Kurosaka M, Ohno O, Hirohata K
Department of Orthopaedic Surgery, Kobe University School of Medicine, Japan.
Arthroscopy. 1991;7(2):162-70. doi: 10.1016/0749-8063(91)90104-6.
It is not always easy to diagnose certain types of monoarthritis of the knee joints. In such cases, it is essential to evaluate the condition of the synovitis both macroscopically and microscopically, as the synovial appearance (synovitis) closely reflects the pathological condition (arthritis) of the knee joints. Arthroscopy is an excellent tool for visualizing and evaluating the condition of the synovium macroscopically. On arthroscopic examination, precise evaluation of the villi often provides clues, enabling accurate diagnosis. In addition, histological sections obtained from biopsy specimens in various cases of synovitis give significant information. In this article, arthroscopic observation and histological sections of various cases of synovitis are compared, and the diagnostic value and limitations of arthroscopic examination are discussed.
诊断某些类型的膝关节单关节炎并不总是容易的。在这种情况下，从宏观和微观层面评估滑膜炎的状况至关重要，因为滑膜的外观（滑膜炎）密切反映了膝关节的病理状况（关节炎）。关节镜检查是宏观观察和评估滑膜状况的绝佳工具。在关节镜检查中，对绒毛的精确评估通常能提供线索，有助于准确诊断。此外，从各种滑膜炎病例的活检标本中获取的组织学切片也能提供重要信息。本文比较了各种滑膜炎病例的关节镜观察结果和组织学切片，并讨论了关节镜检查的诊断价值和局限性。
