Introduction: This study evaluates the efficacy of ultrasound versus magnetic
resonance imaging (MRI) for measuring the angle and depth of the trochlear
groove in knee evaluations at Al-Zahra and Kashani hospitals. Material and
Methods: It is an observational cross-sectional study among patients referred for
knee MRIs at Al-Zahra and Kashani hospitals over two years, from January 2021
to December 2022. The study population comprised 70 patients, which was
calculated to achieve an 80% power and a 95% confidence interval. The selection
was via convenience sampling. For each patient, a radiologist performed and
reviewed knee MRIs to measure the trochlear angle and depth. These
measurements were compared to those obtained using ultrasound under similar
conditions, ensuring methodological consistency. Results: Trochlear groove
measurements were analyzed for depth and angle using ultrasound and MRI
across various demographics, including gender, age, and body mass index,
revealing no statistically significant differences (P>0.05). Ultrasound
demonstrated sensitivities of 81.43% for angle and 78.57% for depth
measurements, while MRI exhibited specificities of 93.10% for angle and 91.07%
for depth. Comparative analysis showed minor mean differences between the
two methods: 0.83 ± 1.01 mm for depth and 1.01 ± 3.38 degrees for angle.
Conclusion: Both diagnostic methods proved effective and comparable in
measuring the trochlear groove's dimensions, suggesting suitability for clinical
use. Given the closely aligned results, further research with expanded sample
sizes may enhance the understanding of these methods' diagnostic capacities in
orthopedic settings.
Keywords: Ultrasound Imaging, Magnetic Resonance Imaging, Angle, Depth, Trochlear Groove.
