Özet:

Magnetic resonance imaging (MRI) is often used to diagnose lesions such as meniscal and anterior cruciate ligament, which is used before surgery and arthroscopy. Arthroscopy in turn is a minimally invasive procedure which can provide accurate and detailed information about the internal structures of the knee and can be useful in determining the type and severity of the lesions. It was therefore investigated whether the description of the lesions mentioned in the operating protocol are similar to those obtained by using radiological methods (MRI). As a result of this investigation, one of the main objectives of this study is to analyse the consistency and accuracy of the diagnosis of traumatic knee injuries. Material and methods: This prospective observational study evaluated a number of 52 patients with traumatic knee injuries over a period of 48 weeks within the Clinic of Orthopaedics and Traumatology of Mureș County Hospital, Târgu Mureș, Romania. Results: The agreement obtained by calculating the Kappa coefficient give us: moderate agreement for total or partial LIA lesions and lesions in the meniscal body, slight agreement for degenerative lesions in the meniscus and lesions such as” in the basket handle” and” in the parrot`s beak”, almost perfect agreement for lesions in the meniscal horn. Depending on the affected structure and location of the lesion, without regard to it`s type: almost perfect agreement for lesions in the horns or meniscal body. Conclusion: Following the analysis and interpretation of the results obtained in this study, we can conclude that there is a variable level of agreement between the MRI and the arthroscopy examination in the case of meniscal lesions and the anterior cruciate ligament, depending on the type of lesion and the affected structure.

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