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The value of computed tomography scanning in chondromalacia patellae

✍ Scribed by Frank Boven; Marie-Anne Bellemans; Jean Geurts; Hugo Boeck; Roland Potvliege


Publisher
Springer
Year
1982
Tongue
English
Weight
661 KB
Volume
8
Category
Article
ISSN
0364-2348

No coin nor oath required. For personal study only.

✦ Synopsis


Sixtyseven patients with pain in the knee were studied. A computed tomography (CT) score indicating chondromalacia was devised, based on the results of CT after arthrography. This score takes account of the regularity, the congruity, and the imbibition of contrast material. Thus the patients could be divided into four groups : those who definitely have chondromalacia (+ +), probably (+), probably not (+), and definitely not (-). These results were compared with the clinical diagnosis based on clinical signs, arthroscopy, or operation. Eighteen patients had clinically proved chondromalacia, CT scored 14++, 3+ and 1_+. Twentynine patients had no chondromalacia, CT scored 19-, 8_+, and 2+. Twenty patients had an uncertain clinical diagnosis. Arthrography was less accurate in detecting chondromalacia.


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