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Torsten Grønbech Nielsen

Magnetic resonance imaging can increase the diagnostic accuracy in symptomatic meniscal repair patients

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Standard

Magnetic resonance imaging can increase the diagnostic accuracy in symptomatic meniscal repair patients. / Faunø, Emilie; Sørensen, Ole Gade; Nielsen, Torsten Grønbech et al.
In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 28, No. 3, 2020, p. 855-861.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Harvard

Faunø, E, Sørensen, OG, Nielsen, TG, Lind, M & Tvedesøe, C 2020, 'Magnetic resonance imaging can increase the diagnostic accuracy in symptomatic meniscal repair patients', Knee Surgery, Sports Traumatology, Arthroscopy, vol. 28, no. 3, pp. 855-861. https://doi.org/10.1007/s00167-019-05523-1

APA

Faunø, E., Sørensen, O. G., Nielsen, T. G., Lind, M., & Tvedesøe, C. (2020). Magnetic resonance imaging can increase the diagnostic accuracy in symptomatic meniscal repair patients. Knee Surgery, Sports Traumatology, Arthroscopy, 28(3), 855-861. https://doi.org/10.1007/s00167-019-05523-1

CBE

Faunø E, Sørensen OG, Nielsen TG, Lind M, Tvedesøe C. 2020. Magnetic resonance imaging can increase the diagnostic accuracy in symptomatic meniscal repair patients. Knee Surgery, Sports Traumatology, Arthroscopy. 28(3):855-861. https://doi.org/10.1007/s00167-019-05523-1

MLA

Faunø, Emilie et al. "Magnetic resonance imaging can increase the diagnostic accuracy in symptomatic meniscal repair patients". Knee Surgery, Sports Traumatology, Arthroscopy. 2020, 28(3). 855-861. https://doi.org/10.1007/s00167-019-05523-1

Vancouver

Faunø E, Sørensen OG, Nielsen TG, Lind M, Tvedesøe C. Magnetic resonance imaging can increase the diagnostic accuracy in symptomatic meniscal repair patients. Knee Surgery, Sports Traumatology, Arthroscopy. 2020;28(3):855-861. doi: 10.1007/s00167-019-05523-1

Author

Faunø, Emilie ; Sørensen, Ole Gade ; Nielsen, Torsten Grønbech et al. / Magnetic resonance imaging can increase the diagnostic accuracy in symptomatic meniscal repair patients. In: Knee Surgery, Sports Traumatology, Arthroscopy. 2020 ; Vol. 28, No. 3. pp. 855-861.

Bibtex

@article{8c8208ee967243ed86aa5fb2d7429139,
title = "Magnetic resonance imaging can increase the diagnostic accuracy in symptomatic meniscal repair patients",
abstract = "Purpose: The purpose of this study was to evaluate meniscal repair healing in symptomatic patients through combined clinical assessment, magnetic resonance imaging (MRI) and re-arthroscopy. This study investigated the diagnostic accuracy of MRI and clinical assessment in determining failed meniscal repair in symptomatic meniscal repair patients, as verified by re-arthroscopy. Methods: Eighty patients were included. All had undergone a primary meniscal repair followed by an MRI and re-arthroscopy due to clinical symptoms of a meniscal lesion. A validated semi-quantitative scoring system was employed for identifying MRI-diagnosed healing failure. The clinical assessment was divided into joint swelling, joint-line tenderness, locking and a positive McMurray{\textquoteright}s test. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of MRI and positive clinical findings were calculated using second-look arthroscopy as a standard. Results: The MRI results showed healing of 22 (27.5%) of the menisci and 58 (72.5%) unhealed menisci, whereas second-look arthroscopy identified 15 (19%) healed menisci and 65 (81%) unhealed menisci. The isolated MRI findings were 0.85, 0.8, 0.95 and 0.55 for sensitivity, specificity, PPV and NPV, respectively. The PPVs of the clinical assessments were 0.78, 0.85 and 0.94, with one, two and three clinical findings, respectively. A grade 3 MRI combined with joint-line tenderness presented a PPV of 0.98. Conclusion: A supplementary MRI will increase diagnostic accuracy when fewer than three clinical findings are present in a symptomatic meniscal repair patient. The clinical relevance of this finding is that MRI contributes to enhancing the diagnostic accuracy of an unhealed meniscal repair when there are limited clinical signs of meniscal pathology. Level of evidence: III.",
keywords = "Clinical assessment, Diagnostic value, Magnetic resonance imaging, Meniscal healing, MRI, Re-arthroscopy",
author = "Emilie Faun{\o} and S{\o}rensen, {Ole Gade} and Nielsen, {Torsten Gr{\o}nbech} and Martin Lind and Claus Tvedes{\o}e",
year = "2020",
doi = "10.1007/s00167-019-05523-1",
language = "English",
volume = "28",
pages = "855--861",
journal = "Knee Surgery, Sports Traumatology, Arthroscopy",
issn = "0942-2056",
publisher = "Springer",
number = "3",

}

RIS

TY - JOUR

T1 - Magnetic resonance imaging can increase the diagnostic accuracy in symptomatic meniscal repair patients

AU - Faunø, Emilie

AU - Sørensen, Ole Gade

AU - Nielsen, Torsten Grønbech

AU - Lind, Martin

AU - Tvedesøe, Claus

PY - 2020

Y1 - 2020

N2 - Purpose: The purpose of this study was to evaluate meniscal repair healing in symptomatic patients through combined clinical assessment, magnetic resonance imaging (MRI) and re-arthroscopy. This study investigated the diagnostic accuracy of MRI and clinical assessment in determining failed meniscal repair in symptomatic meniscal repair patients, as verified by re-arthroscopy. Methods: Eighty patients were included. All had undergone a primary meniscal repair followed by an MRI and re-arthroscopy due to clinical symptoms of a meniscal lesion. A validated semi-quantitative scoring system was employed for identifying MRI-diagnosed healing failure. The clinical assessment was divided into joint swelling, joint-line tenderness, locking and a positive McMurray’s test. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of MRI and positive clinical findings were calculated using second-look arthroscopy as a standard. Results: The MRI results showed healing of 22 (27.5%) of the menisci and 58 (72.5%) unhealed menisci, whereas second-look arthroscopy identified 15 (19%) healed menisci and 65 (81%) unhealed menisci. The isolated MRI findings were 0.85, 0.8, 0.95 and 0.55 for sensitivity, specificity, PPV and NPV, respectively. The PPVs of the clinical assessments were 0.78, 0.85 and 0.94, with one, two and three clinical findings, respectively. A grade 3 MRI combined with joint-line tenderness presented a PPV of 0.98. Conclusion: A supplementary MRI will increase diagnostic accuracy when fewer than three clinical findings are present in a symptomatic meniscal repair patient. The clinical relevance of this finding is that MRI contributes to enhancing the diagnostic accuracy of an unhealed meniscal repair when there are limited clinical signs of meniscal pathology. Level of evidence: III.

AB - Purpose: The purpose of this study was to evaluate meniscal repair healing in symptomatic patients through combined clinical assessment, magnetic resonance imaging (MRI) and re-arthroscopy. This study investigated the diagnostic accuracy of MRI and clinical assessment in determining failed meniscal repair in symptomatic meniscal repair patients, as verified by re-arthroscopy. Methods: Eighty patients were included. All had undergone a primary meniscal repair followed by an MRI and re-arthroscopy due to clinical symptoms of a meniscal lesion. A validated semi-quantitative scoring system was employed for identifying MRI-diagnosed healing failure. The clinical assessment was divided into joint swelling, joint-line tenderness, locking and a positive McMurray’s test. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of MRI and positive clinical findings were calculated using second-look arthroscopy as a standard. Results: The MRI results showed healing of 22 (27.5%) of the menisci and 58 (72.5%) unhealed menisci, whereas second-look arthroscopy identified 15 (19%) healed menisci and 65 (81%) unhealed menisci. The isolated MRI findings were 0.85, 0.8, 0.95 and 0.55 for sensitivity, specificity, PPV and NPV, respectively. The PPVs of the clinical assessments were 0.78, 0.85 and 0.94, with one, two and three clinical findings, respectively. A grade 3 MRI combined with joint-line tenderness presented a PPV of 0.98. Conclusion: A supplementary MRI will increase diagnostic accuracy when fewer than three clinical findings are present in a symptomatic meniscal repair patient. The clinical relevance of this finding is that MRI contributes to enhancing the diagnostic accuracy of an unhealed meniscal repair when there are limited clinical signs of meniscal pathology. Level of evidence: III.

KW - Clinical assessment

KW - Diagnostic value

KW - Magnetic resonance imaging

KW - Meniscal healing

KW - MRI

KW - Re-arthroscopy

UR - http://www.scopus.com/inward/record.url?scp=85065641507&partnerID=8YFLogxK

U2 - 10.1007/s00167-019-05523-1

DO - 10.1007/s00167-019-05523-1

M3 - Journal article

C2 - 31073840

AN - SCOPUS:85065641507

VL - 28

SP - 855

EP - 861

JO - Knee Surgery, Sports Traumatology, Arthroscopy

JF - Knee Surgery, Sports Traumatology, Arthroscopy

SN - 0942-2056

IS - 3

ER -