Audit of knee injuries seen in a sports medicine clinic.

Packer, Greg; McLatchie, Greg; Bowden, William W; Lennox, C. M. E.

doi:10.1136/bjsm.27.2.113

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…The documented incidence in these studies depends upon the inclusion of ®gures for acute knee injuries as a result of multiple trauma, those for recurrent injuries and whether injuries are included for children younger than 17 years (as done so in the Scandinavian studies). Of the 167 new patients seen in one sports medicine clinic over a one-year period, 76 (46%) had sustained knee injuries (Packer et al, 1993). Knee injuries alone account for over 1.3 million emergency department visits yearly in the United States (Tigges and Fajman, 2000).…”

Section: Incidence and Presentationmentioning

confidence: 99%

Presentation, examination, investigation and early treatment of acute knee injuries

Hunt

Greaves

2004

Trauma

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Acute knee injuries are common presentations that frequently occur during sporting activities and can result in permanent disability. However, they often result in a single visit, seldom receive surgical intervention and, in the main, are cared for entirely by General Practitioners or Emergency Department physicians. Thorough clinical assessment and appropriate early treatment at the primary presentation is vital in order to offer the best chance of maximal functional recovery and to minimize long-term disability. This requires a sound knowledge of basic knee anatomy, careful assessment of the mechanism of injury, detection and consideration of physical ndings and the results of adjunctive investigations. This article aims to give a comprehensive review of the examination, investigation and early treatment of acute knee injuries at the primary presentation. In addition, comments on important epidemiological and aetiological factors and a brief description of basic knee anatomy are also provided.

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Section: Incidence and Presentationmentioning

confidence: 99%

Presentation, examination, investigation and early treatment of acute knee injuries

Hunt

Greaves

2004

Trauma

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“…Another study by Packer et al [10] showed a sports medicine clinic to be an effective means of treating knee injuries, provided that access to arthroscopy is readily available. These findings support our approach, where arthroscopy was performed on 49% of referred patients.…”

Section: Discussionmentioning

confidence: 99%

Management of Knee Injuries in the Accident and Emergency Department

Konings¹,

Tjeenk²,

Kastelein³

et al. 2004

Eur J Trauma

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European Journal of TraumaAb stract Background and Purpose: Knee injuries are frequently seen in the accident and emergency (A&E) department. A prospective study was carried out to investigate the reliability of the initial diagnosis of knee injuries made in the A&E department. Patients and Methods: All patients (n = 425) who presented at the A&E Department of the Red Cross Hospital in the Hague, the Netherlands, in 1996 with a knee injury were clinically examined and an X-ray was obtained. The patients were reviewed in the outpatient clinic after 4 days and then at 6 weeks. At these times, patients were referred to the orthopedic outpatient clinic for further investigation and treatment as indicated. After 5 years, a final evaluation was undertaken. Results: After 6 weeks, the subsequent diagnosis was found to differ from the initial one in 6% of cases. This finding had no further consequences with regard to prognosis. After 5 years, all patients were approached by telephone. In total, 94% of the patients were contacted and of these, three patients (1%) had been re-referred to the orthopedic outpatient clinic. The final diagnosis of these three patients was different to the initial diagnosis. Of these patients, one needed an arthroscopy, the other two received conservative treatment. Conclusion: The study found that 1% of knee injuries were misdiagnosed at the A&E department. It is therefore beneficial to review patients with knee injuries in the outpatient clinic after 4 days.

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Audit of knee injuries seen in a sports medicine clinic.

Cited by 2 publications

References 3 publications

Presentation, examination, investigation and early treatment of acute knee injuries

Presentation, examination, investigation and early treatment of acute knee injuries

Management of Knee Injuries in the Accident and Emergency Department

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