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Research ArticleResearch

Indications for and clinical procedures resulting from magnetic resonance imaging of the knee in older patients

Are we choosing wisely?

Marc-Etienne Parent, François Vézina, Nathalie Carrier and Ariel Masetto
Canadian Family Physician March 2018; 64 (3) e126-e132;
Marc-Etienne Parent
Resident in the Department of Rheumatology at the Centre hospitalier universitaire de Sherbrooke in Quebec.
MD FRCPC
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  • For correspondence: marc-etienne.parent@usherbrooke.ca
François Vézina
Adjunct Professor in the Department of Orthopaedic Surgery at the Centre hospitalier universitaire de Sherbrooke.
MD FRCSC
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Nathalie Carrier
Statistician in the Department of Rheumatology at the Centre hospitalier universitaire de Sherbrooke.
MSc
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Ariel Masetto
Adjunct Professor, in the Department of Rheumatology at the Centre hospitalier universitaire de Sherbrooke.
MD
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    Figure 1.

    Most frequent magnetic resonance imaging indications by main ordering physician specialties

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    Figure 2.

    Magnetic resonance imaging findings by main ordering physician specialties

    OA—osteoarthritis.

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    Table 1.

    Patient characteristics: N = 215; mean (SD) age of patients was 60.6 (7.5) y.

    CHARACTERISTICN (%)
    Women110 (51.2)
    Right knee affected115 (53.5)
    Physician ordering MRI
      • GP148 (68.8)
      • Rheumatologist10 (4.7)
      • OS55 (25.6)
      • Other2 (0.9)
    Pre-MRI radiography findings (n = 201)
      • Mild OA104 (51.7)
      • Moderate to severe OA40 (19.9)
      • With standing AP view0 (0.0)
    Radiography in the past 24 mo (n = 82)
      • Findings of mild OA41 (50.0)
      • Findings of moderate to severe OA8 (9.8)
      • With standing AP view31 (37.8)
    • AP—anteroposterior, MRI—magnetic resonance imaging, OA—osteoarthritis, OS—orthopedic surgeon.

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    Table 2.

    Most frequent magnetic resonance imaging indications by main ordering physician specialties

    INDICATIONSPECIALTYTOTAL, NP VALUE
    GP (N = 148), %OS (N = 55), %
    Meniscopathy70.372.7144.732
    Chronic pain48.027.386.008
    Ligamentopathy19.69.134.075
    Acute pain6.17.313.752
    Osteoarthritis5.41.89.449
    Osteochondral lesion2.05.56.347
    Arthritis or synovitis0.07.34.005
    Osteonecrosis0.05.53.019
    • OS—orthopedic surgeon.

    • View popup
    Table 3.

    Magnetic resonance imaging findings by main ordering physician specialties

    FINDINGSPECIALTYTOTAL, NP VALUE
    GP (N = 148), %OS (N = 55), %
    Normal2.73.66.663
    Mild OA43.960.098.042
    Moderate to severe OA42.645.577.026
    Degenerative meniscal tear (myxoid)68.249.1128.012
    Nondegenerative meniscal tear30.416.454.044
    Osteochondral lesion22.336.453.043
    Intra-articular effusion14.99.127.282
    Baker cyst9.510.920.758
    Cruciate ligament tear6.812.717.172
    Arthritis or synovitis2.03.65.614
    • OA—osteoarthritis, OS—orthopedic surgeon.

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Canadian Family Physician: 64 (3)
Canadian Family Physician
Vol. 64, Issue 3
1 Mar 2018
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Indications for and clinical procedures resulting from magnetic resonance imaging of the knee in older patients
Marc-Etienne Parent, François Vézina, Nathalie Carrier, Ariel Masetto
Canadian Family Physician Mar 2018, 64 (3) e126-e132;

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Indications for and clinical procedures resulting from magnetic resonance imaging of the knee in older patients
Marc-Etienne Parent, François Vézina, Nathalie Carrier, Ariel Masetto
Canadian Family Physician Mar 2018, 64 (3) e126-e132;
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