THE ROLE OF OFFICE-BASED NEEDLE ARTHROSCOPY IN THE DIAGNOSIS OF INTRA-ARTICULAR KNEE SYMPTOMS: A CASE REPORT
https://doi.org/10.22452/jummec.vol26no1.6
- Author:
Muhammad Sophee Abdul Gani
1
;
Kamarul Hashimy Hussein
2
;
Shamsul Iskandar Hussein
2
;
Nahar Azmi Mohamed
1
Author Information
1. Sports Medicine Department, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.
2. National Sports Institute of Malaysia, Kuala Lumpur Sports City, Bukit Jalil, 57000 Kuala Lumpur, Malaysia.
- Publication Type:Journal Article
- Keywords:
Intra-articular Knee;
ACL Tears;
Arthroscopy;
Office-based
- MeSH:
Anterior Cruciate Ligament Injuries
- From:Journal of University of Malaya Medical Centre
2023;26(1):27-31
- CountryMalaysia
- Language:English
-
Abstract:
Anterior cruciate ligament (ACL) tears are serious knee injuries, whether partial or total. ACL injuries are most typically diagnosed in the clinic settings using a combination of a detailed history, physical examination and corroborated with an appropriate imaging modality. Magnetic resonance imaging (MRI) is highly sensitive for identifying intra-articular knee pathology. This combination has been demonstrated to be effective and non-invasive in diagnosing ACL injury. The reliability of MRI for diagnostic purposes, on the other hand, is not always ideal. This might be due to various factors, including low-quality MRI magnets, post-surgical tissue changes, metallic artifacts, patient movement during procedure, and static rather than dynamic structural evaluation. Nevertheless, office-based diagnostic arthroscopy offers an alternative to imaging modalities by allowing clinicians to visualize large joints safely, painless, high-quality images, and time-efficient approaches. Furthermore, the risk of major and minor complications of office-based diagnostic arthroscopy is comparable to or lower than any standard office-based injection. This is the first office-based needle arthroscopy (OBNA) performed in Malaysia to evaluate intra-articular knee symptoms. Thus, we aim to understand and overview OBNA to identify intra-articular knee pathology by reporting this case report.
- Full text:2025082010433122835107224.pdf
