Ligamentous Lesions | ||
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