Examination of the knee joint. The value of clinical findings in arthroscopic control

Zeitschrift für Orthopädie und ihre Grenzgebiete
K Steinbrück, J C Wiehmann

Abstract

Purely clinical examination of the knee joint can, at best, only be regarded as a "screening procedure". Diagnosis with the aid of apparatus (sonography, arthrography, CT, NMR) produces better results. However, arthroscopy performed by an experienced examiner confirms the diagnosis in cases of suspected meniscus injury or isolated lesions of the cruciate ligaments and leads to early and therefore optimal therapy. In a retrospective study 300 arthroscopies performed in 1985 were selected and evaluated. In 1986/87, a further 300 patients were clinically examined prospectively, according to the same criteria, and findings were compared with the arthroscopy performed the following day. Clinically, in 287 patients with multiple diagnoses, internal meniscus lesions were diagnosed in 162 cases (54%), external meniscus lesions in 38 (13%), chondropathia patellae in 54 (18%), and old ruptures of the cruciate ligaments in 46 (15%). In 13 patients no diagnosis could be established. Arthroscopically, pathology of the internal meniscus was found in 98 (33%) of the 300 patients, of the external meniscus in 40 (13%), cartilage damage in 103 (34%), old cruciate ligament ruptures in 51 (17%), and recent anterior cruciate ligament ruptures in 15...Continue Reading

Citations

Dec 12, 2013·Der Unfallchirurg·J Schneider
May 24, 2006·The Journal of Orthopaedic and Sports Physical Therapy·Anne BenjaminseCees P van der Schans
Oct 18, 2007·The Journal of Orthopaedic and Sports Physical Therapy·Eric J HegedusDouglas C McCrory
Jan 1, 1994·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·P SchlepckowK Hempel
Jan 6, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Paulo H AraujoVolker Musahl
Sep 1, 1996·Clinical Orthopaedics and Related Research·C RanggerL Hamid
Nov 13, 2002·Der Orthopäde·S RuppD Kohn

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