[The significance of imaging procedures for expert assessment of tendon and meniscus ruptures].
Degenerative soft tissue lesions could be proved witherto only histologically--supposed biopsy was carried out early and sufficiently. This is rarely done. Morphologic changes can be demonstrated by sonographic and MRI investigation at any time, in any region other than the lesion and especially on the contralateral side for comparison. The visualisation of degenerative changes, fresh and old ruptures of soft tissue and scarifications has a striking evidence even for medical laymen and allows--contrary to histologic examination--diagnostic assessment in time. Thus misinterpretations by physician, patient and insurance-company can be avoided. The phasical development of soft tissue disease (necrobiosis, degeneration, defect, reparation) can be demonstrated and related to conventional x-ray findings. The visualisation of a chronological process emphasizes the importance of the patient's history, clinical and x-ray signs and thus improves diagnostic accuracy by combination of all diagnostic means. The false negative result of conventional x-rays can be avoided as well as the misinterpretation or simplification of complex medical legal problems.
Weber
M
M
Orthopädische Abteilung, Universitäts-Kliniken Freiburg.
D003952:Diagnostic Imaging; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D006801:Humans; D012421:Rupture; D013708:Tendon Injuries / Q000175:diagnosis*; D000070600:Tibial Meniscus Injuries
Die Bedeutung bildgebender Verfahren für die Begutachtung von Sehnen- und Meniskusrissen.