Arthrography of the wrist and shoulder.
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The Authors have studied, by means of the arthrographic technique, 24 cases of knee osteoarthrosis in various clinical phases. In the diagnosis of the early phases of the disease, this technique as been helpful in showing alterations, as the widening of the intercartilaginous space, the irregularities of synovial outlines, the enlargement of the normal popliteal space, which common techniques, unusually cannot display. The assay is not needed in the most advanced phases of the disease but it could here as well supply further diagnostic data (i.e. popliteal cyst, etc.). Therefore the authors suggest the arthrographic technique as a complementary assay to the roentgenological one, as well as an elective technique in the early phases of the knee osteoarthrosis.
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The addition of supine views to the standard double-contrast (DC) knee arthrogram with the patient prone can be useful (a) to diagnose meniscal tears not seen otherwise, (b) to provide a second look at an equivocal meniscal lesion, and (c) to enhance subject contrast in the presence of residual joint effusion, or when opaque medium has not adequately coated the interior surfaces of a large joint. In a prospective study of 137 patients, 30 meniscal tears were diagnosed, two of which were visible only on the supine films.
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The authors performed 20 double contrast arthrographits in syntomatic patients after meniscectomy. The results demonstrate that the lesions occur more frequently in partially excised menisc compared with totally existed ones. In some cases no meniscal regeneration has been found for menisci excised 2 to 4 years before.
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