Accuracy Of Dynamic Ultrasound Imaging In Detection Of Anterior Cruciate Ligament Injuries In Comparison To Magnetic Resonance Imaging And Knee Arthroscopy Findings

Mahmoud, Mohamed Ahmed; Saad, Mohammed; Roby, Sara Aly; Arafa, Mohamed Safaa El-deen

doi:10.21608/fumj.2025.313272.1382

Accuracy Of Dynamic Ultrasound Imaging In Detection Of Anterior Cruciate Ligament Injuries In Comparison To Magnetic Resonance Imaging And Knee Arthroscopy Findings

Document Type : Full Length research Papers

Authors

¹ Radiology Department , Faculty of Medicine , Fayoum University , Fayoum city , Egypt

² Professor of Radiodiagnosis, Radiodiagnosis department, Faculty of Medicine Fayoum University, Fayoum, Egypt.

³ radiology department , faculty of medicine , fayoum university , fayoum ,Egypt

⁴ Orthopedic department, Faculty of Medicine, Fayoum University

10.21608/fumj.2025.313272.1382

Abstract

Introduction: MRI has become the gold standard for identifying an anterior cruciate ligament (ACL) damage. The availability and expense of MRI are the two primary obstacles limiting its widespread usage in all patients with suspected ligament injuries. In this prospective research, we compared the results of functional USG to those of the gold standard MRI scan and knee arthroscopy.

Aim of the study: To validate the value of dynamic ultrasound in diagnosis of ACL tears in symptomatic patients compared to MRI and knee Arthroscopy findings as a gold standard technique in this study.

Subjects and Methods: We performed observational, analytical and prospective study, including 30 patients who were clinically suspected to have ACL tear after clinical examination. All patients underwent history taking and clinical examination, dynamic Ultrasound, conventional MRI knee, and knee arthroscopy assessment. Data were collected and gathered at Fayoum University Hospital through chart review utilizing the Best-Care system. The statistical analysis was conducted using IBM Corp.'s (Armonk, NY, USA) Statistical Package for the Social Sciences (SPSS) version 20.

Results: The knee ultrasonography test revealed a variety of knee diseases. According to our findings, US is a reliable diagnostic tool for any ACL rupture. However, we discovered that total ACL tears had a greater sensitivity than partial ACL tears (79% versus 52%).

Conclusions: The results support the use of US for the diagnosis of ACL tears as the diagnostic accuracy of US approaches MRI accuracy in diagnosing complete ACL tears especially .

Keywords: Ultrasound, knee joint, ACL tear

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