{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T13:25:25Z","timestamp":1770297925712,"version":"3.49.0"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T00:00:00Z","timestamp":1733529600000},"content-version":"vor","delay-in-days":67,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Este estudo examinou a precis\u00e3o da resson\u00e2ncia magn\u00e9tica (RM) como modalidade diagn\u00f3stica para detec\u00e7\u00e3o da ruptura de ligamentos do joelho, em que a artroscopia \u00e9 o padr\u00e3o-ouro. O estudo investigou a sensibilidade, especificidade, valor preditivo positivo e valor preditivo negativo dos resultados da RM em uma coorte de 200 pacientes em compara\u00e7\u00e3o \u00e0 artroscopia diagn\u00f3stica.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Nossa institui\u00e7\u00e3o realizou um exame cl\u00ednico abrangente de todos os pacientes com les\u00f5es no joelho e aqueles com achados afirmativos sugestivos de ruptura ligamentar foram submetidos \u00e0 RM. O estudo incluiu 200 pacientes com rupturas do ligamento cruzado anterior (LCA) e do ligamento cruzado posterior (LCP) confirmadas por RM que, posteriormente, foram submetidos \u00e0 artroscopia para fins diagn\u00f3sticos e terap\u00eauticos. Os resultados foram submetidos a v\u00e1rios testes estat\u00edsticos para compara\u00e7\u00e3o e an\u00e1lise dos desfechos.<\/jats:p><jats:p>\n          Resultados\u2003O estudo demonstrou sensibilidade e especificidade notavelmente altas, com acur\u00e1cia quase ideal para o diagn\u00f3stico de les\u00f5es do LCA e do LCP por meio de RM em compara\u00e7\u00e3o \u00e0 artroscopia. Os pacientes com resultados afirmativos \u00e0 RM poderiam ser submetidos a procedimentos artrosc\u00f3picos diagn\u00f3sticos ou terap\u00eauticos.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003O estudo enfatiza a import\u00e2ncia da RM como m\u00e9todo n\u00e3o invasivo e altamente preciso para avalia\u00e7\u00e3o das les\u00f5es ligamentares do joelho. Embora a RM possa ser usada na investiga\u00e7\u00e3o de primeira linha, deve-se enfatizar que a artroscopia continua a ser o padr\u00e3o-ouro para o diagn\u00f3stico de rupturas do LCA e do LCP. Este estudo recomenda o uso da RM como uma valiosa ferramenta de triagem em pacientes com suspeita de ruptura de ligamentos do joelho, com potencial para reduzir o n\u00famero de artroscopias diagn\u00f3sticas em indiv\u00edduos com achados cl\u00ednicos inconclusivos, o que minimiza o desconforto do paciente e os custos de sa\u00fade.<\/jats:p>","DOI":"10.1055\/s-0044-1785508","type":"journal-article","created":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T23:30:21Z","timestamp":1733614221000},"page":"e707-e711","source":"Crossref","is-referenced-by-count":1,"title":["Precis\u00e3o da resson\u00e2ncia magn\u00e9tica na detec\u00e7\u00e3o de rupturas do ligamento cruzado anterior e do ligamento cruzado posterior e correla\u00e7\u00f5es artrosc\u00f3picas subsequentes: Uma investiga\u00e7\u00e3o"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4142-2395","authenticated-orcid":false,"given":"Vijendra","family":"Yadav","sequence":"additional","affiliation":[{"name":"Sanjay Gandhi Institute of Trauma and Orthopedics, Bangalore, Karnataka, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0240-3729","authenticated-orcid":false,"given":"Chidanand Kaudki Janekunte","family":"Chandrashekhar","sequence":"additional","affiliation":[{"name":"Sanjay Gandhi Institute of Trauma and Orthopedics, Bangalore, Karnataka, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0190-1612","authenticated-orcid":false,"given":"Rishi Pothuri","family":"Ram","sequence":"additional","affiliation":[{"name":"Sanjay Gandhi Institute of Trauma and Orthopedics, Bangalore, Karnataka, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafeeq","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Sanjay Gandhi Institute of Trauma and Orthopedics, Bangalore, Karnataka, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,7]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1148\/radiology.183.3.1584943","article-title":"Occult fracture patterns of the knee associated with anterior cruciate ligament tears: assessment with MR imaging","volume":"183","author":"P A Kaplan","year":"1992","journal-title":"Radiology"},{"issue":"02","key":"ref2","first-page":"166","article-title":"Intracapsular and extracapsular structure relationships at the knee: magnetic resonance imaging and arthroscopic correlation","volume":"13","author":"W N 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Med"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"7583","DOI":"10.1038\/s41598-017-08133-4","article-title":"The diagnostic accuracy of magnetic resonance imaging for anterior cruciate ligament injury in comparison to arthroscopy: a meta-analysis","volume":"7","author":"K Li","year":"2017","journal-title":"Sci Rep"},{"issue":"06","key":"ref10","first-page":"e15727","article-title":"The Validation of Clinical Examination and MRI as a Diagnostic Tool for Cruciate Ligaments and Meniscus Injuries of the Knee Against Diagnostic Arthroscopy","volume":"13","author":"K Shantanu","year":"2021","journal-title":"Cureus"}],"container-title":["Revista Brasileira de 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