Syed Abdul Majid Ali, Mohammad Sabir Memon, Syed Shahid Noor, Yunis H Soomro.
Comparison of Clinical and Arthroscopic Findings in Meniscal Tears.
Pak J Surg Jan ;26(1):13-8.

Objectives: To compare Clinical fi ndings of Meniscal Tears with Arthroscopic fi ndings and to prove effi cacy of arthroscopy. Design: Prospective study Place and Duration of Study: Th e study is perform at Department of Orthopaedics, Hamdard University Hospital, Department of Orthopaedics, Civil Hospital Karachi, National Medical Center, Ankelseria and OMI Hospitals from July 2001 to 2004. Patients and Methods: Th e study comprised of 74 patients. We examined a group of patients with a suspected tear of menisci and focused on the clinical history and fi ndings which are most oft en related to the injuries of menisci. Only the clinically stable knees were selected and any suspected anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL) tear ware not included in our study. All the patients were selected from the outpatient department aft er careful clinical examination and basic investigations. Th e relevant data of all the patients was recorded aft er including them in the study. A proper clinical evaluation was made before arthroscopy. A 30 degree arthroscope was used in all the cases and the arthroscopy was performed under general anesthesia, or spinal anesthesia with tourniquet. Results: Th e results of our study was that the accuracy rate of clinical diagnosis (77%) in comparison to that of arthroscopic diagnosis, signifi es the diagnostic role of arthroscopy in meniscal tears. Conclusion: It is concluded that arthroscopy has provided orthopaedic surgeons with highly successful tool in diagnosing and treating meniscal tears.

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