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العنوان
Knee pain:
المؤلف
Kamal ElDin, Mahmoud Mustafa Mohamed.
هيئة الاعداد
باحث / Mahmoud Mustafa Mohamed Kamal ElDin
مشرف / Hana Hamdy Nassef
مشرف / Mennatallah Hatem Shalaby
مناقش / Mennatallah Hatem Shalaby
تاريخ النشر
2019.
عدد الصفحات
101p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الأشعة والطب النووي والتصوير
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - الاشعة التشخصية
الفهرس
Only 14 pages are availabe for public view

from 101

from 101

Abstract

One of the frequent musculoskeletal problems is knee pain. The trend of
increasing of knee pain among the populations is noted. Therefore,
choosing a reliable screening tool with reasonable cost is mandatory.
Although MRI is the gold standard imaging modality for knee soft tissue
structures, it has been widely abused with its high cost. US is an
established modality to image the soft tissuestructures of the knee.
Our aim isto detect the reliability of US in diagnosing cases with knee
pain as compared to MRI.
Our study included twenty patients with knee pain. Every patient
underwent MRI and US examinations independentely and blindly. US is
tested in detecting soft tissue structures pathology such as knee effusion,
meniscal pathology (tear, degeneration and extrusion), medial collateral
ligament, lateral collateral ligament and bursitis (Baker’s cyst) apart
from the cruciate ligaments. It revealed that US showed an overall
sensitivity of 61.7% and specificity of 92.7% with accuracy of 86.9%.
The overall PPV and NPV were 66.1% and 91.3% respectively.
So we can conclude that:
Ultrasound is an effective imaging modality that can be suitable as a
screeningtool for patients having knee pain. Knee US has reasonable
accuracy in detecting collateral ligament and meniscal pathology. US
with the advantages of being widely available, lower in cost and with no
contraindications should bethefirst modality of choice in evaluating knee
pain. MRI can be reserved forequivocal US results.
Knee pain: US and MRI correlation
Page | 85
References
Abdrabou A. Patellar tendinitis (Jumper’s knee). Radiopaedia. (2013).
Alves T. I., Girish G., Brigido M. K., et al. US of the knee: Scanning Techniques,
Pitfalls, and Pathologic conditions. Radiological Society of North
America.Volume:36 (6), Page 1759-1775 (2016).
Beggs I., Bianchi S., Bueno A. et al. Musculoskeletal Ultrasound Technical
Guidelines V.Knee. European Society of MusculoSkeletal Radiology (2016).
Bhargava. Advanced Interventional Pain and Sports Medicine Center.
Bolog N. V., Andreisek G., Ulbrich E. J. MRI of the Knee: A Guide to Evaluation and
Reporting. Springer. New York. ISBN 978-3-319-08164-9. DOI 10.1007/978-3-319-
08165-6 (2015).
Cantrell A. J., Varacallo M. Anatomy, Bony Pelvis and Lower Limb, Leg
Bones.(2019).
Chang A, Miller T. T.Imaging of tendons. Sports Health. Volume:1(4), Page 293-
300. (2009).
Chun J., Park H., Hwang S. Evaluation of the Patterns of Fractures and the Soft
Tissue Injury Using MRI in Tibial Plateau Fractures. Journal of the Korean
Fracture Society. Volume:20 (4), Page 302-308 (2007).
DeAvilla N. The expanding light retreat. Expandinglight.org/blog/yoga/yogatherapist-
training/keeping-on-track-with-knees (2013).
Dixon A. Knee MRI sagittal PD. Radiopaedia. Radiopaedia.org/cases/knee-mrisagittal-
pd-1 (2013).
Draghi F., Urciuoli L., Alessandrino F. et al. Joint effusion of the knee:
potentialities and limitations of ultrasonography. Journal of Ultrasound.
Volume:18(4), Page 361–371 (2015).
El-Feky M. Knee joint synovitis. Radiopaedia. (2019).
Knee pain: US and MRI correlation
Page | 86
Espregueira-Mendes J., Da SilvaV. M. Anatomy of the lateral collateral ligament: A
cadaver and histological study. Knee surgery, sports traumatology, arthroscopy :
official journal of the ESSKA. Volume:14, Page 221-228. (2006).
Fairclough J., Hayashi K., Toumi H. et al. The functional anatomy of the iliotibial
band during flexion and extension of the knee: implications for understanding
iliotibial band syndrome. Journal of Anatomy. Volume: 208 (3), Page 309-316
(2006).
Finlayson C. Knee Injuries in the Young Athlete. Pediatric Annals.
Volume:43(12), Page e282-e290 (2014).
Forster B. B. An illustrated atlas of orthopedic MRI. British Journal of Sports
Medicine. Volume 49 (22) (2015).
Friedman L., Finlay K., Jurriaans E. Ultrasound of the Knee. Skeletal Radiology.
Volume:30(7), Page 361-377. (2001).
Garwood E. R., Recht M. P., White L. M. Advanced Imaging Techniques in the
Knee: Benefits and Limitations of New Rapid Acquisition Strategies for Routine
Knee MRI. American Journal of Roentgenology. Volume:209 (3), Page 552-560.
(2017).
GeertsmaT. Anterior recess and effusion.
https://www.ultrasoundcases.info/anterior-recess-and-effusion-3973(2019).
Geertsma T. Medial meniscal protrusion and small rupture.
Ultrasoundcases.info/meniscus-6320(2019).
Geertsma T. Medial meniscus tear. Ultrasoundcases.info/meniscus-1753 (2019).
Geertsma T. Popliteal artery aneurysm with plaque. Ultrasoundcases.info/trueaneurysms-
3446 (2019).
Ghosh N., Kruse D., Subeh M. et al. Comparing Point-of-care-ultrasound
(POCUS) to MRI for the Diagnosis of Medial Compartment Knee Injuries. Journal
of Medical Ultrasound. Volume:25 (3), Page 167–172 (2017).
Knee pain: US and MRI correlation
Page | 87
Grossman J. M. Lupus arthritis. Best Practice & Research Clinical Rheumatology.
Volume: 23 (4), Pages 495-506 (2009).
Guermazi A., Roemer F. W., Robinson P. et al.Imaging of Muscle Injuries in Sports
Medicine: Sports Imaging Series.Radiology. Volume:282(3), Page 646-663 (2017).
HodlerJ., Zollikofer C. L., Von Schulthess G. K. Musculoskeletal diseases;
diagnostic imaging and interventional techniques. Springer. New York. ISBN 88-
470-0 8 (2005).
Hoffman M. Pain Management. Knee Pain. Webmd.com/pain-management/kneepain/
picture-of-the-knee#1 (2019).
Hwang J. Q., Kimberly H. H., Liteplo A. et al.An evidence-based approach to
emergency ultrasound. Emergency medicine practice. Volume:13(3), Page 1-27
(2011).
Kassarjian A., Fritz L. B., Afonso P. D. et al.Guidelines for MR Imaging of Sports
Injuries. European Society of Skeletal Radiology Sports Sub-committee. (2016).
Kim J., SungC.,Cho S. et al. Vascular Injury Associated with Blunt Trauma
without Dislocation of the Knee. Yonsei medical journal.Volume: 51 (5), Page 730
(2010).
Koplas M., Schils J., Sundaram M.. The painful knee: choosing the right imaging
test. Cleveland Clinic Journal of Medicine.Volume:75(5), Page 377-84 (2008).
Lee J. I., Song I. S., Jung Y. B. et al. Medial Collateral Ligament Injuries of the
Knee: Ultrasonographic Findings. Journal of Ultrasound in Medicine. Volume:15
(9), Page 621-625 (1996).
Martel-PelletierJ. Pathophysiology of osteoarthritis. Osteoarthritis and Cartilage
Journal. Volume:12, Page 31 – 33 (2004).
Meniscal Tear in Knee Joint. The Egyptian Journal of Hospital Medicine.
Volume:74 (2), Page 303-309 (2019).
Minafra P. Coaching Ultrasound. The Musculoskeletal Ultrasound Blog. Patellar
tendon tear. (2017).
Knee pain: US and MRI correlation
Page | 88
Mostafa H., AbouElfotuh A., Alsakka M. MRI Versus Ultrasound in Diagnosis of
Nguyen US. D. T., Zhang Y. and Felson D. T. et al. Increasing prevalence of knee
pain and symptomatic knee osteoarthritis. Annals of internal medicine.
Volume:155 (11), Page 725-732 (2011).
Niitsu M., Hayashi D., Guermazi A. Magnetic Resonance Imaging of the Knee.
Springer. New York. ISBN 978-3-642-17892-4 DOI 10.1007/978-3-642-17893-1
(2013).
Nogueira-Barbosa M. H., Gregio-Junior E., Lorenzato M. M., et al. Ultrasound
Assessment of Medial Meniscal Extrusion: A Validation Study Using MRI
asReference Standard. American Journal of Roentgenology. Volume:204 (3), Page
584-588 (2015).
Physiopedia. Physio-pedia.com/Bone_bruise (2019).
Price N. Prepatellar bursitis. Emergency Nurse. Volume: 16 (3), Page 20-24
(2008).
Scheffler S. The cruciate ligaments: Anatomy, biology, and biomechanics. The
knee joint. Springer. Paris. ISBN 978-2-287-99352-7. DOI 10.1007/978-2-287-
99353-4_2 (2012).
Singh A., Mangat I., Thukral C. L. et al. Diagnostic Accuracy of Ultrasonography
in Evaluation of Knee Injuries with Magnetic Resonance Imaging Correlation.
International Journal of Anatomy, Radiology and Surgery. Volume:7 (1), Page 50-
55 (2018).
SINGH A. P. Pes Anserinus Bursitis Symptoms and Treatment.
boneandspine.com/pes-anserinus-bursitis. Credit to Netter Anatomy (2019).
Smith J., Sayeed Y. A., Finnoff J. T. et al. The Bifurcating Distal Biceps Femoris
Tendon: Potential Pitfall in Musculoskeletal Sonography. Journal of Ultrasound in
Medicine. Volume:30 (8), Page 1162-1166 (2011).
Song Y. D., Jain N. P., Kim S. J. et al. Is knee magnetic resonance imaging
overutilized in current practice? Knee surgery and related research.Volume:27(2),
Page 95-100 (2015).
Knee pain: US and MRI correlation
Page | 89
Ultrasoundpedia. Ultrasound of the Knee-Normal. (2019).
Unlu E., Ustuner E., Saylisoy S. et al. The role of ultrasound in the diagnosis of
meniscal tears and degeneration compared to MRI and arthroscopy. Acta Med
Anatol.Volume:2 (3), Page 80-87 (2014).
Van VulpenL. F. D., Holstein K. and Martinoli C. Joint disease in haemophilia:
Pathophysiology, pain and imaging. Hemophilia journal. Volume: 24 (S6), Page
44-49 (2018).
Verma M. Baker cyst: hemorrhagic. Radiopaedia. (2019).
Ward E. E., Jacobson J. A., Fessell D. P. et al. Sonographic detection of Baker’s
cysts: comparison with MR imaging. American Journal of Roentgenology.
Volume:176 (2), Page 373-380 (2001).
Weerakkody Y.., Gaillard F. et al. Lipohemarthrosis. Radiopaedia. (2019).
Wei laboratories. Condition of the Month-April 2019Baker’s Cyst.
Weilab.com(2019).
Woude H. J., Smithuis R. Sclerotic bone tumors and tumor-like lesions. The
Radiology Assisstant. (2013).
Wu T. S., Pregerson B. Ultrasound of the Knee. Emergency Physicians monthly.
(2011).