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 |
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container_title | Journal of bone and joint surgery. British volume |
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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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Modern MRI can and should replace "having a look".</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroscopy - economics</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Knee Injuries - diagnosis</subject><subject>Knee Injuries - economics</subject><subject>Magnetic Resonance Imaging - economics</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Osteoarticular system. Muscles</subject><subject>Radiodiagnosis. Nmr imagery. 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British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>1997-07</date><risdate>1997</risdate><volume>79</volume><issue>4</issue><spage>624</spage><epage>625</epage><pages>624-625</pages><issn>0301-620X</issn><issn>2049-4394</issn><eissn>2044-5377</eissn><eissn>2049-4408</eissn><coden>JBSUAK</coden><abstract>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. 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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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