PMID: 9446232Jan 31, 1998Paper

Interobserver variation in diagnostic arthroscopy of the knee joint. "How really objective are arthroscopic findings?"

Der Unfallchirurg
J JeroschA van Kampen

Abstract

We assessed the interindividual diagnostic variance of 39 experienced arthroscopists by the Kappa Cohen interobserver variation analysis using videotapes of eight different patients with different diagnoses. Arthroscopically normal findings showed a relatively acceptable interobserver correlation. Pathological changes, in contrast, often showed very little correlation, especially in the synovial membrane of the suprapatellar recess, in the cartilage of the femoropatellar groove and the posterior cruciate ligament. In patellar alignment there was also great interobserver variation. When comparing arthroscopic findings with other imaging techniques the above results should be taken into account. Furthermore, these results will affect the significance of medical expertise based only on pictures. In addition, medical cost billing, which is based on arthroscopic findings, has to take into account that a wrong diagnosis is possible and therefore charges will be wrong.

Citations

Jun 16, 2006·Der Orthopäde·P HelwigB Schewe
May 3, 2013·Archives of Orthopaedic and Trauma Surgery·Gunter SpahnGunther O Hofmann
Nov 26, 2008·BMC Musculoskeletal Disorders·Gunter SpahnGunther O Hofmann
Jun 2, 2009·Pathophysiology : the Official Journal of the International Society for Pathophysiology·Gunther O HofmannGunter Spahn
Sep 22, 2007·The Knee·P HelwigB Schewe
Jun 8, 2007·Medical Engineering & Physics·Gunter SpahnJürgen A Mollenhauer

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