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[Opaque arthrography of the elbow. Anatomical and radiological correlations and technical considerations (author's transl)].

More frequent use of opaque radiography of the elbow will require the adoption of a strict technique, adapted to the indication, and methodical interpretation of findings based on sound anatomical knowledge of the anatomy of this complex joint. Various practical suggestions for facilitating this exploration are given, together with anatomical data on the orientation of the articular surfaces and the appearances of the different recesses which directly condition the technique and interpretation of this examination.

Cartilage, Articular↗

Clinical judgement versus arthrography for diagnosing knee lesions.

The authors carried out a retrospective, randomized study of 200 patients with a preoperative diagnosis of meniscal tear of the knee. Of 208 knees operated on, more than one lesion was found in 84 knees (40.4%). Arthrographic diagnosis was incomplete or incorrect in 103 (51.5%) of 200 knees. Chondromalacia of the patella was present in 55 knees (26.4%) and tears of the anterio cruciate ligament were present in 15 (20.8%) of the 72 athletes who formed part of the study population. With regard to the medial meniscus, arthrographic errors occurred in only 9%. For the lateral meniscus, the rate of accuracy of the radiologists' reports was 67% compared with 97% accuracy for clinical assessment. This study points out that clinical evaluation still remains the best means of diagnosing knee lesions.

Adolescent↗