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Abstract
The reliability of clinical assessment of the knee was evaluated in 203 patients using
magnetic resonance imaging (MRI). Neither the mechanism of injury nor clinical symptoms
were useful indicators of the type of pathology. Physical signs proved insufficiently
sensitive in detecting abnormalities. Overall, the accuracy of clinical diagnosis
was 80.8 per cent for the anterior cruciate ligament, 62.9 per cent for the medial
meniscus and 74.9 per cent for the lateral meniscus.
Accurate investigations allow arthroscopy to be targeted to those likely to obtain
therapeutic benefit. Reliance upon clinical judgement alone would have resulted in
an 89 per cent increase in arthroscopic procedures. Investigations such as MRI or
arthrography are concluded to be cost-effective methods of avoiding unnecessary hospitalization,
morbidity and waste of limited resources.
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References
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Article info
Publication history
Accepted:
December 5,
1990
Identification
Copyright
© 1991 Published by Elsevier Inc.
