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The American Journal of Sports Medicine 25:7-12 (1997)
© 1997 SAGE Publications

The Diagnosis of Meniscal Tears in Ath letes

A Comparison of Clinical and Magnetic Resonance Imaging Investigations

Thomas Muellner, MD

University Clinic of Traumatology and Radiology, University of Vienna, Vienna, Austria

Reinhard Weinstabl, MD

University Clinic of Traumatology and Radiology, University of Vienna, Vienna, Austria

Rudolf Schabus, MD

University Clinic of Traumatology and Radiology, University of Vienna, Vienna, Austria

Vilmos Vecsei, MD

University Clinic of Traumatology and Radiology, University of Vienna, Vienna, Austria

Franz Kainberger, MD

University Clinic of Traumatology and Radiology, University of Vienna, Vienna, Austria

This study evaluated the predictability of clinical exam ination alone in comparison with magnetic resonance imaging in the diagnosis of meniscal tears in compet itive athletes. Ninety-three competitive athletes were prospectively investigated between 1992 and 1995. A total of 57 athletes were operated on based on clinical examination alone, and the 36 remaining athletes had magnetic resonance imaging before surgery. The cor rect diagnosis of a meniscal lesion was made on clin ical examination alone in 83 athletes (89%) and on magnetic resonance imaging the correct diagnosis was also made in 89% of 36 athletes. The overall values for the clinical investigation of the medial and lateral me nisci combined were 94.5%, 91.5%, 99%, 96.5%, 87% for accuracy, positive predictive value, negative predic tive value, sensitivity, and specificity, respectively. The overall values for magnetic resonance imaging of the medial and lateral menisci combined were 95.5%, 96.5%, 91.5%, 98%, 85.5% for accuracy, positive pre dictive value, negative predictive value, sensitivity, and specificity, respectively.




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