MRI can prevent unnecessary arthroscopy

We compared the practice of four orthopaedic consultants as regards the use of MRI and arthroscopy to diagnose problems of the knee. In one year 324 arthroscopies and 66 MR scans were performed for this purpose. We found that MRI is a reliable and cheaper alternative to 'diagnostic arthroscopy&...

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Veröffentlicht in:Journal of bone and joint surgery. British volume 1997-07, Vol.79 (4), p.624-625
Hauptverfasser: CARMICHAEL, I. W, MACLEOD, A. M, TRAVLOS, J
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container_end_page 625
container_issue 4
container_start_page 624
container_title Journal of bone and joint surgery. British volume
container_volume 79
creator CARMICHAEL, I. W
MACLEOD, A. M
TRAVLOS, J
description We compared the practice of four orthopaedic consultants as regards the use of MRI and arthroscopy to diagnose problems of the knee. In one year 324 arthroscopies and 66 MR scans were performed for this purpose. We found that MRI is a reliable and cheaper alternative to 'diagnostic arthroscopy'. We consider that patients with definite clinical signs merit an early 'therapeutic arthroscopy', but that all other knees should be investigated by MRI. This policy spares patients from unnecessary and expensive surgery. Arthroscopy for diagnostic purposes should be used only with a specific purpose. Modern MRI can and should replace "having a look".
doi_str_mv 10.1302/0301-620X.79B4.0790624
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Arthroscopy - economics
Biological and medical sciences
Child
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Knee Injuries - diagnosis
Knee Injuries - economics
Magnetic Resonance Imaging - economics
Male
Medical sciences
Middle Aged
Osteoarticular system. Muscles
Radiodiagnosis. Nmr imagery. Nmr spectrometry
title MRI can prevent unnecessary arthroscopy
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