AAOS Now

Published 2/1/2011

Setting Now Straight

I have been performing independent medical exams over the past 5 years and have found that an inordinate number of superior labral anterior to posterior (SLAP) lesions are reported on magnetic resonance images (MRIs) of litigants.

Having personally reviewed these studies with the aid of a skeletal radiologist, I have found very little correlation between the radiologic interpretations and the intraoperative photos professing to identify the lesion. Unfortunately, it seems as though many of our colleagues are operating based on MRIs and not on a sound orthopaedic physical examination. Have we forgotten the old adage—Do not treat the X-ray but treat the patient?

Charles R. Carozza, MD
Ridgewood, N.J.

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