CHANGES AND CORRELATION OF THE DATA OF KNEE JOINT X-RAY AND ARTHROSCOPIC STUDIES IN RHEUMATOID SYNOVITIS
https://doi.org/10.14412/1996-7012-2009-537
Abstract
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.
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.
References
1. <div><p>Насонов Е.Л. Ревматология. М.: ГЭОТАР-Медиа, 2008.</p><p>Сигидин Я.А., Лукина Г.В. Ревматоидный артрит. М.: АНКО, 2001.</p><p>American College of Rheumatology Subcommittee on Rheumatoid Arthritis Guidelines. Guidelines for the Management of Rheumatoid Arthritis. Update Arthritis Rheumatism 2002;46:328-46.</p><p>Ogilvie-Harris D.J., Basinski A. Аrthоscopic synovectomy of the knee for rheumatoid arthritis. Arthroscopy: The Journal of Arthroscopic & Related Surgery 1991;7(1):91-7.</p><p>Yuko M.N., Takanobu O. и др. Role of arthroscopic synovectomy for rheumatoid knee joints. Orthopaedic Surgery and Traumatology 2003;46(1):37-44.</p><p>Ogilvie-Harris D.J., Weisleder L. Arthroscopic synovectomy of the knee: Is it helpful? Arthroscopy: The Journal of Arthroscopic & Related Surgery 1995;11(1):91-5.</p><p>Klein W., Jensen K.U. Arthroscopic synovectomy of the knee joint: Indication, technique, and follow-up results. Arthroscopy: The Journal of Arthroscopic & Related Surgery 1988;4(2):63-71.</p><p>Bras F., Daures J.P., Legouffe M.C. et al. Treatment of chronic knee synovitis with arthroscopic synovectomy: longterm results. J Rheumatol 2002;29(6):1171-5.</p></div><br />
Review
For citations:
Kavalersky GM, Garkavi AV, Menshikova IV, Sergiyenko SA. CHANGES AND CORRELATION OF THE DATA OF KNEE JOINT X-RAY AND ARTHROSCOPIC STUDIES IN RHEUMATOID SYNOVITIS. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2009;3(2):33-37. (In Russ.) https://doi.org/10.14412/1996-7012-2009-537
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