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The Journal of Bone and Joint Surgery, Vol 73, Issue 1 11-16, Copyright © 1991 by Journal of Bone and Joint Surgery, Inc
The clinical value of magnetic resonance imaging in the evaluation of meniscal disorders
J Raunest, K Oberle, J Loehnert and H Hoetzinger
Department of Surgery A, Heinrich-Heine-Universitat, Dusseldorf, Federal Republic of Germany.
This prospective double-blind study was designed to evaluate the capability
of magnetic resonance imaging to serve as a diagnostic tool in patients who
have a clinically suspected disorder of the meniscus. The imaging studies
provided a diagnostic accuracy of 72 per cent, a sensitivity of 88 per
cent, and a specificity of 57 per cent. The positive and negative
predictive values were 66 and 83 per cent. The diagnostic sensitivity was
94 per cent for lesions of the medial meniscus; this value differed
significantly from that of 78 per cent for lesions of the lateral meniscus
(p less than 0.05). The 37 per cent specificity for lesions of the medial
meniscus was extremely low compared with the rate of 69 per cent for
lesions of the lateral meniscus (p less than 0.01). In the intermediate
part of the meniscus, the diagnostic sensitivity was 37 per cent on the
medial side and 23 per cent on the lateral side; these values were
significantly less than the average of 74 per cent for the other meniscal
segments (p less than 0.001). The imaging studies provided an over-all
accuracy of 67 per cent in the detection of degeneration of the meniscus,
78 per cent in the identification of meniscal tears, and 82 per cent in the
delineation of postoperative lesions.
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