Summary
The accuracy of diagnosis was tested in a prospective study of 145 patients who were arthroscoped because a meniscal tear was suspected clinically. Multiple variate analysis was used to evaluate 68 different clinical parameters. The clinical accuracy was 61% as a tear was demonstrated in 88 knees; 73 of these tears were associated with other intraarticular abnormalities. Thirteen knees were entirely normal at arthroscopy. It was possible to predict a meniscal tear in 8 out of 10 patients.
Résumé
Une enquête prospective portant sur 145 malades chez qui a été pratiquée une arthroscopie en raison d'une suspicion clinique de lésion méniscale a permis d'étudier la justesse du diagnostic. On a eu recours à une analyse statistique multivariée pour évaluer 68 paramètres cliniques différents. L'exactitude clinique était de 61% puisqu'une déchirure du ménisque a été découverte dans 88 genoux; 78 d'entre elles s'accompagnaient d'une autre lésion intra-articulaire. Treize genoux étaient strictement normaux à l'arthroscopie. Il apparaît donc que la prédiction d'une lésion méniscale est possible dans 8 cas sur 10.
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References
Carruthers CC, Kennedy M (1980) Knee arthroscopy. A follow-up of patients initially not recommended for further surgery. Clin Orthop 147: 275–277
Casscells SW (1980) The place of arthroscopy in the diagnosis and treatment of internal derangements of the knee. Clin Orthop 151: 135–142
Dandy DJ, Jackson RW (1975) Meniscectomy and chondromalacia of the femoral condyle. J Bone Joint Surg 57-A: 1116–1119
Daniel D, Daniels E, Aronson D (1982) The diagnosis of meniscal pathology. Clin Orthop 163: 218–224
DeHaven KE, Collins R (1975) Diagnosis of internal derangements of the knee — the role of arthroscopy. J Bone Joint Surg 57-A: 802–810
Dixon WJ, Brown MB (1977) BMDP-77. Biomedial Computer Programs. P-series. Helat science computing facility, School of Medicine, University of California, Los Angeles
Eggeling W (1959) Zur Diagnostik der Meniskusverletzungen unter Berücksichtigung der Pneumoradiographie. Zentralblatt für Chirurgie 84: 241–247
Gillquist J, Hagberg G (1976) A new modification of the technique of arthroscopy of the knee joint. Acta Chir Scand 142: 123–130
Hamberg P (1983) Treatment of meniscus lesions of the knee — a selective approach. Linköping University Medical Dissertations No. 156, Linköping, Sweden
Hansen H, Thomsen PB, Dyreborg E (1983) Arthroscopy of the knee. An analysis of 588 consecutive knee arthroscopies. Acta Orthop Scand 54: 24–48
Murdoch G (1960) Meniscus removed in error. Clin Orthop 18: 123–130
Nicholas JA, Freiberger RH, Killoran PJ (1970) Double-contrast arthrography of the knee. J Bone Joint Surg 52-A: 203–220
Noble J, Erat K (1980) In defence of the meniscus. A prospective study of 200 meniscectomy patients. J Bone Joint Surg 62-B: 7–11
Rahrig H (1963) Wie verlässlich sind die Symptome der Meniskusverletzung und des Meniskusschaden? Beitr Orthop Trauma 10: 132–136
Selesnick FH, Noble HB, Bachman CD, Steinberg FL (1985) Internal derangements of the knee: Diagnosis by arthrography, arthroscopy and arthrotomy. Clin Orthop 198: 26–30
Smillie IS (1970) Injuries to the knee joint. E & S Livingstone, Edinburgh London, 4ed. pp 72–74
Zippel H (1964) Meniskusschäden und Meniskusverletzungen. Eine Nachuntersuchung an 1360 Meniskusoperationen. Arch Orthop Unfall Chir 56: 236–247
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Abdon, P., Lindstrand, A. & Thorngren, KG. Statistical evaluation of the diagnostic criteria for meniscal tears. International Orthopaedics 14, 341–345 (1990). https://doi.org/10.1007/BF00182641
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DOI: https://doi.org/10.1007/BF00182641