Medical arthroscopy--emerging era of rheumatological intervention.

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dc.contributor.authorChaturvedi, Ven_US
dc.contributor.authorChopra, G Sen_US
dc.contributor.authorDutta, Ven_US
dc.contributor.authorSingal, V Ken_US
dc.contributor.authorChawla, M Len_US
dc.contributor.authorRai, Ren_US
dc.contributor.authorBharadwaj, J Ren_US
dc.contributor.authorLahiri, A Ken_US
dc.contributor.authorShahi, B Nen_US
dc.date.accessioned2004-04-08en_US
dc.date.accessioned2009-05-31T04:44:35Z
dc.date.available2004-04-08en_US
dc.date.available2009-05-31T04:44:35Z
dc.date.issued2004-04-08en_US
dc.description.abstractOBJECTIVE: To evaluate the safety and diagnostic value of arthroscopy performed by a rheumatologist. METHODS: Decisions for performing arthroscopy were taken when detailed clinical history-and relevant rheumatological investigations failed to arrive at a definite diagnosis. Arthroscopies were performed under local anesthesia as a daycare procedure. Synovial biopsies taken during procedures were subjected to histopathological examination (HPE). RESULTS: Of the 50 patients enrolled, 39 were males while 11 were females with mean age of 35.5 years. In lower limb oligoarthritis group of patients, three had macroscopic picture of crystal arthropathy, rest of the 29 patients revealed gross picture indicative of non-specific synovitis. While in polyarticular group of eight patients, three had macroscopic picture suggestive of crystal arthropathy (probably polyarticlar gout) while five were indicative of rheumatoid arthritis. In monoarticular disease pattern (n= 10) macroscopic picture findings were as follows- crystal arthropathy-two, tubercular-three, synovial chondromatosis-one and non-specific synovitis-two. HPE of synovium did not correlate in many cases. CONCLUSION: Arthroscopy using a 4 mm scope under local anesthesia in the hands of rheumatologists is a safe daycare procedure. In few cases arthroscopy helped in arriving at a final diagnosis but many patients remained undiagnosed. Both the rheumatologists and the pathologists require further experience in this field.en_US
dc.description.affiliationArmy Hospital (Research and Referral), Delhi Cantt.en_US
dc.identifier.citationChaturvedi V, Chopra GS, Dutta V, Singal VK, Chawla ML, Rai R, Bharadwaj JR, Lahiri AK, Shahi BN. Medical arthroscopy--emerging era of rheumatological intervention. Journal of the Association of Physicians of India. 2004 Apr; 52(): 279-82en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/95005
dc.language.isoengen_US
dc.source.urihttps://www.japi.orgen_US
dc.subject.meshAdulten_US
dc.subject.meshAmbulatory Surgical Procedures --standardsen_US
dc.subject.meshArthroscopy --methodsen_US
dc.subject.meshBiopsy --methodsen_US
dc.subject.meshDecision Makingen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRheumatic Diseases --diagnosisen_US
dc.subject.meshRheumatology --methodsen_US
dc.subject.meshSafetyen_US
dc.subject.meshSynovial Membrane --pathologyen_US
dc.titleMedical arthroscopy--emerging era of rheumatological intervention.en_US
dc.typeEvaluation Studiesen_US
dc.typeJournal Articleen_US
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