Jamie S Brown, Ola Olsson, Anders Isacsson, Martin Englund
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引用次数: 0
摘要
我们对 362 名患者急性膝关节损伤后内侧副韧带（MCL）的敏感性、特异性以及临床与磁共振成像（MRI）分级之间的一致性进行了评估。97%的患者是在运动/娱乐过程中受伤的。MRI 对 II 级或 III 级 MCL 损伤的敏感性和特异性分别为 68%（95% CI 58-77%）和 90%（95% CI 86-93%）。加权卡帕分析表明，临床分级与 MRI 分级之间存在一定的一致性（0.56 [95% CI 0.48-0.65]）。对于伴有和不伴有十字韧带断裂的患者（分别为 0.57 [95% CI 0.48-0.66] 和 0.55 [95% CI 0.35-0.75]），以及骨科专家和膝关节亚专科专家（分别为 0.55 [95% CI 0.39-0.70] 和 0.57 [95% CI 0.47-0.67]），结果相似。无论是否存在十字韧带损伤，综合医院骨科专家对 MCL 损伤的临床分级和 MRI 分级之间的一致性至少为中等。
Clinical versus MRI grading of the medial collateral ligament in acute knee injury.
Sensitivity, specificity, and agreement between clinical and magnetic resonance imaging (MRI) gradings of the medial collateral ligament (MCL) after acute knee injury were evaluated in 362 patients. Ninety-seven per cent were injured during sports/recreation. Sensitivity and specificity of MRI for grade II or III MCL injury was 68% (95% CI 58-77%) and 90% (95% CI 86-93%), respectively. Weighted Kappa analysis showed moderate agreement between clinical and MRI grading (0.56 [95% CI 0.48-0.65]). Findings were similar for patients with and without concomitant cruciate ligament rupture (0.57 [95% CI 0.48-0.66] and 0.55 [95% CI 0.35-0.75], respectively) and for specialists in orthopaedics and knee sub-specialists (0.55 [95% CI 0.39-0.70] and 0.57 [95% CI 0.47-0.67], respectively). Agreement between clinical and MRI grading of MCL injuries by orthopaedic specialists in a general hospital is at least moderate regardless of the presence of cruciate ligament injury.
期刊介绍：
Research in Sports Medicine is a broad journal that aims to bridge the gap between all professionals in the fields of sports medicine. The journal serves an international audience and is of interest to professionals worldwide. The journal covers major aspects of sports medicine and sports science - prevention, management, and rehabilitation of sports, exercise and physical activity related injuries. The journal publishes original research utilizing a wide range of techniques and approaches, reviews, commentaries and short communications.
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