Bonamo J J, Shulman G
New York University Medical Center, NY 10016.
Orthopedics. 1988 Jul;11(7):1041-6. doi: 10.3928/0147-7447-19880701-07.
The accuracy of pre-arthroscopic double contrast arthrography was evaluated in 100 consecutive patients. Meniscal tears were correctly diagnosed arthrographically in 76% of cases, and clinically in 85% of cases. Although reasonably accurate in determining the location of the meniscal tear, arthrography was significantly inaccurate in the evaluation of the type of tear. The status of the anterior cruciate ligament was correctly interpreted by arthrogram in 76% of cases; the integrity of the ligament was correctly assessed in 94% of cases by clinical examination without anesthesia. It appears, therefore, when compared to initial clinical examination, double contrast arthrography is of limited usefulness as a pre-surgical aid to the diagnosis of intra-articular knee pathology.
对连续100例患者的关节镜检查前双对比关节造影的准确性进行了评估。半月板撕裂在关节造影中的正确诊断率为76%，临床诊断率为85%。尽管关节造影在确定半月板撕裂位置方面相当准确，但在评估撕裂类型时明显不准确。前交叉韧带的状况在76%的病例中通过关节造影得到正确解释；在94%的病例中，通过无麻醉的临床检查正确评估了韧带的完整性。因此，与初始临床检查相比，双对比关节造影作为术前辅助诊断膝关节内病变的作用有限。
