Muskloskeletal Ultrasound Versus Magnetic Resonance Imaging in Meniscal Abnormalities

Musculoskeletal Ultrasound Versus Magnetic Resonance Imaging in Assessment of Meniscal Abnormalities.

clinical examination alone is usually insufficient in assessment of knee meniscus and a more reliable diagnosis can be achieved by using the knee ultrasound , magnetic resonance imaging.

magnetic resonance imaging is considered the most noninvasive diagnostic method of detecting lesions of the intra-articular reliable knee structures. However, there are recent reports concluding that ultrasound is a valid technique for diagnosing meniscal lesions, even though it is not part of the standard protocol for evaluating injuries to the intra-articular knee structures.

Study Overview

• Status: Unknown
• Conditions: Meniscus Lesion

Detailed Description

The aim of our study is to determine if any other available noninvasive method can reliably diagnose knee meniscal pathology as well as magnetic resonance imaging. In our case, we use ultrasound as a noninvasive method , and we want to see if this will be sufficient for diagnosing meniscal lesions , if it could be used for this task instead of magnetic resonance imaging investigations performed by a radiologist, as well as a guide for indication of knee arthroscopy .Knee ultrasound is widely accepted among orthopedic surgeons, and ultrasound is used as diagnostic tool for various pathological conditions in orthopedic surgery. ultrasound is currently popularly used in orthopedic surgery due to its simplicity and because it is less time-consuming and more practical than magnetic resonance imaging. It can diagnose location of the tear, joint effusion, synovial thickening, and osteophytosis. Rather, the goal is to determine whether or not meniscal pathology wanting surgical intervention .

We will also compare the diagnostic accuracies of these diagnostic procedures for both acute and chronic meniscal lesions of the knee.While magnetic resonance imaging (MRI) is often considered the gold standard diagnostic imaging modality for detection of meniscal abnormalities, it is associated with misdiagnosis in as high as 47% of cases, and is not readily available to a large number of patients. Ultrasonographic examination of the knee will be reported to be an effective diagnostic tool for this purpose with the potential to overcome many of the shortcomings of magnetic resonance imaging. The purpose of this study is to determine the clinical usefulness of ultrasonography for diagnosis of meniscal pathology in patients with acute knee pain and compare its diagnostic accuracy to magnetic resonance imaging in a clinical setting . Musculoskeletal ultrasound involves the use of high-frequency sound waves to image soft tissues and bony structures in the body for the purposes of diagnosing pathology . Recently, an increasing number of physicians have integrated musculoskeletal ultrasound into their practices to facilitate patient care. Technological advancements, improved portability, and reduced costs continue to drive the proliferation of ultrasound in clinical medicine the clinical applications of musculoskeletal ultrasound in clinical practice, including the ultrasonographic appearance of normal and abnormal tissues as well as specific diagnostic and interventional applications in major body regions.

• Study Type: Observational
• Enrollment (Anticipated): 30

Contacts and Locations

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 14 years and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Study willbe on cases of meniscal lesion degenerative on different pathologieslike osteoarthritis, rumatoid arthritis and trumatic cases due to meniscal injury these cases willbe diagnsed by ultrasound and compared by magnetic resonance imaging results to prove role of muskloskeletal ultrasound in diagnosis of meniscal lesions

Description

Inclusion Criteria:• Patients Presented with knee pain .

• High probability for requiring surgical intervention for diagnosis and/or treatment of the affected• Patients aged 14 years old and older. exclusion criteria. • Patients will be excluded when the criteria mentioned before not met. • When informed consent is not granted and documented .

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
rate of diagnosis of meniscal abnormalities	numbers of patient accurately diagnosed meniscal abnormality by ultrasound versus mri	48

Collaborators and Investigators

• Sponsor: Assiut University

Publications and helpful links

General Publications

• Majewski M, Susanne H, Klaus S. Epidemiology of athletic knee injuries: A 10-year study. Knee. 2006 Jun;13(3):184-8. doi: 10.1016/j.knee.2006.01.005. Epub 2006 Apr 17.
• Lee D, Bouffard JA. Ultrasound of the knee. Eur J Ultrasound. 2001 Oct;14(1):57-71. doi: 10.1016/s0929-8266(01)00146-x. No abstract available.

Study record dates

Study Major Dates

• Study Start (Anticipated): May 1, 2018
• Primary Completion (Anticipated): May 1, 2019
• Study Completion (Anticipated): August 1, 2019

Study Registration Dates

• First Submitted: March 31, 2018
• First Submitted That Met QC Criteria: March 31, 2018
• First Posted (Actual): April 6, 2018

Study Record Updates

• Last Update Posted (Actual): April 6, 2018
• Last Update Submitted That Met QC Criteria: March 31, 2018
• Last Verified: March 1, 2018

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Congenital Abnormalities
• Other Study ID Numbers: MSK US Versus Mri

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No