MRI CAN PREVENT UNNECESSARY ARTHROSCOPY

MRI can prevent unnecessary arthroscopy.

We compared the practice of four orthopaedic consultants as regards the use of MRI and arthroscopy to diagnose problems of the knee. In one year 324 arthroscopies and 66 MR scans were performed for this purpose. We found that MRI is a reliable and cheaper alternative to 'diagnostic arthroscopy'. We consider that patients with definite clinical signs merit an early 'therapeutic arthroscopy', but...

Primary Omental Torsion in an Old Woman: Imaging Techniques Can Prevent Unnecessary Surgical Interventions

Torsion and/or infarction of the greater omentum are rare but well-recognized clinical situations which present as an acute abdomen. The etiology is unknown and speculative. In most cases, the pathology is right sided and clinical presentation consists of an acute or subacute flank pain with mild peritonism usually evoking appendicitis or cholecystitis. Nevertheless, knowledge concerning these ...

Arthroscopy and MRI for the knee.

In its early days arthroscopy was used mainly for diagnosis; it saved many knees from unnecessary arthrotomy. Today, MRI is available to save knees from unnecessary arthro-scopy; internal derangements can then be treated by arthro-scopic surgery. Arthrotomy for internal derangement is now obsolete and the debate has moved on to the relative roles of arthroscopy and MRI in the management of knee...

[Let us be cautious and prevent unnecessary patient harm].

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