naa a22 4500 510818528 CHVBK 20180411083519.0 cr unu---uuuuu 180411e20130801xx s 000 0 eng 10.1007/s12306-013-0282-z doi (NATIONALLICENCE)springer-10.1007/s12306-013-0282-z Financial impact of radiological reports on medical-legal evaluation of compensation for meniscal lesions [Elektronische Daten] [M. Lelario, P. Ciuffreda, P. Lupo, C. Bristogiannis, R. Vinci, L. Stoppino, M. De Filippo, L. Macarini] To evaluate any discrepancy between radiological reports for clinical purposes and for medicolegal purposes and to quantify its economic impact on repayments made by private insurance companies for meniscal injuries of the knee. The medical records obtained pertaining to 108 knee injury patients (mean age 43.3years) assessed over a period of 12months were analysed. Clinical medical reports, aimed at assessing the lesion, and medicolegal reports, drawn up with a view to quantifying compensation, were compared. Unlike reports for clinical purposes in reports for medicolegal purposes, in the evaluation of meniscal lesions, in addition to morphological features of lesions, chronological, topographical, severity and exclusion criteria were applied. To estimate the economic impact resulting from the biological damage, we consulted an actuarial table based on the 9-point minor incapacity classification system. Meniscal lesions not compatible with a traumatic event and therefore not eligible for an insurance payout were found in 56 patients. Of these, 37 failed exclusion criteria, while 19 failed to meet chronological criteria. This difference resulted in a reduction in compensation made by private insurance companies with savings estimated with a saving between €203,715.41 and €622,315.39. The use of a clinical report for medicolegal purposes can be a source of valuation error, as chronological and/or dynamic information regarding the trauma mechanism may be lacking. Therefore, the use of a full radiological appraisal allows a better damage's assessment and an adequate compensation for injuries. Istituto Ortopedico Rizzoli, 2013 Meniscal lesions nationallicence Radiological forensic evaluation nationallicence Biological damage nationallicence Compensation insurance nationallicence Lelario M. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut Ciuffreda P. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut Lupo P. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut Bristogiannis C. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut Vinci R. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut Stoppino L. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut De Filippo M. Department of Clinical Sciences, University of Parma, Parma, Italy aut Macarini L. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut MUSCULOSKELETAL SURGERY Springer Milan 97(2013-08-01), 137-144 2035-5106 97<137 2013 97 12306 https://doi.org/10.1007/s12306-013-0282-z text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12306-013-0282-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lelario M. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut NATIONALLICENCE 700 1- Ciuffreda P. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut NATIONALLICENCE 700 1- Lupo P. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut NATIONALLICENCE 700 1- Bristogiannis C. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut NATIONALLICENCE 700 1- Vinci R. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut NATIONALLICENCE 700 1- Stoppino L. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut NATIONALLICENCE 700 1- De Filippo M. Department of Clinical Sciences, University of Parma, Parma, Italy aut NATIONALLICENCE 700 1- Macarini L. Department of Diagnostic Imaging, University of Foggia, Viale Luigi Pinto n.1, 71100, Foggia, Italy aut NATIONALLICENCE 773 0- MUSCULOSKELETAL SURGERY Springer Milan 97(2013-08-01), 137-144 2035-5106 97<137 2013 97 12306 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer