AGREEMENT IN DIAGNOSIS OF KNEE INJURIES BY ORTHOPEDISTS WITH CLINICAL EXPERIENCE IN KNEE TREATMENT

ABSTRACT Objective: To analyze the level of agreement in diagnosing knee injury among orthopedists with clinical experience in knee treatment. Method: An online questionnaire was used to analyze the ability of orthopedic knee surgeons to diagnose intra-articular knee injuries using MRI, the importance given to this test in their clinical practice, and the agreement between these diagnoses and the radiology report. Results: The study participants considered MRI an important tool for clarifying inconclusive diagnoses and surgical planning. The level of agreement between the surgeons and the radiologist was considered to be very slight for posterior cruciate ligament injuries, collateral ligament injuries, and chondral injuries, and was considered slight for anterior cruciate ligament and meniscus injuries. Conclusion: A diagnosis of intra-articular knee injury must be based on the patient history, physical examination, and radiological imaging (MRI) in order to provide a complete approach to the patient. Level of Evidence III; Clinical study.摘要 研究目的：分析具备膝关节临床诊疗经验的骨科医师在膝关节损伤诊断中的一致性水平。 研究方法：本研究采用在线问卷方式，评估膝关节骨科医师利用磁共振成像（Magnetic Resonance Imaging，MRI）诊断膝关节腔内损伤的能力、该检查在其临床实践中的受重视程度，以及此类诊断与放射科报告之间的一致性水平。 研究结果：参与研究的医师认为，磁共振成像是明确不确定性诊断及制定手术计划的重要工具。医师与放射科医师针对后交叉韧带损伤、侧副韧带损伤及软骨损伤的诊断一致性水平被评为极弱，而针对前交叉韧带与半月板损伤的诊断一致性水平则被评为较弱。 研究结论：膝关节腔内损伤的诊断必须结合患者病史、体格检查及放射影像学（磁共振成像，MRI）检查，以制定完整的患者诊疗方案。本研究为证据等级Ⅲ级临床研究。