Introduction: The knee joint trauma is a significant cause of morbidity at young and active persons. An early and accurate diagnosis of the severity of injuries is essential for early conservative as well as for surgical management. It needs a precise history of trauma, a thorough clinical examination and diagnostic imaging. MRI and arthroscopy were the most widely used diagnostic modalities to assess the joint injury. Arthroscopy is invasive and may cause complications. Magnetic resonance imaging has now accepted as the best non-invasive imaging modality for evaluation of traumatic knee joint. Aim: Arthroscopy in conjunction with MRI evaluation of patients with knee trauma. Materials and Methods: A prospective cross-sectional study done over a period of 1 year 7 months between March 2018 to October 2019. 50 consecutive patients with suspicion of knee trauma were selected for the study referred with clinically suspected internal derangement of knee following trauma to the knee from the orthopedic department of KGH, Visakhapatnam for evaluation of traumatic knee. Results: The study population's average age is 36.5±14.2 years, with a minimum age of 18 and a maximum age of 60 years. MRI has sensitivity, specificity, PPV and NPV with respective to ACL is 95.35%,85.71%,97.62%,75% , for PCL has all 4 100%, MM it is 96.30%,95.65%,96.30%,95.65%, LM it is 92.86%,97.22%,92.86%,97.22%.Overall stating a very good diagnostic tool in comparison with Arthroscopy. Conclusion: In the present studyMRI proved to be an excellent, non-invasive, radiation-free imaging modality with multiplane capabilities and excellent tissue delineation in comparison with invasive Arthroscopy. Thus, helping in arriving at a correct anatomical diagnosis thereby guiding further management of the patient. |