Arthroskopische Behandlung der anterioren Synovialitis des oberen Sprunggelenkes beim Sportler

Abstract

Due to the uncertain clinical outcome and the documented high risk of neurovascular complications, patient selection for arthroscopic partial synovectomy in the athletic population should be performed extremely carefully. Prior to surgery, all other conservative options including changes of running shows as well as modifications in exercise program and athletic activity should be considered.

History, clinical findings, magnetic resonance imaging, and arthroscopic correlation in meniscal lesions

“…Although MRI and arthroscopy have become increasingly important in the treatment for meniscal disorders, a carefully performed physical examination and a detailed history taking remains essential to proper diagnosis. History alone is insufficient as a diagnostic tool [4, 12, 14]. Miller [14] found the overall clinical diagnosis accuracy of meniscal tears to be 80%, and the corresponding accuracy for MRI was 73%.…”

Predicted probability of meniscus tears: comparing history and physical examination with MRI

“…In unclear situations, the clinician requests an MRI for additional information to aid planning the operation and to predict the prognosis. However, many studies have shown no significant differences in the clinical and MRI diagnosis of meniscal tears [16,[25][26][27][28][29][30]. For example, the sensitivity of MRI for detecting tears of the posterior horn of the lateral meniscus is lower than for tears at other meniscal locations [31].…”