Accuracy of point-of-care knee sonography for diagnosis of traumatic anterior/ posterior cruciate ligament tears taking magnetic resonance imaging asgold standard: a systematic review and meta-analysis | [Pakistan Journal of Health Sciences • 2023]

Author(s):

1. Irum Raheem: Department of Radiological Sciences and Medical Imaging Technology, University of Lahore,,Pakistan

2. Iqra Manzoor: Department of Radiological Sciences and Medical Imaging Technology, University of Lahore,,Pakistan

3. Bakht Rokhan: Department of Radiology, Saidu Group of Teaching Hospital, Swat, Pakistan

4. Majid Iqbal: Department of Radiology, Saidu Group of Teaching Hospital, Swat, Pakistan

5. Zareen Fatima: Department of Radiological Sciences and Medical Imaging Technology, University of Lahore,,Pakistan

6. Amjad Ali Khan: Department of Radiological Sciences and Medical Imaging Technology, University of Lahore,,Pakistan

Abstract:

Knee joint is among the all the body's joints that are much prone to sustains injuries. Injury to the knee ligaments followed by instability can lead to serious deformity. The diagnosis of ligament injuries is frequently performed by using magnetic resonance imaging (MRI), but the use of ultrasonography remains controversial. This article reviews the current literature regarding the viability of point-of-care knee ultrasonography (POCUS) in comparison to knee magnetic resonance imaging (MRI) for the diagnosis of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) injuries in those individuals who have experienced sudden knee trauma. The data span from 2000 to 2022 was used for the electronic database search (PubMed, Science Direct, Google Scholar). The systematic review included all studies that evaluated the diagnostic e cacy of ultrasound (U/S) compared to MRI as the gold standard and were completely available in English. The meta-analysis reviewing the e cacy of MSK-POCUS for anterior and posterior cruciate ligament injuries includes 30 papers. The overall ultrasonography sensitivity, speci city, positive predictive value (PPV), and negative predictive value (NPV) were 76.02%, 92.77%, 92.25%, and 81.91% (95% CI), respectively. By assuring MRI as the gold standard in the diagnosis of ACL and PCL injuries, Point-of-care ultrasound (POCUS) reveals high accuracy. In individuals who have sustained acute knee injuries, the results of POCUS imaging might be serve to provide an initial diagnosis for additional pre-operative work-up.

Page(s): 1-7

DOI: 10.54393/pjhs.v4i03.471

Published: Journal: Pakistan Journal of Health Sciences, Volume: 4, Issue: 3, Year: 2023

Keywords:

Posterior Cruciate , Anterior Cruciate LigamentACL

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