Diagnostic Evaluation of the Knee in the Office Setting Using Small-Bore Needle Arthroscopy.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 29379709.
- Also identified by DOI 10.1016/j.eats.2017.08.044 and PMC identifier 5786147.
- Licence recorded as CC BY-NC-ND.
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Abstract
Arthroscopy is currently the gold standard for diagnosing intra-articular knee pathology. Magnetic resonance imaging (MRI) can be a clinical adjunct for diagnosis; however, it is not without its shortcomings. Although highly accurate, even advanced imaging misdiagnoses the condition in 1 in 14 patients with regard to anterior cruciate ligament pathology. Previous studies have indicated that MRI fails to identify meniscal pathology when one exists in 1 of every 10 cases, and diagnoses pathology when pathology truly does not exist in 1 of every 5 patients. In-office arthroscopy offers an alternative to formal diagnostic arthroscopy, with reduced cost and risk of complications. This is a technique article that discusses the use of small-bore needle arthroscopy in the office setting.
Anatomy
- knee