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Wertigkeit von 3D-Sonographie und MRT des Meniskusschadens

Value of three-dimensional ultrasound and MRI in meniscal lesions

Der Orthopäde volume 35, pages 982–988 (2006)Cite this article

Zusammenfassung

Hintergrund

Ziel der hier durchgeführten prospektiven Studie ist die Feststellung der diagnostischen Sicherheit der dreidimensionalen (3D-)Sonographie bei Meniskusläsionen.

Material und Methoden

Es wurden 34 Sonographien (11,7-MHz-Linearschallkopf) unter Einsatz der 3D-Rekonstruktion klinisch vermuteter Meniskusläsionen durchgeführt. Im Vorfeld erfolgte die Anfertigung einer MRT, deren Bilder und Befund dem Untersucher nicht bekannt war. Der vom anfertigenden Radiologen erstellte Befund wurde zur späteren Auswertung herangezogen. Die Situation am Meniskus wurde arthroskopisch festgestellt und als Referenz herangezogen.

Ergebnisse

Arthroskopisch fanden sich 10 Außen- und 47 Innenmeniskusläsionen unterschiedlicher Lokalisationen. Die Sensitivität (0,5–0,78) und Spezifität (0,75–0,95) der beiden Untersuchungsverfahren war insgesamt vergleichbar.

Schlussfolgerung

Die Ultraschalltechnik inklusive 3D-Rekonstruktion und hoch auflösendem Schallkopf in der Hand des Erfahrenen erreicht eine ähnlich gute Diagnosesicherheit wie die MRT in einer allgemein radiologischen Untersuchung.

Abstract

Background

The aim of this prospective study was the evaluation of preoperative three-dimensional ultrasound in detecting meniscal lesions compared to preoperative MRI.

Methods

A total of 34 patients with clinical signs of meniscal lesions were examined preoperatively (11.7 MHz linear transducer) using the 3-D technique. Before ultrasound, MRI was performed, the results of which were unknown to the ultrasound examiner. The basis of the MRI result was the radiologist’s written report. Arthroscopically the meniscal situation was noted and taken as reference.

Results

At arthroscopy there were 10 lateral meniscal lesions at different locations and 47 medial meniscal lesions at different locations. The sensitivity (0.5–0.78) and specificity (0.75–0.95) of both imaging methods were overall comparable.

Conclusion

Ultrasound with the three-dimensional technique and high-resolution transducer in the hands of an experienced operator gives results comparable to the MRI interpretation by a general radiologist in detecting meniscal lesions.

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Affiliations

  1. Berufsgenossenschaftliche Unfallklinik, Eberhard-Karls-Universität, Tübingen

    P. Helwig, C. Bahrs, K. Weise & B. Schewe

  2. Department Orthopädie und Traumatologie, Universitätsklinik, Albert-Ludwigs-Universität Freiburg, Hugstetterstraße 55, 79106, Freiburg

    P. Helwig

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  1. P. Helwig
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  2. C. Bahrs
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  3. K. Weise
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  4. B. Schewe
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Correspondence to P. Helwig.

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Helwig, P., Bahrs, C., Weise, K. et al. Wertigkeit von 3D-Sonographie und MRT des Meniskusschadens. Orthopäde 35, 982–988 (2006). https://doi.org/10.1007/s00132-006-0972-4

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  • DOI: https://doi.org/10.1007/s00132-006-0972-4

Schlüsselwörter

  • Meniskusläsion
  • Arthroskopie
  • Dreidimensionale Sonographie
  • Kernspintomographie

Keywords

  • Meniscal lesion
  • Arthroscopy
  • Three-dimensional ultrasound
  • Magnet resonance imaging