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Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Today, magnetic resonance imaging (MRI) procedures used to detect and measure articular hyaline cartilaginous defects are being increasingly investigated. In this study, we evaluated the sensitivity and diagnostic efficiency of MRI in the detection of particularly advanced cartilage pathologies compared to the arthroscopic results. Methods: In this study, we enrolled 16 male (%38.1) 26 female (%61.9) patients who applied to Şişli Hamidiye Etfal Education and Research Hospital with complaints of throbbing knee pain after long walks and uneasiness during climbing stairs and whose arthroscopies were already scheduled. Forty-two knee joints were evaluated using routine fat-saturated T2-weighted fast spin echo (FSE), sagittal T1, sagittal fat-suppressed proton density (PD) FSE, and coronal short inversion time inversion recovery (STIR) sequences. The MRI results were retrospectively analyzed and compared with the arthroscopic outcomes. Results: The comparison of advanced cartilage lesions at the specified six regions of the knee joint detected using sagittal fat saturated T2- and axial T2-weighted sequences with arthoscopic results revealed that 199 out of 252 regions results showed concordance. At a total number of 38 regions, MRI results failed to detect cartilage lesions, and at 15 regions, the MRI evaluated pathologic results, while arthroscopy revealed normal results. The success of MRI in grading cartilage defects and its concordance with arthroscopy were higher at the medial condyl of the femur and patellar facets. Conclusion: Although MRI is the leading imaging modality due to its high sensitivity and diagnostic efficiency, particularly in detecting advanced cartilage pathologies, the magnetic power of the device and the sequences used are important to obtain optimal images. Although the success rates of different sequences in different planes in detecting and grading chondropathy vary in studies, MRI reaches high accuracies in detecting and grading advanced cartilage lesions with the use of appropriate sequences. [ABSTRACT FROM AUTHOR]

Copyright of Bulletin of Thoracic Surgery / Toraks Cerrahisi Bülteni is the property of Aves Yayincilik Ltd. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The objective of the study is to compare the clinical results of the single-bundle (SB) and double-bundle (DB) anterior cruciate ligament (ACL) repairing techniques using magnetic resonance imaging (MRI)., Methods: Thirty-eight patients were randomized by block randomization into two different groups of ACL reconstruction: DB (n=19) and SB techniques (n=19). MRI evaluation and clinical examination with modified Cincinnati Knee Rating Score and Lysholm knee scores were performed pre-operatively and at the end of a follow-up period of 36 months., Results: No significant differences were found in the ACL angle, posterior cruciate ligament angle, and tibial translation between the DB and the SB groups. Regarding the clinical scores, there were no significant differences between the techniques. As for the correlation of radiologic results with clinical scores in the SB group, there was a strong and significant correlation between the post-operative ACL angle values and the Lysholm clinical score (r=-0.66; p=0.002)., Conclusion: The post-operative ACL angle can predict the degree of clinical recovery in patients undergoing SB ACL reconstruction.