Diagnostic and therapeutic uses of the arthroscope in rheumatoid arthritis and osteoarthritis

Roy D Altman, Robert Gray

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Both the technique and the technology involved in knee arthroscopy have undergone considerable development over the last 10 years. Diagnostically, the procedure allows visualization of synovium, hyaline cartilage, fibrocartilage (menisci), and ligaments (cruciate, patellofemoral alignment). Synovitis of rheumatoid arthritis is suspected by boggy, hyperemic, and edematous hypervilli that may undergo necrosis. In osteoarthritis, the synovium is often mildly inflamed and the cartilage demonstrates ulcerations, yellowing, softening, and areas of denuded bone. Synovectomy for rheumatoid arthritis was first performed about 1900. The apparent reduction in morbidity resulting from performing synovectomy through the arthroscope accounts for the resurgence of interest in this procedure. Removal of loose bodies, fragments of, cartilage, or synovium helps to reduce synovitis and symptoms in both rheumatoid arthritis and osteoarthritis. Shaving of articular cartilage is often performed in patients with osteoarthritis. There is a suggestion that coring or shaving osteoarthritic denuded bone stimulates repair of a type of fibrocartilage that may be functional. Surgical technology and technique in the field of arthroscopy are advancing faster than the clinical studies necessary to prove their value. Guidelines for the use of these potentially destructive techniques are still needed. Arthroscopy is a rapidly developing field in medicine. The next 10 years will almost assuredly provide enhanced diagnostic and surgical capabilities with reduced morbidity in the rheumatic diseases, and particularly in rheumatoid arthritis and osteoarthritis.

Original languageEnglish (US)
Pages (from-to)50-55
Number of pages6
JournalAmerican Journal of Medicine
Volume75
Issue number4 PART 2
DOIs
StatePublished - Oct 31 1983
Externally publishedYes

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Arthroscopes
Therapeutic Uses
Osteoarthritis
Synovial Membrane
Arthroscopy
Rheumatoid Arthritis
Fibrocartilage
Synovitis
Cartilage
Hyaline Cartilage
Technology
Morbidity
Bone and Bones
Articular Cartilage
Rheumatic Diseases
Ligaments
Knee
Necrosis
Medicine
Guidelines

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Diagnostic and therapeutic uses of the arthroscope in rheumatoid arthritis and osteoarthritis. / Altman, Roy D; Gray, Robert.

In: American Journal of Medicine, Vol. 75, No. 4 PART 2, 31.10.1983, p. 50-55.

Research output: Contribution to journalArticle

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