CHANGES AND CORRELATION OF THE DATA OF KNEE JOINT X-RAY AND ARTHROSCOPIC STUDIES IN RHEUMATOID SYNOVITIS
| Autor: | G M Kavalersky, A V Garkavi, I V Menshikova, S A Sergiyenko |
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| Jazyk: | ruština |
| Rok vydání: | 2009 |
| Předmět: | |
| Zdroj: | Современная ревматология, Vol 0, Iss 2, Pp 33-37 (2009) |
| Druh dokumentu: | article |
| ISSN: | 1996-7012 2310-158X |
| Popis: | Objective: to compare the data of knee joint X-ray and arthroscopic studies in the presence of rheumatoid synovitis. Subjects and methods. Sixty-seven patients who had undergone 72 arthroscopic synovectomic operations on 72 joints for chronic knee-joint synovitis in the presence of rheumatoid arthritis (RA) were examined. Preoperative knee-joint X-ray study was carried out with the standard projections in all the patients. In most cases, the magnitude of X-ray changes corresponded to grade 1 according to the Larsen classification. The degree of articular cartilage destruction was intraoperatively estimated. Repeated X-ray films were made 6 and 30-36 months after arthroscopy. Results. It has been fount that in 72,2% of cases, the true articular cartilage changes detectable by arthroscopic revision were ascertained to coincide in their magnitude with the X-ray changes determined by the Larsen classification or to exceed them. Conclusion. In knee-joint RA, arthroscopic revision can provide the fullest information on the severity of pathological changes; however, X-ray study aids to a certain degree in the prediction of arthroscopic findings, including those of articular cartilage pathology. |
| Databáze: | Directory of Open Access Journals |
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