ABSTRACT
Forty five patients with enigmatic knee symptoms were selected for evaluation by both magnetic resonance imaging [MRI] and arthroscopy. Arthroscopy was performed in a standard examination room using a tourniquet under general anesthesia. All MRI scans were performed using 1.5-T superconductive magnet. A specifically designed protocol for imaging, producing T1 and T2 sagittal images and T1 coronal images interleaved at four millimeters, while the patient's foot was in 20 degrees of external rotation. Magnetic resonance imaging, yielded excellent visualization of the anterior cruciate ligament. During arthroscopy, one can usually treat abnormalities that are found, but as a diagnostic technique, arthgroscopy has the risks of an operative procedure. Compared to arthroscopy, the sensitivity, specificity, and accuracy of magnetic resonance imaging were respectively 100, 90, and 99.8%. The findings on magnetic resonance images were compared before to those of diagnostic arthroscopy. In series ranging in size from 28 to 86 knees [1, 2, 3, 4], the accuracy of imaging of the cruciate ligaments ranged from 90 to 100%. The MRI sequence can be performed in 30 min. It is totally noninvasive and requires no exposure to ionizing radiation. Magnetic resonance imaging can be a safe and valuable adjunct to the clinical evaluation of the knee and aid to efficient preoperative planning
Subject(s)
Knee Injuries/diagnosis , Magnetic Resonance Imaging , ArthroscopyABSTRACT
In this paper, computer is used for helping in decision making as regards diagnosis and treatment of congenital and inflammatory disorders of the knee joint in a step by step systematized manner. 650 knees in 500 patients were examined in Banha University Hospital and analyzed as regards history, clinical examination, laboratory investigations and radiological investigations. The treatment is divided into conservative and surgical
Subject(s)
Diagnosis, Computer-AssistedABSTRACT
This study was designed to compare the results of operative and non operative treatments of complete [group III] isolated tears of the medial collateral ligament of the knee. Two groups of patients were studied. Group I represents 16 patients treated conservatively by knee immobilization in a plaster cast for two weeks followed by cast bracing for four weeks while group II consisted of 13 patients treated by primary surgical repair of the medial collateral ligament. All patients in both groups were examined under anaesthesia and arthroscopically to demonstrate that there was no structural damage to the anterior cruciate ligament, meniscus and articular structures. The average of follow up period was 14 months for group 1 and 16 months for group II. All patients were subjected to the same rehabilitation program. Fifteen of the patients of group I [93.8%] and eleven of the sixteen of group II [84.66%] had excellent results, the results seem to indicate that primary surgical repair of complete isolated tears of the medial collateral ligament is not necessarily indicated, the key to success in the treatment of this injury is to establish that there is an isolated lesion with no associated damage to other vital structures particularly the anterior cruciate ligament and the meniscus
Subject(s)
Ligaments, ArticularABSTRACT
Thirty-two children with severely displaced supracondylar fractures of the humerus were collected from 1983 to 1986 and treated by lateral traction. The follow up period was ranged from [1983-1987]. There were twenty-nine [90.6 percent] satisfactory and three [9.4 percent] unsatisfactory results. Cubitus varus was present in only two children [6.3 percent].Straight lateral traction has three advantages; it is simple and requires no special equipment; it is safe in that Volkmann's ischaemia permanent nerve lesions and stiffness are avoided; and finally, control of the carrying angle compares well with the best results of other methods. The chief dissadvantage of traction is the duration of inpatient treatment