title: Internal derangements of the knee: rates of occurrence at MR imaging in patients referred by orthopedic surgeons compared with rates in patients referred by physicians who are not orthopedic surgeons.
abstract: OBJECTIVE
  To compare the occurrence at magnetic resonance (MR) imaging of clinically important knee abnormalities in patients referred by orthopedic surgeons with that in patients referred by other physicians.
  
  
  METHODS
  Knee MR images in all patients referred for evaluation of internal derangement for 12 months were retrospectively reviewed. Meniscus, ligament, and articular cartilage abnormalities were tabulated. The numbers of abnormalities detected in the patients referred by orthopedic surgeons were compared with those in the patients referred by all other physicians by using chi(2) analysis. Significance was defined at P less than .05.
  
  
  RESULTS
  Knee MR images in 439 patients were reviewed; 328 patients were referred by orthopedic surgeons, and 111 were referred by other physicians. There was no significant difference in the rates of occurrence of meniscus tear (149 [45%; orthopedic surgeon referrals] vs 50 [45%; other physician referrals], P = .96); ligament tear (82 [25%] vs 21 [19%], P = .25); isolated hyaline cartilage defect (77 [23%] vs 20 [18%], P = .29); meniscus or ligament tear (167 [51%] vs 55 [50%], P = .86); or meniscus, ligament, or articular cartilage tear (242 [74%] vs 72 [65%], P = .34). The proportion of patients who subsequently underwent surgery of the knee was also similar (39% [118 of 300] vs 28% [23 of 82], P = .14).
  
  
  CONCLUSIONS
  There was no significant difference in the occurrences of clinically important knee internal derangement at MR imaging between patients referred by orthopedic surgeons and those referred by other physicians.
authors.affiliation: Department of Radiology, Albany Medical College, NY 12208, USA.
authors.forename: A
authors.initials: A
authors.lastname: Uppal
authors.forename: D G
authors.initials: DG
authors.lastname: Disler
authors.forename: W B
authors.initials: WB
authors.lastname: Short
authors.forename: T R
authors.initials: TR
authors.lastname: McCauley
authors.forename: J A
authors.initials: JA
authors.lastname: Cooper
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007718:Knee Injuries / Q000175:diagnosis; D007719:Knee Joint / Q000473:pathology*; D008023:Ligaments, Articular / Q000293:injuries / Q000473:pathology; D008279:Magnetic Resonance Imaging / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data; D008297:Male; D008592:Menisci, Tibial / Q000473:pathology; D008875:Middle Aged; D009985:Orthopedics / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data; D000070600:Tibial Meniscus Injuries