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The Journal of Bone and Joint Surgery, Vol 70, Issue 10 1479-1483, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc
The forty-five-degree posteroanterior flexion weight-bearing radiograph of the knee
TD Rosenberg, LE Paulos, RD Parker, DB Coward and SM Scott
Salt Lake City Knee and Sports Medicine, Utah 84103.
Posteroanterior weight-bearing radiographs, made with the knee in 45
degrees of flexion, were compared with conventional radiographs for
fifty-five patients who had surgical treatment for a lesion causing pain in
one knee. Narrowing of the cartilage space of two millimeters or more was
defined as indicative of major degeneration (grade III or IV). Comparison
of the intraoperatively observed degeneration with the narrowing that was
seen on the radiographs revealed that the posteroanterior weight-bearing
radiographs that were made with the knee in 45 degrees of flexion were more
accurate (p less than 0.01), more specific (no false-positives) (p less
than 0.01), and more sensitive (fewer false-negatives) than the
conventional extension weight-bearing anteroposterior radiographs.

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