[Cytological examinations of synovial for judgement arthrotic conditions at knee joint (author's transl)]

Abstract

Even if you use very refinded methods of investigation, there might be some difficulties in the estimation of praearthrotic and arthrotic conditions in the knee joint, especially under the aspect of differential diagnostical considerations. In those cases all the diagnostical measures available should be applied. In this paper the value and power of evidence of cytological investigations with arthrotic alterations of the knee joint are checked. For this purpose some synovial liquid was punctured in 25 cases--chosen out of a total number of 140--of operations (mostly on behalf of suspectes meniscopathy). The liquid was worked up in the method found by Vojtisek and analysed. It was possible to correlate the thus found results (analysis of the differential cell formation) with the findings which were objectively gained during the operation. Thereby you could see that the macroscopically visible changes of the synovialis, the menisci and the cartilage, which were divided into 5 groups regarding their form and their degree of significance, allowed a comparison with the findings of the differential cell formations. It is possible to attach certain forms of the differential cell formation to varying macroscopic-anatomic changes of the knee joint. The results are thoroughly discussed.