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Muskloskeletal Ultrasound Versus Magnetic Resonance Imaging in Meniscal Abnormalities

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ClinicalTrials.gov Identifier: NCT03490799
Recruitment Status : Unknown
Verified March 2018 by Marwa Ali, Assiut University.
Recruitment status was:  Not yet recruiting
First Posted : April 6, 2018
Last Update Posted : April 6, 2018
Sponsor:
Information provided by (Responsible Party):
Marwa Ali, Assiut University

Brief Summary:

clinical examination alone is usually insufficient in assessment of knee meniscus and a more reliable diagnosis can be achieved by using the knee ultrasound , magnetic resonance imaging.

magnetic resonance imaging is considered the most noninvasive diagnostic method of detecting lesions of the intra-articular reliable knee structures. However, there are recent reports concluding that ultrasound is a valid technique for diagnosing meniscal lesions, even though it is not part of the standard protocol for evaluating injuries to the intra-articular knee structures.


Condition or disease
Meniscus Lesion

Detailed Description:

The aim of our study is to determine if any other available noninvasive method can reliably diagnose knee meniscal pathology as well as magnetic resonance imaging. In our case, we use ultrasound as a noninvasive method , and we want to see if this will be sufficient for diagnosing meniscal lesions , if it could be used for this task instead of magnetic resonance imaging investigations performed by a radiologist, as well as a guide for indication of knee arthroscopy .Knee ultrasound is widely accepted among orthopedic surgeons, and ultrasound is used as diagnostic tool for various pathological conditions in orthopedic surgery. ultrasound is currently popularly used in orthopedic surgery due to its simplicity and because it is less time-consuming and more practical than magnetic resonance imaging. It can diagnose location of the tear, joint effusion, synovial thickening, and osteophytosis. Rather, the goal is to determine whether or not meniscal pathology wanting surgical intervention .

We will also compare the diagnostic accuracies of these diagnostic procedures for both acute and chronic meniscal lesions of the knee.While magnetic resonance imaging (MRI) is often considered the gold standard diagnostic imaging modality for detection of meniscal abnormalities, it is associated with misdiagnosis in as high as 47% of cases, and is not readily available to a large number of patients. Ultrasonographic examination of the knee will be reported to be an effective diagnostic tool for this purpose with the potential to overcome many of the shortcomings of magnetic resonance imaging. The purpose of this study is to determine the clinical usefulness of ultrasonography for diagnosis of meniscal pathology in patients with acute knee pain and compare its diagnostic accuracy to magnetic resonance imaging in a clinical setting . Musculoskeletal ultrasound involves the use of high-frequency sound waves to image soft tissues and bony structures in the body for the purposes of diagnosing pathology . Recently, an increasing number of physicians have integrated musculoskeletal ultrasound into their practices to facilitate patient care. Technological advancements, improved portability, and reduced costs continue to drive the proliferation of ultrasound in clinical medicine the clinical applications of musculoskeletal ultrasound in clinical practice, including the ultrasonographic appearance of normal and abnormal tissues as well as specific diagnostic and interventional applications in major body regions.

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Study Type : Observational
Estimated Enrollment : 30 participants
Observational Model: Case-Only
Time Perspective: Prospective
Official Title: Musculoskeletal Ultrasound Versus Magnetic Resonance Imaging in Assessment of Meniscal Abnormalities.
Estimated Study Start Date : May 2018
Estimated Primary Completion Date : May 2019
Estimated Study Completion Date : August 2019

Resource links provided by the National Library of Medicine





Primary Outcome Measures :
  1. rate of diagnosis of meniscal abnormalities [ Time Frame: 48 ]
    numbers of patient accurately diagnosed meniscal abnormality by ultrasound versus mri



Information from the National Library of Medicine

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Ages Eligible for Study:   14 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Study willbe on cases of meniscal lesion degenerative on different pathologieslike osteoarthritis, rumatoid arthritis and trumatic cases due to meniscal injury these cases willbe diagnsed by ultrasound and compared by magnetic resonance imaging results to prove role of muskloskeletal ultrasound in diagnosis of meniscal lesions
Criteria

Inclusion Criteria:• Patients Presented with knee pain .

• High probability for requiring surgical intervention for diagnosis and/or treatment of the affected• Patients aged 14 years old and older. exclusion criteria. • Patients will be excluded when the criteria mentioned before not met. • When informed consent is not granted and documented .


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03490799


Contacts
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Contact: nagham mouhamed nabil, Assistant Professor 01028820041 nagham.omr@aun.edu.eg
Contact: abu elhassan hasseb, Lecturer of Radiology 01142503493 abolhasan96@yahoo.com

Sponsors and Collaborators
Assiut University
Publications:
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Responsible Party: Marwa Ali, Principle Investigator, Assiut University
ClinicalTrials.gov Identifier: NCT03490799    
Other Study ID Numbers: MSK US Versus Mri
First Posted: April 6, 2018    Key Record Dates
Last Update Posted: April 6, 2018
Last Verified: March 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Congenital Abnormalities