Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Should I scan or should I scope?

Acton1, Craig

  • 1Orthopaedic Department, Worthing and Southlands NHS Trust, Canada Avenue, Redhill, RH1 5RH, Surrey, UK

The Knee
|December 6, 2000
PubMed
Summary

A new clinical scoring system helps surgeons decide between imaging and arthroscopy for knee injuries. This method offers diagnostic accuracy comparable to MRI, aiding less experienced surgeons and managing healthcare costs.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Exhibition of Tumour of Uvula of Child.

Transactions. Edinburgh Obstetrical Society·2018
Same author

Mechanochemistry of organic molecules, soft materials and pharmaceuticals: General discussion.

Faraday discussions·2014
Same author

Sonication and macromolecular mechanochemistry: General discussion.

Faraday discussions·2014
Same author

Momentum transport from nonlinear mode coupling of magnetic fluctuations

Physical review letters·2000
Same author

Search for the CP forbidden decay eta-->4pi(0)

Physical review letters·2000
Same author

Control of density fluctuations and electron transport in the reversed-field pinch

Physical review letters·2000

Area of Science:

  • Orthopaedic surgery
  • Diagnostic imaging
  • Clinical decision-making

Background:

  • Less experienced orthopaedic surgeons often face diagnostic uncertainty regarding knee injuries.
  • The choice between advanced imaging (MRI) and invasive procedures (arthroscopy) presents a clinical dilemma.
  • Cost-effectiveness in diagnostic pathways is a significant consideration in healthcare.

Purpose of the Study:

  • To introduce a clinical points-based scoring system for guiding diagnostic decisions in orthopaedic knee assessments.
  • To provide a tool for surgeons, particularly those with less experience, to navigate the 'scan or scope' dilemma.
  • To achieve diagnostic performance comparable to magnetic resonance imaging (MRI) through clinical evaluation.

Main Methods:

  • Development of a points-based scoring system incorporating patient history, age, and clinical findings.
  • Evaluation of the diagnostic performance of the clinical method against established diagnostic standards.
  • Analysis of the cost implications of MRI services to establish a threshold for investigation.

Main Results:

  • The proposed clinical points-based method demonstrates diagnostic performance equivalent to MRI.
  • The system aids in differentiating the need for advanced imaging versus arthroscopy.
  • A cost-conscious threshold for ordering MRI scans has been suggested based on relative service costs.

Conclusions:

  • A clinical points-based approach offers a viable, cost-effective alternative to MRI for initial knee injury assessment.
  • This method empowers less experienced surgeons to make informed diagnostic decisions.
  • Integrating clinical assessment with cost considerations optimizes patient management pathways in orthopaedics.

Related Experiment Videos