PMID: 8947405Nov 1, 1996Paper

Comparison of an optical catheter office arthroscope with a standard rigid rod-lens arthroscope in the evaluation of the knee

The American Journal of Sports Medicine
K MeisterG Miller

Abstract

In a prospective, randomized study, 47 patients underwent arthroscopic evaluation of the knee in an operating room setting with both a standard rod-lens arthroscope and a newer flexible optical catheter fiberoptic system. The goal of the study was to assess the diagnostic accuracy of the newer catheter system, which is recommended for use in the office setting. Forty-four patients were included in the data analysis, three were eliminated because we were unable to perform an adequate examination with the catheter scope secondary to intraarticular adhesions or excessive bleeding. A comparison of the two systems revealed an overall underestimation and underrecognition of intraarticular knee pathologic changes. Anterior cruciate ligament tears were missed in 3 of 21 knees; no posterior cruciate ligament tears were detected by the rod-lens arthroscope in 44 knees, but one false-positive result was "seen" using the optical catheter device. Similar trends in diagnosis (sensitivity, 25% to 67%; specificity, 96% to 99%) were seen for tears of the medial and lateral menisci, chondral lesions, and the identification of loose bodies. We conclude from the results of this study that the use of the optical catheter system for arthroscopic eva...Continue Reading

References

Jan 1, 1992·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J L Halbrecht, D W Jackson
Sep 1, 1987·The American Journal of Sports Medicine·E WojtysW Martel
Jan 1, 1988·The American Journal of Sports Medicine·D W JacksonP E Berger
Jun 1, 1986·Radiology·M A ReicherR H Gold
Nov 1, 1985·AJR. American Journal of Roentgenology·M A ReicherR H Gold
Dec 1, 1994·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·M DentiC Trevisan

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Citations

May 7, 1999·Clinics in Sports Medicine·J W Miller
Jul 13, 2014·Applied Health Economics and Health Policy·Jeffrey D VoigtBryan Huber
Dec 24, 2019·Foot & Ankle International·Tobias StornebrinkGino M M J Kerkhoffs
Apr 22, 2016·Journal of Sports Sciences·Trevor Nicholas Savage, Andrew Stuart McIntosh
Feb 18, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tobias StornebrinkGino M M J Kerkhoffs
Oct 22, 2019·Orthopaedic Journal of Sports Medicine·Sean McMillanNirav H Amin
Dec 2, 2020·Rheumatology·Robert W IkeKenneth C Kalunian

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Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
J L Halbrecht, D W Jackson
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M DentiC Trevisan
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