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1000 Titel
  • Sonographic evaluation of lateral meniscal extrusion: implementation and validation
1000 Autor/in
  1. Winkler, Philipp |
  2. Csapo, Robert |
  3. Wierer, Guido |
  4. Hepperger, Caroline |
  5. Heinzle, Bernhard |
  6. Imhoff, Andreas B. |
  7. Hoser, Christian |
  8. Fink, Christian |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-11-20
1000 Erschienen in
1000 Quellenangabe
  • 141(2):271-281
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00402-020-03683-1 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7886729/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Introduction!#!Meniscal extrusion (ME) is an important indicator of and prognostic factor for various knee pathologies. To date, no standardized protocol for the ultrasound-based examination of lateral ME exists. The purpose of the present study was to test the reliability and validity of lateral ME measurements using a standardized ultrasound-based examination protocol.!##!Materials and methods!#!A group consisting of 11 healthy volunteers (Group I, male and female, 18-45 years) as well as a group of 10 consecutive patients who had undergone all-inside lateral meniscal radial tear repair were included (Group II, male and female, 23-43 years). Lateral ME, the main outcome parameter, was measured by ultrasound (US; both groups) and magnetic resonance imaging (MRI; Group II only). Both knees of all subjects were examined in an unloaded state and under axial compression of the knee (50% of body weight). Repeated measurements obtained in Group I by 2 observers were used for reliability testing, and the validity of US was assessed through comparison with MRI data (Group II).!##!Results!#!A total of 66 US images of Group I, obtained by each observer, were analyzed for reliability testing. Forty US and MR images of Group II were assessed for validation. Results showed good interrater (ICC = 0.904) and excellent intrarater (ICC = 0.942) reliability of US-based measurements of lateral ME. Agreement with MRI results was poor (ICC = 0.439), with US systematically overestimating results by 1.1 mm on average.!##!Conclusions!#!Ultrasound is a reliable, quick and cost-effective technique for lateral ME measurement, but results are not readily comparable with MRI.!##!Trial registration!#!The study was registered in the European Union Clinical Trials Register (EudraCT-Number: 2017-005037-24).
1000 Sacherschließung
lokal Female [MeSH]
lokal Dynamic ultrasound
lokal Knee Joint/diagnostic imaging [MeSH]
lokal Ultrasonography/methods [MeSH]
lokal Ultrasonography/standards [MeSH]
lokal Adult [MeSH]
lokal Humans [MeSH]
lokal Prospective Studies [MeSH]
lokal Tibial Meniscus Injuries/diagnostic imaging [MeSH]
lokal Dynamic extrusion
lokal Menisci, Tibial/diagnostic imaging [MeSH]
lokal Arthroscopy and Sports Medicine
lokal Ultrasound
lokal Lateral meniscal extrusion
lokal Stress MRI
lokal Magnetic Resonance Imaging [MeSH]
lokal Male [MeSH]
lokal Reproducibility of Results [MeSH]
lokal Validation
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-3997-1010|https://frl.publisso.de/adhoc/uri/Q3NhcG8sIFJvYmVydA==|https://frl.publisso.de/adhoc/uri/V2llcmVyLCBHdWlkbw==|https://frl.publisso.de/adhoc/uri/SGVwcGVyZ2VyLCBDYXJvbGluZQ==|https://frl.publisso.de/adhoc/uri/SGVpbnpsZSwgQmVybmhhcmQ=|https://frl.publisso.de/adhoc/uri/SW1ob2ZmLCBBbmRyZWFzIEIu|https://frl.publisso.de/adhoc/uri/SG9zZXIsIENocmlzdGlhbg==|https://frl.publisso.de/adhoc/uri/RmluaywgQ2hyaXN0aWFu
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1000 Erstellt am 2023-11-17T00:37:19.966+0100
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