Arthrography of the Knee: A Comparative Study of the Accuracy of Single and Double Contrast Techniques

Abstract
Single and double contrast arthrographic techniques were compared in 951 patients with suspected meniscal injuries. Knee exploratory surgery was performed in 384 of these patients and good clinical follow-up was obtained in 135 patients. In the latter 2 patient groups the single contrast technique was 97% accurate in assessing the medial meniscus and 96% accurate in assessing the lateral meniscus. Double contrast arthrography was 97% accurate in assessing the medial meniscus and 93% accurate in assessing the lateral meniscus. Numerical differences in the results from the 2 techniques were not statistically significant. Both techniques were equally effective diagnostically.

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