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The Journal of Bone and Joint Surgery 81:1349-50 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Scott F. Dye, M.D., Alan C. Merchant, M.D., Hollis G. Potter, M.D., James M. Linklater, M.D., Answorth A. Allen, M.D., Jo A. Hannafin, M.D., Ph.D. and Steven B. Haas, M.D., M.P.H.

TO THE EDITOR:

After we reviewed "Magnetic Resonance Imaging of Articular Cartilage in the Knee. An Evaluation with Use of Fast-Spin-Echo Imaging (80-A: 1276-1284, Sept. 1998), by Potter et al., we decided to offer a perspective regarding the potential clinical implications of this work.

The development of a reliable method with which to accurately depict and characterize structural damage of articular cartilage, such as chondromalacia of the patella, as described by the authors, is to be lauded. However, we are concerned about the potentially perverse effect that the availability of such data may have on the unwary orthopaedic surgeon, who could be encouraged to pursue an operative course on the basis of the unproved assumption that there is a causal relationship between a structural finding (patellar chondromalacia) and symptoms (pain in the anterior aspect of the knee). We fear the acceleration of a trend among some orthopaedists to de-emphasize the . . . [Full Text of this Article]


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