Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS‐PS), Knee Outcome Survey Activities of Daily Living Scale (KOS‐ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS)

Collins, Natalie J; Misra, Devyani; Felson, David T.; Crossley, Kay M; Roos, Ewa M.

doi:10.1002/acr.20632

Cited by 1,021 publications

(803 citation statements)

References 115 publications

(252 reference statements)

Supporting

Mentioning

767

Contrasting

Unclassified

Order By: Relevance

“…However, the minimal detectable change (ie, minimal amount of change, outside of error, that reflects true change over 2 time points) of KOOS pain is 6 points. 34 For every cubic centimeter increase in BML volume of the medial compartment, the average difference in KOOS pain score was -0.48. Of this subset, 95% had medial BML volumes between 0 and 11.0 cm 3 and, thus, we could anticipate a difference of only -5.28 KOOS pain score points at most.…”

Section: Discussionmentioning

confidence: 99%

“…The psychometric properties of the KOOS have been validated for the evaluation of knee injury. [32][33][34] Data Analysis A depression fracture as visualized on MRI has a strong relationship with traumatic BML volume, 7 but we hypothesized that it could also influence pain through other mechanisms; thus, we stratified our primary analysis for those with and those without a depression fracture. We used the Fisher exact test and independent-samples t tests to assess differences between participants with and participants without a depression fracture.…”

Section: Patient-reported Outcomesmentioning

confidence: 99%

See 1 more Smart Citation

Posttraumatic Bone Marrow Lesion Volume and Knee Pain Within 4 Weeks After Anterior Cruciate Ligament Injury

Driban

Lohmander

Frobell

2017

Journal of Athletic Training

View full text Add to dashboard Cite

Context: After an anterior cruciate ligament (ACL) injury, a majority of patients have a traumatic bone marrow lesion (BML, or bone bruise). The clinical relevance of posttraumatic lesions remains unclear.Objective: To explore the cross-sectional associations between traumatic BML volume and self-reported knee pain and symptoms among individuals within 4 weeks of ACL injury.Design: Cross-sectional exploratory analysis of a randomized clinical trial.Setting: Orthopaedic departments at 2 hospitals in Sweden. Patients or Other Participants: As part of a randomized trial (knee anterior cruciate ligament nonoperative versus operative treatment [KANON] study), 121 young active adults (74% men, age ¼ 26 6 5 years, height ¼ 1.8 6 0.1 m, weight ¼ 76 6 13 kg) with an ACL tear were studied.Main Outcome Measure(s): The BML volume in the proximal tibia and distal femur was segmented using magnetic resonance images obtained within 4 weeks of injury. A radiologist evaluated the presence of depression fractures on the images. Pain and symptoms of the injured knee (Knee Injury and Osteoarthritis Outcome Score [KOOS] pain and symptoms subscales) were obtained the same day as imaging. We used linear regression models to assess the associations.Results: Most knees had at least 1 BML (96%), and the majority (57%) had a depression fracture. Whole-knee BML volume was not related to knee pain for the entire cohort (b ¼ À0.09, P ¼ .25). Among those without a depression fracture, larger whole-knee BML volume was associated with increased knee pain (b ¼ -0.46, P ¼ .02), whereas no association was found for those with a depression fracture (b ¼ 0.0, P ¼ .96). Larger medial (b ¼ -0.48, P ¼ .02) but not lateral (b ¼ -0.03, P ¼ .77) tibiofemoral BML volume was associated with greater pain. We found no association between BML volume and knee symptoms.Conclusions: We confirmed the absence of relationships between whole-knee BML volume and pain and symptoms within 4 weeks of ACL injury. Our findings extend previous reports in identifying weak associations between larger BML volume in the medial compartment and greater pain and between BML volume and greater pain among those without a depression fracture.Key Words: knee injuries, magnetic resonance imaging, sprains, trauma, patient-reported outcomes Key PointsWithin 4 weeks of anterior cruciate ligament injury, total-knee bone marrow lesion volume and self-reported pain and symptoms were not associated. More pain was weakly related to greater medial compartment and greater total-knee bone marrow lesion volume and to greater bone marrow lesion volume among participants without a depression fracture.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Patient-reported Outcomesmentioning

confidence: 99%

Posttraumatic Bone Marrow Lesion Volume and Knee Pain Within 4 Weeks After Anterior Cruciate Ligament Injury

Driban

Lohmander

Frobell

2017

Journal of Athletic Training

View full text Add to dashboard Cite

show abstract

“…A change in any of the subscales over 48 months was expressed as the difference between the absolute 48-month and baseline scores, with a negative value indicating clinical worsening. KOOS subscale worsening was considered to reliably represent a clinically relevant progression if the difference between the 48-month and the baseline exceeded the minimal detectable change (MDC) values, as previously described for the osteoarthritic knee [38]: pain ≥ 13; symptoms other than pain ≥ 16; sport and recreation function ≥ 20 and QOL ≥ 21.…”

Section: Clinical Findingsmentioning

confidence: 99%

Hyperintense signal alteration in the suprapatellar fat pad on MRI is associated with degeneration of the patellofemoral joint over 48 months: data from the Osteoarthritis Initiative

et al. 2017

View full text Add to dashboard Cite

Hyperintense signal alteration in the suprapatellar fat pad on MRI is associated with degeneration of the patellofemoral joint over 48 months: data from the Osteoarthritis Initiative. Results Baseline SPFP signal alterations were found in 51% of the subjects (n = 217), of whom 11% (n = 23) additionally had a mass effect. Progression of cartilage lesions was significantly higher in subjects with signal alteration versus without (adjusted mean increases, 95% CI; patella: 0.29, −0.07 to 0.64 vs −0.04, −0.40 to 0.31; p < 0.001; trochlea: 0.47, 0.16 to 0.77 vs 0.31, 0.01 to 0.61; p = 0.007). BML progression was also more likely in subjects with signal alteration (OR 1.75, 95% CI 1.09 to 2.82; p = 0.021). Mass effect was not associated with joint degeneration and SPFP findings were not associated with clinical worsening (p > 0.18 for all). Conclusion Patellofemoral joint degeneration over 48 months was significantly increased in subjects with SPFP signal alteration, suggesting an association between SPFP abnormalities and the progression of patellofemoral OA. Permalink

show abstract

“…17 All patients were enrolled to undergo primary arthroscopically assisted ACL reconstruction. 18 The Lachman test is the most sensitive and the pivot shift the most specific test for the diagnosis of ACL rupture. 19 The Lachman test has become recognized as the most reliable noninvasive clinical method for determining the integrity of the anterior cruciate ligament.…”

Section: Approachmentioning

confidence: 99%

“…Patients were followed up for 6 months and functional outcome of the patients will be checked with IKDC scoring and Tegner Activity Score. 17,18 The Subjective IKDC scale was evaluated by summing the scores for the individual items and then transforming the score to a scale that ranges from 0 to 100. To calculate the final subjective IKDC score simply add the score of each item and divide by the maximum possible score which was 87.…”

Section: Postoperative Carementioning

confidence: 99%

Functional outcome following arthroscopic ACL reconstruction using semitendinosus graft: a prospective observational study

et al. 2017

View full text Add to dashboard Cite

Background: Anterior cruciate ligament (ACL) injuries remain a common orthopaedic disease, particularly in young adults. The treatment of choice for ACL injuries is ACL reconstruction (ligamentoplasty). The present study was conducted to observe and evaluate the outcome results of arthroscopic ACL reconstruction by hamstring grafts using Endobutton-CL technique for femoral fixation and Bioabsorbable Intrafix Screw technique for tibial fixation in ACL injury.Methods: This prospective comparative observational study related data were captured between January 2014 to December 2015 in a tertiary care teaching hospital, Haldia. About 36 patients with arthroscopic anatomic ACL reconstruction using hamstring tendon graft were evaluated and followed up for functional outcome. Patients were evaluated for pain, functioning and stability of knee using validated knee scoring systems which included tegner activity scale and IKDC score.Results: Out of 36 patients 31 patients (86.11%) were male and 5 patients (13.88%) were females. About 25 patients (69.44%) had right sided ACL injury and remaining 11 patients (30.55%) had left sided ACL injury. The mean of the pre-op IKDC scoring was 42.45 with SD of 9.68 and the mean of the post-operative IKDC scoring was 81.87 with SD of 13.40, so improvement was statistically significant. Conclusions: The technique of arthroscopic ACL reconstruction offers an excellent knee function, knee stability and restoration of preoperative functional status with minimal complications.

show abstract

Cited by 1,021 publications

References 115 publications

Posttraumatic Bone Marrow Lesion Volume and Knee Pain Within 4 Weeks After Anterior Cruciate Ligament Injury

Posttraumatic Bone Marrow Lesion Volume and Knee Pain Within 4 Weeks After Anterior Cruciate Ligament Injury

Hyperintense signal alteration in the suprapatellar fat pad on MRI is associated with degeneration of the patellofemoral joint over 48 months: data from the Osteoarthritis Initiative

Functional outcome following arthroscopic ACL reconstruction using semitendinosus graft: a prospective observational study

Contact Info

Product

Resources

About