OBJECTIVES To identify those clinical characteristic and arthroscopic findings in patients with knee arthrosis that are associated with worsening of the disease and subsequent total knee arthroplasty (TKA). METHOD A retrospective, descriptive study was conducted on 78 consecutive patients (88 knees) who underwent knee arthroscopy for arthrosis. The study included 44 women and 34 men, with a m...

In order to assess the management of knee injuries in a sports medicine clinic, an audit was performed of all new patients who attended the clinic over a 12-month period. Of the 167 new patients seen, 76 (46%) had sustained knee injuries. Of these, 43 (57%) were treated in the sports medicine clinic and 33 (43%) were referred for arthroscopic assessment. The maximum waiting time from the time o...

introduction a discoid medial meniscus is a rare pathology of the knee joint, and is even rarer when it presents bilaterally with clinical symptoms. case presentation we present the case of a 38-year-old female with symptomatic bilateral discoid medial meniscus. magnetic resonance imaging (mri) showed complete discoid meniscus in one knee and incomplete, on the other side. the mri findings were...

BACKGROUND The meniscal flounce is wavy fold in free inner border of meniscus seen during knee arthroscopy. The presence of this flounce in medial meniscus has been found to be highly predictive of normal medial meniscus. With meniscus related symptoms being commonest indication for undergoing knee arthroscopy, presence or absence of medial meniscus flounce, can be a good guiding sign. In this ...

OBJECTIVES Assess the worthiness of arthroscopy in investigating and treating knee pain after arthroplasty unexplained by clinical and subsidiary examinations. METHODS Among 402 patients submitted to total or unicompartimental arthroplasty between September 2001 and April 2007 at a public university hospital, 17 presented with pain on prosthetic articulation, without clear diagnosis by clinic...

Osteochondritis Dissecans in an Adult A 27-year-old student underwent surgical arthroscopy of the left knee with debridement and drilling of an osteochondritis dissecans lesion as a teenager. Approximately 1 year later, some symptoms returned. The intensity of pain was an 8 of 10 at worst and was associated with definite, unpredictable catching sensations. On physical examination, left knee ran...

Arthroscopic debridement is a reliable and effective treatment for knee arthritis in appropriately selected patients. Debridement may include lavage, loose body removal, partial meniscectomy, and/or chondroplasty. Patient selection criteria include acute effusion, well localized joint line tenderness, or catching or locking, often associated with a specific mechanism of injury, patients with im...

Case Report A sixteen-year-old white girl had a history of pain in the right knee for four months, especially in the medial joint line, and occasional episodes of giving-way during sports activities. She could recall no trauma to the knee. Examination of the knee was unremarkable except for slight tenderness over the medial joint line. There was no effusion, and the McMurray and Lachman tests w...