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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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16.7 Conclusion

Meniscal injuries are very common among professional and amateur athletes and are a major cause of functional impairment of the knee. For athletes, unnecessary treatment or intervention may be as damaging to a competitive future as failure to diagnose a clinically significant injury. Therefore, rapid and accurate evaluation of possible meniscal injuries is crucial in these patients.

For detection of meniscal pathology, MRI is an excellent diagnostic imaging tool, with accuracy of as high as 95%, compared to arthroscopy, remaining the gold standard. Furthermore, MRI proved useful, on the basis of its high negative predictive value, to avoid unnecessary arthroscopy and hospitalization, morbidity, and waste of limited financial and manpower resources.

However, radiologists must be aware of numerous pitfalls simulating a meniscal tear. Furthermore, MRI pictures contain many details with an uncertain clinical relevance, delineating the need to correlate MRI with clinical findings in order to plan treatment optimally.

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Van Dyck, P., Gielen, J.L., Vanhoenacker, F.M. (2007). Sports-related Meniscal Injury. In: Vanhoenacker, F.M., Maas, M., Gielen, J.L. (eds) Imaging of Orthopedic Sports Injuries. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68201-1_16

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  • DOI: https://doi.org/10.1007/978-3-540-68201-1_16

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