Document Detail


The clinical utility and diagnostic performance of MRI for identification and classification of knee osteochondritis dissecans.
MedLine Citation:
PMID:  22637210     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Magnetic resonance imaging (MRI) is a common clinical tool used to diagnose and monitor the progression and/or healing of osteochondritis dissecans of the knee. The purpose of this study was to systematically review the literature relative to the following questions: (1) Is MRI a valid, sensitive, specific, accurate, and reliable imaging modality to identify knee osteochondritis dissecans compared with arthroscopy? (2) Is MRI a sensitive tool that can be utilized to characterize lesion severity and stability of osteochondritis dissecans fragments in the knee?
METHODS: A systematic search was performed in December 2010 with use of PubMed MEDLINE (from 1966), CINAHL (from 1982), SPORTDiscus (from 1985), Scopus (from 1996), and EMBASE (from 1974) databases.
RESULTS: Seven studies, four Level-II and three Level-III investigations, met the specified inclusion criteria. No randomized controlled studies were identified. Because of inconsistencies between imaging techniques and methodological shortcomings of many of the studies, a meta-analysis was not performed.
CONCLUSIONS: The limited available evidence, methodological inconsistencies in imaging techniques, and lack of standardized grading criteria used in current studies prevent clear conclusions regarding the diagnostic and specific staging equivalency of MRI with arthroscopy. However, available evidence supports the use of MRI to detect the stability or instability of the lesion. Given the benefits of the use of MRI as a noninvasive tool to diagnose, predict lesion progression, and assess clinical outcomes of treatment, there is a pressing need for high-level, systematic, sound, and thorough studies related to the clinical utility of MRI for assessing osteochondritis dissecans of the knee.
Authors:
Carmen E Quatman; Catherine C Quatman-Yates; Laura C Schmitt; Mark V Paterno
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  94     ISSN:  1535-1386     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-05-28     Completed Date:  2012-08-06     Revised Date:  2013-06-24    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1036-44     Citation Subset:  AIM; IM    
Affiliation:
Ohio State University Medical Center, Columbus, USA. Carmen.quatman@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Knee Joint / pathology*
Magnetic Resonance Imaging / methods*,  utilization
Male
Osteochondritis Dissecans / diagnosis*,  pathology
Reproducibility of Results
Sensitivity and Specificity
Severity of Illness Index
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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