What question did this study set out to answer?

To evaluate the injury patterns of knee derangement and determine the diagnostic accuracy of arthrography, arthroscopy, and combined clinical evaluations.

September 1, 1985Clinical Orthopaedics and Related Research

Internal Derangement of the Knee

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To evaluate the injury patterns of knee derangement and determine the diagnostic accuracy of arthrography, arthroscopy, and combined clinical evaluations.
Surgical evaluation of 384 cases with meniscal or anterior cruciate ligament (ACL) tears treated by 16 orthopedic surgeons over two distinct 12-month periods.
Assessed the individual and combined diagnostic accuracy of preoperative clinical impression, arthrography, and arthroscopy against definitive surgical findings.
Medial to lateral meniscal tears occurred at a ratio of 2.7:1, ipsilateral tears of both menisci occurred in 3.9% of cases, and 12% presented with ACL tears (70% accompanied by concomitant medial meniscus tears).
Diagnostic accuracy was 73.2% for arthrography alone, 94.9% for arthroscopy alone, and 96.8% when combining clinical impression, arthrography, and arthroscopy.

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Implication

Observational surgical study demonstrates high diagnostic accuracy using combined arthroscopy and arthrography in knee derangement, highlighting optimal methods for detecting joint tears.

Cite This Study

Selesnick et al. (1985) studied this question.

synapsesocial.com/papers/6a8ac8b2f07ad6ed43b1e3bd https://doi.org/10.1097/00003086-198509000-00004

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Implication

Observational surgical study demonstrates high diagnostic accuracy using combined arthroscopy and arthrography in knee derangement, highlighting optimal methods for detecting joint tears.

Internal Derangement of the Knee

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Internal Derangement of the Knee

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Implication

Cite This Study

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