Simonsen O, Jensen J, Lauritzen J
Acta Orthop Scand. 1986 Apr;57(2):126-9. doi: 10.3109/17453678609000884.
The diagnostic value of arthroscopy was evaluated in 148 patients with acute hemarthrosis and/or instability of the knee. The treatment planned after clinical examination was compared with the treatment given after arthroscopy. Seventy-nine per cent of the patients had ligamentous injuries; 59 per cent of tears were combined with other injuries, and 71 per cent were complete ruptures. Stability testing under anesthesia was most inaccurate for the anterior cruciate ligament, with 13 per cent false positive and 30 per cent false negative results. The planned treatment was altered as a consequence of arthroscopy in 31 per cent of cases. Without arthroscopy, the preoperative diagnoses would have been seriously wrong in 15 per cent of the patients. Twenty per cent of total anterior cruciate ligament ruptures would have been overlooked.
对148例急性膝关节积血和/或膝关节不稳患者的关节镜检查诊断价值进行了评估。将临床检查后计划的治疗与关节镜检查后给予的治疗进行比较。79%的患者有韧带损伤；59%的撕裂合并其他损伤，71%为完全断裂。麻醉下的稳定性测试对前交叉韧带最不准确，假阳性结果为13%，假阴性结果为30%。31%的病例因关节镜检查而改变了计划的治疗。如果没有关节镜检查，15%的患者术前诊断会严重错误。20%的前交叉韧带完全断裂会被漏诊。
