슬내장에 있어서 관절경과 비교한 자기공명영상의 유용성 = Usefulness of Magnetic Resonance Imaging Compared with Arthroscopy in Internal Derangement of the Knee

국문 초록 (Abstract)

슬내장의 진단에 관절내 조영술, 고해상력 전산화 단층촬영, 관절경술 등이 사용되어 왔으나 MRI는 이러한 진단 방법의 단점을 보완하고 높은 진단 정확도를 보이고 있어 정형외과 영역에서 널리 사용되고 있다. 슬내장의 진단에 대한 MRI의 기여도를 슬관절경 소견과 비교하여 그 유용성을 파악하기 위해 본 연구를 시행하였다.

다국어 초록 (Multilingual Abstract)

There are several kinds of diagnostic methods to evaluate internal derangement of the knee joint. Among them magnetic resonance imaging(MRI) is a noninvasive diagnostic method for evaluation of soft tissue pathology such as meniscus and cruciate ligaments injury.
From May, 1993 to August, 1995 MRI and arthroscopy were performed in 68 cases of internal derangement of the knee, and their results were retrospectively analyzed to determine its diagnostic accuracy.
There were 52 menisci and 34 cruciate ligaments injuries were confirmed by arthroscopic examination. The sensitivity, specificity and accuracy of MRI were 89.9%, 50.0%, 70.6% for medial meniscus, 73.3%, 84.2%, 79.4% for lateral meniscus, 77.8%, 96.0%, 91.2% for anterior cruciate ligament, and 93.3%, 100%, 98.5% for posterior cruciate ligament.
Authors believe that MRI is not only accurate, safe, and noninvasive diagnostic method but also an excellent diagnostic procedure for evaluation of the efficient preoperative planning of the internal derangement of the knee such as the pathological findings in meniscus and cruciate ligament.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.연구 대상 및 방법
• Ⅲ.연구 결과
• Ⅳ.증례
• 증례 1
• 증례 2
• 증례 3
• Ⅳ.고찰
• Ⅴ.결론