dc.date.accessioned | 2018-08-21T07:40:12Z | |
dc.date.available | 2018-08-21T07:40:12Z | |
dc.date.created | 2017-10-10T13:28:58Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | Moatshe, Buru Gilbert Dornan, Grant J. Løken, Sverre Bertrand Ludvigsen, Tom C LaPrade, Robert F. Engebretsen, Lars . Demographics and injuries associated with knee dislocation: A prospective review of 303 patients. The Orthopaedic Journal of Sports Medicine. 2017, 5(5), 1-5 | |
dc.identifier.uri | http://hdl.handle.net/10852/63274 | |
dc.description.abstract | Background:
Information on the incidence, injury mechanisms, ligament injury patterns, and associated injuries of knee dislocations is lacking in the literature. There is a need to characterize ligament injury patterns and associated injuries in knee dislocations to avoid missing common associated diagnoses and to plan surgical treatment.
Purpose:
To evaluate patient demographics, ligament injury patterns and associated injury patterns, and associated injuries in patients with knee dislocation.
Study Design:
Cross-sectional study; Level of evidence, 3.
Methods:
A total of 303 patients with knee dislocations treated at a single level 1 trauma center were followed prospectively. Injury mechanism; ligament injury patterns; associated neurovascular, meniscal, and cartilage injuries; and surgical complications were recorded. The Schenck knee dislocation classification was used to classify the ligament injury patterns.
Results:
The mean age at injury was 37.8 ± 15.3 years. Of the 303 patients included, 65% were male and 35% were female. There was an equal distribution of high-energy and low-energy injuries. Injury to 3 major ligaments was the most common, with Schenck classification type KD III-M constituting 52.4% of the injuries and KD III-L comprising 28.1%. Meniscal injuries and cartilage injuries occurred in 37.3% and 28.3% of patients, respectively. Patients with acute injuries had significantly lower odds of a cartilage injury than those with chronic injuries (odds ratio [OR], 0.28; 95% CI, 0.15-0.50; P < .001). Peroneal nerve injuries were recorded in 19.2% of patients (10.9% partial and 8.3% complete deficit), while vascular injuries were recorded in 5%. The odds of having a common peroneal nerve injury were 42 times greater (P < .001) among those with posterolateral corner injury (KD III-L) than those without. The odds for popliteal artery injury were 9 times greater (P = .001) among those with KD III-L injuries than other ligament injury types.
Conclusion:
Medial-sided bicruciate injuries were the most common injury pattern in knee dislocations. Cartilage injuries were common in chronically treated patients. There was a significant risk of peroneal nerve injury with lateral-sided injuries. | en_US |
dc.language | EN | |
dc.language.iso | en | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Unported | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/3.0/ | |
dc.title | Demographics and injuries associated with knee dislocation: A prospective review of 303 patients | en_US |
dc.type | Journal article | en_US |
dc.creator.author | Moatshe, Buru Gilbert | |
dc.creator.author | Dornan, Grant J. | |
dc.creator.author | Løken, Sverre Bertrand | |
dc.creator.author | Ludvigsen, Tom C | |
dc.creator.author | LaPrade, Robert F. | |
dc.creator.author | Engebretsen, Lars | |
cristin.unitcode | 185,53,44,10 | |
cristin.unitname | Ortopedisk avdeling - Ullevål | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1503654 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=The Orthopaedic Journal of Sports Medicine&rft.volume=5&rft.spage=1&rft.date=2017 | |
dc.identifier.jtitle | The Orthopaedic Journal of Sports Medicine | |
dc.identifier.volume | 5 | |
dc.identifier.issue | 5 | |
dc.identifier.startpage | 1 | |
dc.identifier.endpage | 5 | |
dc.identifier.doi | http://dx.doi.org/10.1177/2325967117706521 | |
dc.identifier.urn | URN:NBN:no-65828 | |
dc.type.document | Tidsskriftartikkel | en_US |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 2325-9671 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/63274/1/Moatshe%2BOrthJSportMed%2B2017%2BDemographics%2Band%2Binjuries.pdf | |
dc.type.version | PublishedVersion | |