Meniscus Lesion Clinical Trial
Official title:
Musculoskeletal Ultrasound Versus Magnetic Resonance Imaging in Assessment of Meniscal Abnormalities.
clinical examination alone is usually insufficient in assessment of knee meniscus and a more
reliable diagnosis can be achieved by using the knee ultrasound , magnetic resonance imaging.
magnetic resonance imaging is considered the most noninvasive diagnostic method of detecting
lesions of the intra-articular reliable knee structures. However, there are recent reports
concluding that ultrasound is a valid technique for diagnosing meniscal lesions, even though
it is not part of the standard protocol for evaluating injuries to the intra-articular knee
structures.
The aim of our study is to determine if any other available noninvasive method can reliably
diagnose knee meniscal pathology as well as magnetic resonance imaging. In our case, we use
ultrasound as a noninvasive method , and we want to see if this will be sufficient for
diagnosing meniscal lesions , if it could be used for this task instead of magnetic resonance
imaging investigations performed by a radiologist, as well as a guide for indication of knee
arthroscopy .Knee ultrasound is widely accepted among orthopedic surgeons, and ultrasound is
used as diagnostic tool for various pathological conditions in orthopedic surgery. ultrasound
is currently popularly used in orthopedic surgery due to its simplicity and because it is
less time-consuming and more practical than magnetic resonance imaging. It can diagnose
location of the tear, joint effusion, synovial thickening, and osteophytosis. Rather, the
goal is to determine whether or not meniscal pathology wanting surgical intervention .
We will also compare the diagnostic accuracies of these diagnostic procedures for both acute
and chronic meniscal lesions of the knee.While magnetic resonance imaging (MRI) is often
considered the gold standard diagnostic imaging modality for detection of meniscal
abnormalities, it is associated with misdiagnosis in as high as 47% of cases, and is not
readily available to a large number of patients. Ultrasonographic examination of the knee
will be reported to be an effective diagnostic tool for this purpose with the potential to
overcome many of the shortcomings of magnetic resonance imaging. The purpose of this study is
to determine the clinical usefulness of ultrasonography for diagnosis of meniscal pathology
in patients with acute knee pain and compare its diagnostic accuracy to magnetic resonance
imaging in a clinical setting . Musculoskeletal ultrasound involves the use of high-frequency
sound waves to image soft tissues and bony structures in the body for the purposes of
diagnosing pathology . Recently, an increasing number of physicians have integrated
musculoskeletal ultrasound into their practices to facilitate patient care. Technological
advancements, improved portability, and reduced costs continue to drive the proliferation of
ultrasound in clinical medicine the clinical applications of musculoskeletal ultrasound in
clinical practice, including the ultrasonographic appearance of normal and abnormal tissues
as well as specific diagnostic and interventional applications in major body regions.
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