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Clinical versus MRI grading of the medial collateral ligament in acute knee injury

Brown, Jamie S. LU orcid ; Olsson, Ola LU ; Isacsson, Anders LU and Englund, Martin LU orcid (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.

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author
; ; and
organization
publishing date
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
  • pmid:35621350
  • scopus:85131209841
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
2024-06-10 00:05:26
@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}},
}