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膝关节内紊乱:通过关节造影、关节镜检查和关节切开术进行诊断。

Internal derangement of the knee: diagnosis by arthrography, arthroscopy, and arthrotomy.

作者信息

Selesnick F H, Noble H B, Bachman D C, Steinberg F L

出版信息

Clin Orthop Relat Res. 1985 Sep(198):26-30.

PMID:3839725
Abstract

Three hundred eighty-four cases involving all patients with meniscal or anterior cruciate ligament tears were examined surgically by 16 orthopedic surgeons over two distinct 12-month periods. The incidence of both menisci (ipsilateral knee) torn was 3.9%, and the ratio of medial to lateral meniscal tears was 2.7:1. Twelve percent of cases had tears of the anterior cruciate ligament, 70% of which were found with a concomitant medial meniscus tear. Arthrography was completely accurate in 73.2% of cases, and arthroscopy was accurate in 94.9%. When clinical impression, arthrography, and arthroscopy were combined, the overall diagnostic accuracy was 96.8%.

摘要

在两个不同的12个月期间,16位骨科医生对384例半月板或前交叉韧带撕裂的所有患者进行了手术检查。双侧半月板(同侧膝关节)撕裂的发生率为3.9%,内侧半月板撕裂与外侧半月板撕裂的比例为2.7:1。12%的病例存在前交叉韧带撕裂,其中70%伴有内侧半月板撕裂。关节造影在73.2%的病例中完全准确,关节镜检查在94.9%的病例中准确。当结合临床印象、关节造影和关节镜检查时,总体诊断准确率为96.8%。

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