[CLINICAL AND ARTHROSCOPIC FINDINGS IN MENISCAL INJURY AND KNEE INSTABILITY: A PROSPECTIVE STUDY].

Introduction: Medical history and physical examination are expected to provide the basic knowledge allowing diagnosis of a disease and thus enabling to plan the course of treatment.

Objective: This study aimed to examine this hypothesis by comparing pre-operative diagnosis of meniscal and anterior cruciate ligament (ACL) injuries to final surgical findings.

Material And Methods: We prospectively compared the pre-surgical diagnosis to the arthroscopic findings in 753 arthroscopic procedures.

Reflex sympathetic dystrophy of the patellofemoral joint.

Eighteen patients with a diagnosis of reflex sympathetic dystrophy (RSD) affecting the knee were reviewed. Minor isolated injuries and operations about the knee triggered the original episode. The symptoms, regardless of location and mechanism of injury, occurred in the patellofemoral joint.

Rotator cuff pathology. Arthroscopic assessment and treatment.

The results of 50 operative arthroscopies for impingement syndrome were reviewed. Preoperative arthrography was correlated with arthroscopic findings, which were pathologically graded. Results of arthroscopic surgery were assessed.

Secondary damage to the knee after isolated injury of the anterior cruciate ligament.

Between 1978 and 1984, we examined and performed arthroscopy on 1000 consecutive patients. Ninety-eight of the 1000 had isolated ACL damage. These cases do not include patients with initial ACL injuries combined with other intraarticular damage.

Pulled elbow and hypermobility of joints.

Pulled elbow and hypermobility of joints are frequently seen in young children, the latter occurring in 5% of the general population. A group of 100 children with pulled elbows, composed of 64 girls and 36 boys with a mean age of 25.5 months, and their parents were checked for joint hypermobility in a prospective study over a period of two years.

Fat pad adhesion to partially torn anterior cruciate ligament: a cause of knee locking.

Isolated damage to the ACL was found on arthroscopic examination of 51 patients who had symptomatic knees. There were 47 male and 4 female patients. The average age of the patients was 26.

Arthroscopy of the painful dysfunctional total knee replacement.

Arthroscopy of the painful failed total knee arthroplasty has rarely been reported. The indications and results in terms of diagnosis and treatment of pathologic conditions in 13 knees after total knee arthroplasty are reviewed. Arthroscopy established the diagnosis for pain in 12 of 13 knees.

Fracture of polyethylene of patellar component in total knee arthroplasty, diagnosed by arthroscopy.

Three reports of fracture of the polyethylene of the patellar component in total knee arthroplasty are presented. The value of arthroscopy in providing the correct diagnosis of this unusual complication of total knee arthroplasty is emphasized.

Cartilaginous Avulsion of the Tibial Eminence and Anterior Cruciate Ligament in a Six-Year-Old Child.

In brief: This case report describes an avulsion fracture of the anterior cruciate ligament in a child. Because it was not initially completely reduced, it resulted in limitation of motion. The authors emphasize that even if initial x-rays appear normal, further investigation with examination under anesthesia, stress x-ray, arthrography, and arthroscopy should be considered to prevent permanent knee dysfunction.

Another look at the pertrochanteric fracture of the femur: the relationship to osteoporosis.

Eighty-seven pertrochanteric fractures consecutively treated between the years 1978 and 1981 are reviewed. External and internal rotation types are described relative to their aetiology. The final typing of the fracture can be made only on reduction.

Salvage of exposed knee prosthesis by gastrocnemius myocutaneous flap coverage.

The salvage of an exposed and infected knee prosthesis is reported. The coverage by means of a gastrocnemius myocutaneous flap resulted in good healing and prevented removal of the prosthesis, arthrodesis, and subsequent severe walking disability.

The effect of intra-articular colchicine on the knee joint of the rat.

The effect of intra-articular injections of colchicine on the normal joint of the rat was investigated. Colchicine in varying doses was injected into the knee, while the contralateral knee was used as a control. Colchicine mainly affected articular cartilage, causing degenerative changes that appeared to be dose-dependent.