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Arthrogram

This examination is now less applicable with the advent of arthroscopy. However, it may be helpful in confirming or excluding a medial meniscal tear of the posterior horn in the tight joint, as arthroscopic examination of this segment of the medial meniscus can be difficult.

Bone scan

This is an excellent diagnostic test where there is suspicion of a tumour, stress fracture, osteochondritis dissecans or osteonecrosis.

Examination under anaesthesia is mandatory if ligament laxity is doubted.

MRI(magnetic resonance imaging)

This is an excellent technique for imaging soft tissue structures within and around the knee. It is not a substitute for good clinical examination technique.

Arthroscopy

This is rarely performed for diagnosis.but is a minimally invasive technique used for treatment of many intra-articular conditions.

 

CONCLUSION

Through a systematic approach to the examination of the injured knee with appropriate techniques and selection of further diagnostic tools, accurate diagnosis of the patient’s condition is obtained. This is essential in prescribing the right treatment; in this way, the marked physical and psychological handicaps that accompany chronic knee disability are minimised.

 

REFERENCES

ARNOCZKY, S.P.
Anatomy of the Anterior Cruciate Ligament. (1983) Clinics of Artho. Rel. Research 172 (Jan.-Feb.). BRANTIGAN,

O.C., & VOSHELL, A.F.
Mechanics of the Ligaments and Menisci of the Knee Joint. (1941) Journal of Bone and Joint Surgery XXIII (Jan.).

CROSS, M.J. & WATSON, A.S.
Cysts and Pseudocysts of the Menisci. (1979) Australian and New Zealand Jnl. Of Surgery 51,1.

DE HAVEN, K.E.
Diagnosis of Acute Knee Injuries with Haemarthrosis. (1980) AMJ Sports Med. 8,9.

FETTO, J.F. & MARSHALL J.L.
The Natural History and Diagnosis of Anterior Cruciate Ligament Insufficiency. (1980) Clinics of Ortho.And Rel. Research 147 (Mar.-Apr.).

HELFET, A.J.
Disorders of the Knee. Lippincott, 1982.

KENNEDY, J.D., HAWKINS, R. & KRISSOF, W.B.
Orthopaedic Manifestions of Swimming. (1978). AMJ Sports Med. 6.

KULUND, D.
The Injured Athlete. Lippincott, 1983.

MARSHALL, J.L. & JOHNSON, R.J.
Mechanics of Most Common Ski Injuries. (1977) Phys. & Sports Med. 5(12). MERGER, R. Anthology of Orthopaedics. E. & S. Livingstone Ltd, 1968.

NOYES, F.R.
Arthroscopy in Acute Traumatic Haemarthrosis of the Knee – Incidence of Anterior Cruciate Ligament Tears and Other Injuries. (1980) Jnl. Bone & Joint Surgery, pp. 624-687.

O’DONOGHUE, D.
Surgical Treatment of Injuries to the Knee. (1960) Clinics of Orthopaedics 18.XI.

WARREN, R.F.
Primary Repair of the Anterior Cruciate Ligament. (1982) Clinics of Orth. & Rel. Research 172 (Jan.-Feb.).


 

KNEE PAIN IN ATHLETES

 

 

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