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  • Title: Internal derangement of the knee: diagnosis by arthrography, arthroscopy, and arthrotomy.
    Author: Selesnick FH, Noble HB, Bachman DC, Steinberg FL.
    Journal: Clin Orthop Relat Res; 1985 Sep; (198):26-30. PubMed ID: 3839725.
    Abstract:
    Three hundred eighty-four cases involving all patients with meniscal or anterior cruciate ligament tears were examined surgically by 16 orthopedic surgeons over two distinct 12-month periods. The incidence of both menisci (ipsilateral knee) torn was 3.9%, and the ratio of medial to lateral meniscal tears was 2.7:1. Twelve percent of cases had tears of the anterior cruciate ligament, 70% of which were found with a concomitant medial meniscus tear. Arthrography was completely accurate in 73.2% of cases, and arthroscopy was accurate in 94.9%. When clinical impression, arthrography, and arthroscopy were combined, the overall diagnostic accuracy was 96.8%.
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