title: [Concordance between preoperatory diagnosis and arthroscopy findings of meniscal lesions associated to anterior cruciate ligament injury].
abstract: BACKGROUND
  Ligament injuries of the knee joint are common during the second and third decades of life, clinical and radiological diagnosis presents difficulties since the surgical findings may differ significantly. The objective is to determine correlation between clinical-radiologic and arthroscopic diagnosis in patients with injury of the anterior cruciate ligament (ACL) and meniscal lesions.
  
  
  METHODS
  Cross-sectional study held in 29 patients with ACL injury associated to meniscal lesions treated arthroscopically. Variables were age, gender, affected side, preoperative and postoperative diagnosis, type and location of meniscal injury; descriptive statistics and Cohen Kappa for concordance were used.
  
  
  RESULTS
  There were 29 patients, 23 (79.3%) men and 6 (20.7%) women, mean age 39.04 (15-50) ± 13.19 years; right side was affected in 69% and left in 31%; 19% had not meniscal lesion, 17.2% had injury in anterior horn, 10.3% in posterior horn and 6.9% in the body. The concordance between preoperative and artroscopic diagnosis was: Kappa 0.2; intraboservador was Kappa 1.0; between suspected meniscal injury and arthroscopic findings was: Kappa 0.2.
  
  
  CONCLUSIONS
  The concordance between the clinical-radiological and arthroscopic diagnosis in patients with ACL injuries and meniscal injury associated is low, which has to be considered in the initial review and the arthroscopic treatment of patients.
authors.affiliation: Unidad Médica de Alta Especialidad del Hospital de Traumatología y Ortopedia de Puebla del Instituto Mexicano del Seguro Social, Puebla, Pue. México.
authors.forename: A
authors.initials: A
authors.lastname: Montiel-Jarquín
authors.affiliation: Unidad Médica de Alta Especialidad del Hospital de Traumatología y Ortopedia de Puebla del Instituto Mexicano del Seguro Social, Puebla, Pue. México.
authors.forename: R
authors.initials: R
authors.lastname: Barragán-Hervella
authors.forename: G
authors.initials: G
authors.lastname: López-Cázares
authors.affiliation: Unidad Médica de Alta Especialidad del Hospital de Traumatología y Ortopedia de Puebla del Instituto Mexicano del Seguro Social, Puebla, Pue. México.
authors.forename: P
authors.initials: P
authors.lastname: Lima-Ramírez
authors.affiliation: Unidad Médica de Alta Especialidad del Hospital de Traumatología y Ortopedia de Puebla del Instituto Mexicano del Seguro Social, Puebla, Pue. México.
authors.forename: G
authors.initials: G
authors.lastname: Lázaro-Michaca
authors.affiliation: Unidad Médica de Alta Especialidad del Hospital de Traumatología y Ortopedia de Puebla del Instituto Mexicano del Seguro Social, Puebla, Pue. México.
authors.forename: H
authors.initials: H
authors.lastname: Vallecillo-Velázquez
authors.affiliation: Unidad Médica de Alta Especialidad del Hospital de Traumatología y Ortopedia de Puebla del Instituto Mexicano del Seguro Social, Puebla, Pue. México.
authors.forename: M
authors.initials: M
authors.lastname: Sánchez-Durán
authors.affiliation: Unidad Médica de Alta Especialidad, Hospital de Especialidades, Instituto Mexicano del Seguro Social, Mérida, Yucatán, México.
authors.forename: C
authors.initials: C
authors.lastname: Medina-Escobedo
authors.affiliation: Coordinación de Investigación en Salud del Instituto Mexicano del Seguro Social, México.
authors.forename: A
authors.initials: A
authors.lastname: Villatoro-Martínez
keywords: ACL injury; Meniscal injury; concordance; postoperative diagnosis; preoperative diagnosis