Of the joints of the body commonly afflicted by serious pathology
the knee is the most accessible. Because it is so accessible
drastic treatment may be undertaken prematurely and incorrectly.
This does not threaten life but may cause permanent morbidity. Dr
Stoker has set about examining this joint in depth as a
radiologist. As a direct result the surgeon will be helped to make
a correct diagnosis and avoid pitfalls, by a diagnostic procedure
that is of little inconvenience to a patient. Arthrography is not
new but a fresh appraisal is timely. This is not to suggest that
there can be any slackening in clinical examination, or that other
methods of examination do not have a place. But there are knee
joint problems, particularly in teenage girls, in which a clinical
diagnosis is very difficult, but must be made exactly. Arthrography
must be accepted as a very useful method of examination of the knee
joint and an essential one in certain circumstances. More
radiologists should be interested in undertaking this examination
and surgeons should ask for it. E.L. Trickey, F.R.C.S.
General
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