Clinical versus MRI grading of the medial collateral ligament in acute knee injury
(2024) In Research in Sports Medicine 32(1). p.12-16- Abstract
Sensitivity, specificity, and agreement between clinical and magnetic resonance imaging (MRI) gradings of the medial collateral ligament (MCL) after acute knee injury were evaluated in 362 patients. Ninety-seven per cent were injured during sports/recreation. Sensitivity and specificity of MRI for grade II or III MCL injury was 68% (95% CI 58–77%) and 90% (95% CI 86–93%), respectively. Weighted Kappa analysis showed moderate agreement between clinical and MRI grading (0.56 [95% CI 0.48–0.65]). Findings were similar for patients with and without concomitant cruciate ligament rupture (0.57 [95% CI 0.48–0.66] and 0.55 [95% CI 0.35–0.75], respectively) and for specialists in orthopaedics and knee sub-specialists (0.55 [95% CI 0.39–0.70] and... (More)
Sensitivity, specificity, and agreement between clinical and magnetic resonance imaging (MRI) gradings of the medial collateral ligament (MCL) after acute knee injury were evaluated in 362 patients. Ninety-seven per cent were injured during sports/recreation. Sensitivity and specificity of MRI for grade II or III MCL injury was 68% (95% CI 58–77%) and 90% (95% CI 86–93%), respectively. Weighted Kappa analysis showed moderate agreement between clinical and MRI grading (0.56 [95% CI 0.48–0.65]). Findings were similar for patients with and without concomitant cruciate ligament rupture (0.57 [95% CI 0.48–0.66] and 0.55 [95% CI 0.35–0.75], respectively) and for specialists in orthopaedics and knee sub-specialists (0.55 [95% CI 0.39–0.70] and 0.57 [95% CI 0.47–0.67], respectively). Agreement between clinical and MRI grading of MCL injuries by orthopaedic specialists in a general hospital is at least moderate regardless of the presence of cruciate ligament injury.
(Less)
- author
- Brown, Jamie S. LU ; Olsson, Ola LU ; Isacsson, Anders LU and Englund, Martin LU
- organization
- publishing date
- 2024
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- clinical examination, magnetic resonance imaging, Medial collateral ligament injury
- in
- Research in Sports Medicine
- volume
- 32
- issue
- 1
- pages
- 12 - 16
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:85131209841
- pmid:35621350
- ISSN
- 1543-8627
- DOI
- 10.1080/15438627.2022.2079981
- language
- English
- LU publication?
- yes
- id
- a21b6528-9d3d-41a3-8995-4e9551a106b6
- date added to LUP
- 2023-02-08 13:53:50
- date last changed
- 2024-06-24 00:45:29
@article{a21b6528-9d3d-41a3-8995-4e9551a106b6, abstract = {{<p>Sensitivity, specificity, and agreement between clinical and magnetic resonance imaging (MRI) gradings of the medial collateral ligament (MCL) after acute knee injury were evaluated in 362 patients. Ninety-seven per cent were injured during sports/recreation. Sensitivity and specificity of MRI for grade II or III MCL injury was 68% (95% CI 58–77%) and 90% (95% CI 86–93%), respectively. Weighted Kappa analysis showed moderate agreement between clinical and MRI grading (0.56 [95% CI 0.48–0.65]). Findings were similar for patients with and without concomitant cruciate ligament rupture (0.57 [95% CI 0.48–0.66] and 0.55 [95% CI 0.35–0.75], respectively) and for specialists in orthopaedics and knee sub-specialists (0.55 [95% CI 0.39–0.70] and 0.57 [95% CI 0.47–0.67], respectively). Agreement between clinical and MRI grading of MCL injuries by orthopaedic specialists in a general hospital is at least moderate regardless of the presence of cruciate ligament injury.</p>}}, author = {{Brown, Jamie S. and Olsson, Ola and Isacsson, Anders and Englund, Martin}}, issn = {{1543-8627}}, keywords = {{clinical examination; magnetic resonance imaging; Medial collateral ligament injury}}, language = {{eng}}, number = {{1}}, pages = {{12--16}}, publisher = {{Taylor & Francis}}, series = {{Research in Sports Medicine}}, title = {{Clinical versus MRI grading of the medial collateral ligament in acute knee injury}}, url = {{http://dx.doi.org/10.1080/15438627.2022.2079981}}, doi = {{10.1080/15438627.2022.2079981}}, volume = {{32}}, year = {{2024}}, }