THE ROLE OF OFFICE-BASED NEEDLE ARTHROSCOPY IN THE DIAGNOSIS OF INTRA-ARTICULAR KNEE SYMPTOMS: A CASE REPORT

Received 2022-02-21; Accepted 2022-10-03; Published 2023-01-31

Authors

  • Muhammad Sophee Abdul Gani Sports Medicine Department, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.
  • Kamarul Hashimy Hussein National Sports Institute of Malaysia, Kuala Lumpur Sports City, Bukit Jalil, 57000 Kuala Lumpur, Malaysia.
  • Shamsul Iskandar Hussein National Sports Institute of Malaysia, Kuala Lumpur Sports City, Bukit Jalil, 57000 Kuala Lumpur, Malaysia.
  • Nahar Azmi Mohamed Sports Medicine Department, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.

DOI:

https://doi.org/10.22452/jummec.vol26no1.6

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.

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Published

2023-01-31

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Section

Research article