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Published on: September 2, 2025
Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy
Keith Winters1, Russell Tregonning
1Department of Orthopaedic Surgery, Capital and Coast Health, Wellington, New Zealand.
Background:
Magnetic resonance imaging (MRI) has become an important modality in the assessment of traumatic soft-tissue injury of the knee.
Methods:
This prospective study was performed to evaluate the accuracy of MRI used at Wellington Hospital--by comparing the result of the scans of 67 patients with subsequent arthroscopy.
Results:
The imaging studies provided a diagnostic accuracy of 90% for the medial meniscus, 82% for the lateral meniscus, 94% for the anterior cruciate ligament, and 96% for the posterior cruciate. The sensitivity was 87% for the medial meniscus, only 46% for the lateral meniscus, 92 % for the anterior cruciate, and 80% for the posterior cruciate. The specificity was relatively high at 92%, 91%, 94%, and 97%, respectively.