Walz G, Hempfling H
Dtsch Med Wochenschr. 1985 Nov 1;110(44):1692-5. doi: 10.1055/s-2008-1069071.
From 2006 arthroscopies of the knee, carried out between 1978 and 1983, 196 cases (9.8%) presented with traumatic haemarthroses and clinically stable capsular ligaments. A comparison was made between the standard clinical examination including routine X-ray and arthroscopy carried out under anaesthesia. Arthroscopy, as a diagnostic procedure, was found to be clearly superior with the same minimal complication rate. The standard clinical examination was inferior and inadequate particularly in cases with isolated torn anterior cruciate ligaments, in chondral injuries, and luxation of the patella. Thus, in a recent trauma with haemarthrosis and a clinically stable ligament apparatus, acute arthroscopy is the investigational method of choice, preferably carried out under anaesthesia.
在1978年至1983年间进行的2006例膝关节关节镜检查中，196例（9.8%）出现创伤性关节积血且关节囊韧带临床稳定。对包括常规X线检查的标准临床检查与麻醉下进行的关节镜检查进行了比较。作为一种诊断方法，关节镜检查明显更具优势，且并发症发生率相同。标准临床检查效果较差且不充分，尤其在单纯前交叉韧带撕裂、软骨损伤和髌骨脱位的病例中。因此，在近期有创伤性关节积血且韧带装置临床稳定的情况下，急性关节镜检查是首选的检查方法，最好在麻醉下进行。
