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KMID : 0615720020190060221
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Jouranl of Korean Acupuncture and Moxibustion society
2002 Volume.19 No. 6 p.221 ~ p.233
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Comparative Study between MRI and pain, duration, physical examination in 20 patients with knee joint pain
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양명복/Yang, Myung-bok
장병선/이대용/이승훈/황병천/박정운/국의석/Jang, Byung-sun/Lee, Dae-yong/Lee, Seung-hoon/Hwang, Byung-chun/Park, Jung-un/Guk, Ui-suk
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Abstract
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Background and Purpose : MRI(Magnetic Resonance Imaging) has become one of the most sensitive diagnostic tool no evaluate problems of the knee, because it enables us to identify not only osseous tissue but also soft tissues including muscle, fascia, tendon, ligament, meniscus and fat around the knee joint.
Objective : To compare between MRI reading and pain, duration, physical examination in patients with pain of knee joint.
Methods : 20 patients with pain of knee joint included in this study. This study researched pain-degree, duration, physical examination with pain of knee joint. Using MRI(Horizon Lx 1.0T-GE), we obtained the results.
Results : 1. In the distributon of sex; Female rate was 80.0% and male rate was 20.0%. In the distribution of age, above sixty group was the largest group by each 55.0%.
2. In the distrbution of MRI reading; ´Meniscus horm tear´was 70.0%, ´Osteoarthritis´was 55.5%, ´ACL partial tear´was 15.0%, ´Bone bruise at tibia, femur´was 15.0%.
3. Correlation between duration of pain and MRI reading showed that acute and subacute stage related various MRI reading, that chronic stage related ´Osteoarthritis´ and ´Meniscus horn tear´by each 69.2%, 92.3%.
4. Correlation between pain and MRI reading showed that severe pain(GVI) realted ´ACL partial tear, PCL partial tear´ by each 100%, that mild pain(GⅡ) related ´Osteoarthritis, Meniscus horn tear´ by each 70.0%, 80.0%.
5. Correlation between physical examination and MRI reading showed that Drawer test related ACL partial tear by each 60.0%, that McMurray test related , Meniscushorn tear´by each 75.0%.
6. Correlation between effect of treatment and MRI reading showed that´Osteoarthritis, Meniscus horn tear´ realted good effect, that ACL partial tear related poor effect.
Conclusions : These results suggest that acute and sever pain relate ´ACL partial tear, PCL partial teaf´, that chronic and mild pain relted ´Osteoarthritis, Meniscus horn tear´.
So it is responsibility to use MRI as a sensitive diagnostic tool in the knee problems.
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