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Original research article


Ultrasonographic findings in a large series of patients with knee pain.

Suheil ArtulFadi KhazinJeries HakimGeorge Habib
Department of Radiology, Faculty of Medicine, Nazareth Hospital, Bar Ilan University, NazarethDepartment of Orthopedics, EMMS Hospital, Nazareth, ZfatDepartment of Orthopedics, Carmel Medical Center, HaifaRheumatology Clinic, Nazareth Hospital and Department of Medicine, Faculty of Medicine, Carmel Medical Center, Technion – Israel Institute of Technology, Haifa, Israel
Date of Submission: 31-Dec-1969, Date of Acceptance: 31-Dec-1969, Date of Web Publication: 30-Aug-2014.
Corresponding Author:
Corresponding Author

Suheil Artul

Department of Radiology, Faculty of Medicine, Nazareth Hospital, Bar Ilan University, Nazareth, Zfat, Israel
E-mail: Suheil_artul@hotmail.com

Corresponding Author:
Corresponding Author

Suheil Artul

Department of Radiology, Faculty of Medicine, Nazareth Hospital, Bar Ilan University, Nazareth, Zfat, Israel
E-mail: Suheil_artul@hotmail.com

DOI: 10.4103/2156-7514.139735 Facebook Twitter Google Linkedin

ABSTRACT



Background: Musculoskeletal ultrasound (MSKUS) is becoming more and more popular in the evaluation of different musculoskeletal abnormalities. The aim of this retrospective study was to document the prevalence and spectrum of MSKUS findings at the painful knee.
Materials and Methods: All the studies of MSKUS that were performed for the evaluation of knee pain during the previous 2 years at the Department of Radiology in Nazareth hospital were reviewed. Demographic and clinical parameters including age, gender, side, and MSKUS findings were documented.
Results: Two hundred and seventy-six patients were included in the review. In 21 of them, both knees were evaluated at the same setting (total number of knees evaluated was 297). One hundred and forty-four knees were of the left side. Thirty-three pathologies were identified. 34% of the studies were negative. The most common MSKUS findings were medial meniscal tear (MMT) (20%), Baker’s cyst (BC) (16%), and osteoarthritis (OA) (11%). Only one knee of all the knees evaluated in our study showed synovitis. Fifty-three knees (18% of all the knees evaluated) had more than one imaging finding, mosty two and while some had three findings. The most common combination of findings was MMT and BC (8 knees), MMT with OA (8 knees), and MMT with fluid (6 knee). In 67% of the patients who had simultaneous bilateral knee evaluation, at least one knee had no abnormal findings and in 43%, both knees were negative.
Conclusions: MSKUS has the potential for revealing huge spectrum of abnormalities. In nearly 90% of the positive studies, degenerative/mechanical abnormalities were reported, with MMT, BC, and osteoarthritic changes being the most common.
Keywords: Abnormal Findings, Knee, Pathology, Ultrasound

Cited in 4 Documents

  1. Ahmed Abdel Khalek Abdel Razek and Sherif Refaat El-Basyouni (2016) Ultrasound of knee osteoarthritis: interobserver agreement and correlation with Western Ontario and McMaster Universities Osteoarthritis. Clin Rheumatol 35(4):997. doi: 10.1007/s10067-015-2990-2
  2. Marcos Fernandez-Cuadros, Olga Susana Pérez-Moro, Ruben Algarra-López, Laura Cabrera-Rodriguez, Carmen Ramos-Gonzalez and Maria Jesus Albaladejo-Florin (2018) Basics of Ultrasound for Musculoskeletal Evaluation in the Rehabilitation Settings: Review of the Literature. Middle East J Rehabil Health Stud In Press(In Press):. doi: 10.5812/mejrh.82320
  3. A. Sarmanova, M. Hall, J. Moses, M. Doherty and W. Zhang (2016) Synovial changes detected by ultrasound in people with knee osteoarthritis – a meta-analysis of observational studies. Osteoarthritis and Cartilage 24(8):1376. doi: 10.1016/j.joca.2016.03.004
  4. Marcos Edgar Fernandez-Cuadros, Olga Susana Perez-Moro, Maria Jesus Albaladejo-Florin, Carmen Ramos-Gonzalez, Laura Cabrera-Rodriguez and Ruben Algarra-Lopez (2018) Utility of Ultrasound on Musculoskeletal Pathology in Hands of a Rehabilitation Specialist: A Review of the Literature. Middle East J Rehabil Health Stud 5(1):. doi: 10.5812/mejrh.65931

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