Медицинская литература. Новинки

 

 

 

 

 

 

Роль магнитно-резонансной томографии и клинического обследования в диагностике повреждений менисков коленного сустава

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Магнитно-резонансная томография (МРТ) и клини ческий осмотр являются ведущими при постановке диагноза повреждения менисков коленного сустава. Мы провели анализ эффективности каждого из методов, основываясь на данных мировой литературы. В обзор вошли 32 литературных источника, посвященных данной тематике. Показано, что клинический диагноз разрыва мениска, поставленный опытным врачом-травматологом, равнозначен или даже превосходит результаты МРТ-исследования.

Ключевые слова:
коленный сустав, повреждения мениска, магнитно-резонансная томография, клиническая диагноcтика.

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The Role of MRI and Clinical Examination in the Diagnosis of Meniscal Tears

Magnetic resonance imaging (MRI) and clinical examination are tools commonly used in the diagnosis of meniscal tears. We designed a systematic review of prospective studies comparing MRI and clinical examination to arthroscopy to diagnosis meniscus tears. Thirty-two relevant studies were identified by a literature review. Careful evaluation by an experienced examiner identifies patients with surgically treatable meniscus lesions with equal or better reliability than MRI. MRI is useful, but should be reserved for situations in wich an experienced clinician requires further information before arriving at a diagnosis.

Keywords:
knee joint, meniscus tears, MRI, clinical examination.