Klinikte 'Mutsuz triad' olarak bilinen kombine diz yaralanmalarının sıklıklarının Magnetik Rezonans Görüntüleme ile gözden geçirilmesi

Purpose: The aim is to examine the frequency of combined injuries of knee joints clinically known as the classical 'unhappy triad' by magnetic resonance imaging (MRI). Matherial and methods: 118 patients, who referred to our clinic for knee examination to be performed by an orthopedist or physical therapy and rehabilitation physician by magnetic resonance imaging due to knee pain, giving way of knee, locking complaints or trauma history, were evaluated in terms of medial and lateral meniscus, medial collateral ligament (MCL) and lateral collateral ligament (LCL) and anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) lesions. Results: The triple combination of medial meniscus, MCL and ACL lesions was found in 4 cases (3.4%) and that of lateral meniscus, MCL and ACL lesions was found in 2 cases (1.7%). Combined ACL and MCL tear was found in 4 patients (3.4%). Conclusion: O'Donoghue's unhappy triad, which is the combination of ACL, MCL and medial meniscus injury, was found more frequent than triad of lateral meniscus injury. Some contrary studies were done so as to determine which unhappy triad was more frequent during the time before MRI was clinically used, and all these studies were based on arthroscopy and surgical methods. As preoperative evaluation of meniscus and ligament injuries was only made by physical examination in those periods, performing such clinical evaluations was crucial in terms of the surgical decision. Being a reliable, cost-effective, sensitive and specific imaging method for conservative or surgical treatment decision, MRI plays a very important role in preoperative evaluation of inner joint structures.