Main Article Content
Background: Physical activities like sports gymnastics games, cycling, brisk walking, and running has always been a fun and important activities for people’s health and especially when it became their occupation. Due to increased unhealthy eating disorders in people, they have developed an unhealthy weight which is causing them to be weakened and causing pain especially at joints. For the diagnosis conventional radiography was never helpful because it is not for soft tissues whereas MRI is been using in muscoskeletal as modality of choice.
Methods: total 600 patients were included in this prospective study with acute knee pain held at Lahore. 1.5 T MRI is used to rule out meniscal tears. Duration was of one year. Scans were reported by 2 expert radiologists and spss version 25.0 is used for frequency analysis. Asymptomatic patients were excluded from this study.
Results: Knee meniscal tear frequency was ruled out in symptomatic patients including acute knee pain. Frequency was determined from 600 patients by determining male and female in them. Positive meniscal tear findings were discriminated by negative meniscal tear findings. Men has high ratio of meniscal tears because of many factors as compared to women.
Conclusion: Jumping, supports, running and high intensity physical activities can be the cause of meniscal tear. Early evaluation of tear is necessary for the treatment of symptoms such as acute knee pain etc. Magnetic resonance imaging is non- invasive useful muscoskeletal imaging modality which can detect the tear even at very small grade such as grade 1.
This work is licensed under a Creative Commons Attribution 4.0 International License.
- Navali AM, Bazavar M, Mohseni MA, Safari B, Tabrizi A. Arthroscopic evaluation of the accuracy of clinical examination versus MRI in diagnosing meniscus tears and cruciate ligament ruptures. Archives of Iranian medicine. 2013;16(4):229.
- Renström P, Johnson RJ. Anatomy and biomechanics of the menisci. Clinics in sports medicine. 1990;9(3):523-38.
- Alizadeh A, Jandaghi AB, Zirak AK, Karimi A, Mardani-Kivi M, Rajabzadeh A. Knee sonography as a diagnostic test for medial meniscal tears in young patients. European Journal of Orthopaedic Surgery & Traumatology. 2013;23(8):927-31.
- Crues 3rd J, Mink J, Levy T, Lotysch M, Stoller D. Meniscal tears of the knee: accuracy of MR imaging. Radiology. 1987;164(2):445-8.
- Park G-Y, Kim J-M, Lee S-M, Lee MY. The value of ultrasonography in the detection of meniscal tears diagnosed by magnetic resonance imaging. American journal of physical medicine & rehabilitation. 2008;87(1):14-20.
- Cook JL, Cook CR, Stannard JP, Vaughn G, Wilson N, Roller BL, et al. MRI versus ultrasonography to assess meniscal abnormalities in acute knees. The journal of knee surgery. 2014;27(04):319-24.
- Achtnich A, Petersen W, Willinger L, Sauter A, Rasper M, Wörtler K, et al. Medial meniscus extrusion increases with age and BMI and is depending on different loading conditions. Knee Surgery, Sports Traumatology, Arthroscopy. 2018;26(8):2282-8.
- Akatsu Y, Yamaguchi S, Mukoyama S, Morikawa T, Yamaguchi T, Tsuchiya K, et al. Accuracy of high-resolution ultrasound in the detection of meniscal tears and determination of the visible area of menisci. JBJS. 2015;97(10):799-806.
- Gielen JL, De Schepper AM, Vanhoenacker F, Parizel PM, Wang XL, Sciot R, et al. Accuracy of MRI in characterization of soft tissue tumors and tumor-like lesions. A prospective study in 548 patients. European radiology. 2004;14(12):2320-30.
- Lohmander L, Östenberg A, Englund M, Roos H. High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 2004;50(10):3145-52.
- Kelly BT, Williams RJ, Philippon MJ. Hip arthroscopy: current indications, treatment options, and management issues. The American journal of sports medicine. 2003;31(6):1020-37.
- Bedoya MA, Barrera CA, Chauvin NA, Delgado J, Jaramillo D, Ho-Fung VM. Normal meniscal dimensions at different patient ages—MRI evaluation. Skeletal Radiology. 2019;48(4):595-603.
- Englund M, Roemer FW, Hayashi D, Crema MD, Guermazi A. Meniscus pathology, osteoarthritis and the treatment controversy. Nature Reviews Rheumatology. 2012;8(7):412-9.
- Chiba D, Sasaki T, Ishibashi Y. Greater medial meniscus extrusion seen on ultrasonography indicates the risk of MRI-detected complete medial meniscus posterior root tear in a Japanese population with knee pain. Scientific Reports. 2022;12(1):1-7.
- Everhart JS, Magnussen RA, Abouljoud MM, Regalado LE, Kaeding CC, Flanigan DC. Meniscus tears accelerate joint space loss and lateral meniscal extrusion increases risk of knee arthroplasty in middle‐aged adults. Journal of Orthopaedic Research®. 2020;38(11):2495-504.