Office-Based Needle Arthroscopy: A Standardized Diagnostic Approach to the Knee
Sean McMillan, Sundeep Saini, Eric Alyea, Elizabeth Ford, Sean McMillan, Sundeep Saini, Eric Alyea, Elizabeth Ford
Abstract
Surgical knee arthroscopy is among the most commonly performed procedures in the United States. The decision to treat is often based on clinical examination and magnetic resonance imaging. Equivocal results frequently require patients to undergo surgical arthroscopy, exposing the patient to inherent risks and potential surgical complications. Office-based needle arthroscopy provides an alternative approach to visualizing intra-articular anatomy and pathology in real time. The purpose of this article is to provide a standardized diagnostic approach to needle arthroscopy of the knee.
Figures
References
- Kim S., Bosque J., Meehan J.P., Jamali A., Marder R. Increase in outpatient knee arthroscopy in the United States: A comparison of National Surveys of Ambulatory Surgery, 1996 and 2006. J Bone Joint Surg Am. 2011;93:994–1000.
- Cullen K.A., Hall M.J., Golosinskiy A. Ambulatory surgery in the United States, 2006. Natl Health Stat Rep. 2009;11:1–25.
- Crawford R., Walley G., Bridgman S., Maffulli N. Magnetic resonance imaging versus arthroscopy in the diagnosis of knee pathology, concentrating on meniscal lesions and ACL tears: A systematic review. Br Med Bull. 2007;84:5–23.
- Voigt J.D., Mosier M., Huber B. Diagnostic needle arthroscopy and the economics of improved diagnostic accuracy: A cost analysis. Appl Health Econ Health Policy. 2014;12:523–535.
- Gramas D.A., Antounian F.S., Peterfy C.G., Genant H.K., Lane N.E. Assessment of needle arthroscopy, standard arthroscopy, physical examination, and magnetic resonance imaging in knee pain: A pilot study. J Clin Rheumatol. 1995;1:26–34.
- Szachnowski P., Wei N., Arnold W.J., Cohen L.M. Complications of office based arthroscopy of the knee. J Rheumatol. 1995;22:1722–1725.
- Baeten D., Van den bosch F., Elewaut D., Stuer A., Veys E.M., De keyser F. Needle arthroscopy of the knee with synovial biopsy sampling: Technical experience in 150 patients. Clin Rheumatol. 1999;18:434–441.
- O'Donnell J. Trice Medical Literature. #4-10-0032 Rev A.
Source: PubMed