Die Arthroskopie bei der akuten Erstluxation der Patella

Lais, E.; Hertel, P.; Verschl, J.

doi:10.1007/978-3-642-75704-4_45

Cited by 1 publication

(2 citation statements)

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“…About 50% of our patients were symptom-free after our diagnostic arthroscopy, which is similar to the results reported by Mohr et al [9]. Some authors [7,9] suggest a lavage-like effect with elimination of joint debris as the reason. We think that this does not necessarily point to the therapeutic effect of an arthroscopy but may well be the natural history of the un-…”

Section: Discussionsupporting

confidence: 90%

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Arthroscopy of the knee without pathological findings

Schlepckow

Weber

Hempel

1994

Knee Surg, Sports traumatol, Arthroscopy

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From 1983 to 1990, 82 knee arthroscopies (8.2%) carried out in our patients found nothing pathological. Sixty-four percent of these patients were active in sports, but trauma was noted in 32% of the cases only. Football and other ball games, skiing, and track and field athletics were the main causes. Twenty-six percent of the patients had undergone previous surgery in the affected knee. At a mean of 4.6 years postoperatively, clinical and radiological re-assessment was conducted so as to compare our pre- and intraoperative findings with the further course of events. We found that 48.2% of the patients were symptom-free after the diagnostic arthroscopy, 37.5% had persistent discomfort and 14.3% had a recurrence of discomfort after 6 months to 2 years. The objective measurement score (Zarins Rowe score), at 47.5 out of 50 points, was better than the subjective score, at 40 out of 50 points. Our diagnoses had to be changed retrospectively: meniscal lesions were diagnosed too frequently, while chondropathia patellae and instability were often missed. Additionally, complaints could be related to abnormal axis, limited range of motion of the hip or knee, leg length inequality and hypermobility. Being unable to verify a presumed intra-articular lesion arthroscopically is frustrating for both doctor and patient. Our data suggest that meniscal signs should be looked at more critically and emphasise the need for a complete evaluation of the whole locomotor system.

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Section: Discussionsupporting

confidence: 90%

“…Some authors [7, 9] suggest a lavage-like effect with elimination of joint debris as the reason. We think that this does not necessarily point to the therapeutic effect of an arthroscopy but may well be the natural history of the un-…”

mentioning

confidence: 99%