CHANGES AND CORRELATION OF THE DATA OF KNEE JOINT X-RAY AND ARTHROSCOPIC STUDIES IN RHEUMATOID SYNOVITIS
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 arthri...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
IMA-PRESS LLC
2009-06-01
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| Series: | Современная ревматология |
| Subjects: | |
| Online Access: | https://mrj.ima-press.net/mrj/article/view/222 |
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| Summary: | 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. |
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| ISSN: | 1996-7012 2310-158X |