Double contrast arthrography of the knee: a comparison to clinical diagnosis and arthroscopic findings.
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Coronal arthrographic views of the temporomandibular joint (TMJ) are easily obtained. The meniscus is nicely depicted in the coronal plane after adequate opacification of both joint compartments. Medial versus lateral displacements of the meniscus are well depicted. Pre-operatively it is as important to disclose a medio-lateral displacement of the meniscus than to quantify the degree of an anterior meniscus displacement.
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A brief description of normal anatomy and common arthrographic, tenographic, and bursographic procedures is presented. The described procedures are important diagnostic tools and do not carry major risk. Therefore, these procedures can be performed on an outpatient basis.
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This is believed to be the first report in the orthopaedic literature on the value of computerized axial tomography in the diagnosis of synovial osteochondromatosis. The disease, rare in young children, is described in a young girl in whom it was first diagnosed at the age of nine and who was followed for 11 years. The role of CAT scan and arthrogram in the diagnosis and management of the disease and of frozen section histology in determining its surgical correction are discussed.
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