Effect of an algorithm on the treatment of knee injuries

Packer, Greg; Gayner, A D; Craxford, Alan D.; Jm, Caullay; Goring, C.C.

doi:10.1016/s0020-1383(05)80015-4

Cited by 2 publications

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Packer et al [9] performed an audit to assess diagnosis and treatment of patients presenting with acute knee injuries. It was recommended to review patients in clinic with an average of 6 days, and the authors advocated early referral to the orthopedic outpatient clinic with a 44% referral rate (19 out of 44 cases), if indicated.…”

Section: Discussionmentioning

confidence: 99%

Management of Knee Injuries in the Accident and Emergency Department

Konings¹,

Tjeenk²,

Kastelein³

et al. 2004

Eur J Trauma

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Management of Knee Injuries in the Accident and Emergency Department

Konings¹,

Tjeenk²,

Kastelein³

et al. 2004

Eur J Trauma

View full text Add to dashboard Cite

show abstract

Audit of knee injuries seen in a sports medicine clinic.

et al. 1993

View full text Add to dashboard Cite

In order to assess the management of knee injuries in a sports medicine clinic, an audit was performed of all new patients who attended the clinic over a 12-month period. Of the 167 new patients seen, 76 (46%) had sustained knee injuries. Of these, 43 (57%) were treated in the sports medicine clinic and 33 (43%) were referred for arthroscopic assessment. The maximum waiting time from the time of referral was 3 weeks, with 85% of patients seen within 1 week and 92% within 2 weeks. Arthroscopy was performed on 28 (85%) of the 33 patients referred, and the positive correlation between the sports clinic diagnosis and the arthroscopic diagnosis was 64%. Of the 33 patients referred for arthroscopy, 28 (85%) had sustained acute knee injuries while five (15%) had been treated at other hospitals before referral to the sports medicine clinic. A National Health Service sports medicine clinic is an effective means of treating knee injuries, provided that access to arthroscopy is readily available.

show abstract

Effect of an algorithm on the treatment of knee injuries

Cited by 2 publications

References 3 publications

Management of Knee Injuries in the Accident and Emergency Department

Management of Knee Injuries in the Accident and Emergency Department

Audit of knee injuries seen in a sports medicine clinic.

Contact Info

Product

Resources

About