Arthroscopy and arthrography of the knee: a critical review

Ireland, John; Trickey, E. L.; Stoker, D J

doi:10.1302/0301-620x.62b1.7351432

Cited by 89 publications

(27 citation statements)

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“…Furthermore, the diagnosis at follow-up examination was in good agreement with the diagnosis at the initial arthroscopy, when correlated for the 1 1 diagnostic failures. Our results tend to support most of the previously reported results (Jackson & Abe 1972, DeHaven & Collins 1975, McGinty & Freedman 1976, Gillquist et al 1977, Ireland et al 1980) that arthroscopy offers a substantial increase in the diagnostic accuracy of meniscal lesions and tears of the anterior cruciate ligament. In contrast, Gillies & Seligson (1977) found the arthroscopic accuracy in meniscal lesions as low as 68 per cent, whereas their clinical accuracy was 85 per cent.…”

Section: Discussionsupporting

confidence: 91%

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Arthroscopy of the Knee: An Analysis of 588 Consecutive Knee Arthroscopies

Hansen¹,

Thomsen²,

Dyreborg³

1983

Acta Orthopaedica Scandinavica

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Section: Discussionsupporting

confidence: 91%

“…plement to arthroscopy, undoubtedly would have increased our arthroscopic accuracy, especially in tears of the anterior cruciate ligament and in lesions of the posterior horn of the menisci as these lesions can be difficult to expose arthroscopically (Gillies & Seligson 1979, Ireland et al 1980.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopy of the Knee: An Analysis of 588 Consecutive Knee Arthroscopies

Hansen¹,

Thomsen²,

Dyreborg³

1983

Acta Orthopaedica Scandinavica

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“…On the other hand the false negative results seem to occur exclusively from misinterpretation of MRI. 14,15 As far as the cruciate ligaments are concerned, our study showed that from the 28 ACL ruptures diagnosed during arthroscopy 04 of them were negative; leading to NPV of MRI for ACL ruptures of 66.6%. The accuracy, sensitivity and specificity values for knee lesions vary widely in literature.…”

Section: Discussionmentioning

confidence: 80%

Evaluation of medial meniscal injury and anterior cruciate ligament tear by MRI with arthroscopic correlation

Murmu

Tiwari

Agrawal³

2017

Int Surg J

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Background: Apart from clinical examination multiple modalities (conventional radiography, MRI and arthroscopy) are currently used to evaluate knee injuries. This study is intended to compare the sensitivity and specificity of MRI in correlation of arthroscopy in diagnosing of knee injuries.Methods: This is a prospective study involving 51 patients with history of knee injuries who were admitted in the Department of Orthopaedics, Command Hospital, Kolkata, India from April 2013 to June 2014. MRI of the knee joint was done for all these patients either before or after admission. The patients were then subjected to diagnostic and therapeutic arthroscopy. Statistical analysis was used to calculate the sensitivity, specificity, positive predictive value and the negative predictive value, in order to assess the reliability of the MRI results.Results: The sensitivity and specificity of MRI with respect to arthroscopy in anterior cruciate ligament tear is 87.5% and 66.6%. Positive predictive value is 87.5%. Negative predictive value is 66.6%. Accuracy is 81.82%. The sensitivity and specificity of MRI with respect to arthroscopy in medial meniscal tears is 85.7% and 70.8% respectively. Positive predictive value is 63%, negative predictive value is 89.4%, accuracy is 76.3%.Conclusions: The present study supports that MRI is helpful in diagnosing medial meniscal and anterior cruciate ligament injuries. The negative predictive value of a MRI was found to be high for all structures of the knee joint and hence a MRI can be used to exclude pathology, thus sparing patients from expensive and unnecessary surgery.

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“…Although arthrography and arthroscopy have made it possible to initiate prompt treatment, there are still difficulties in detecting tears of the lateral meniscus [1,4,5] and the posterior horn of the medial meniscus [9,15].…”

Section: Introductionmentioning

confidence: 99%

A prospective study of the accuracy of clinical examination evaluated by arthroscopy of the knee

Yoon

Rah

Park

1997

International Orthopaedics

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Summary. The diagnostic accuracy of clinical examination for internal derangement of the knee were evaluated by arthroscopy in 195 patients (200 knees). Radiographs were available and 50 patients had magnetic resonance imaging. The clinical diagnosis was correct in 104 knees (52%), incomplete in 70 (35%) and incorrect in 26 (13%). When there was a single abnormality the diagnosis was correct in 70%, but when more than 3 lesions were discovered the figure was 28%. All individual lesions were diagnosed correctly in more than 90%. The lesions most difficult to diagnose were chondral fractures, partial tears of the anterior cruciate ligament and loose bodies. Knees with acute lesions and those with a single diagnosis were significantly easier to diagnose (p 50.01). Age, sex, MRI and the surgeon were not significant.

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Arthroscopy and arthrography of the knee: a critical review

Cited by 89 publications

References 0 publications

Arthroscopy of the Knee: An Analysis of 588 Consecutive Knee Arthroscopies

Arthroscopy of the Knee: An Analysis of 588 Consecutive Knee Arthroscopies

Evaluation of medial meniscal injury and anterior cruciate ligament tear by MRI with arthroscopic correlation

A prospective study of the accuracy of clinical examination evaluated by arthroscopy of the knee

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