Adolescents with prior patellar dislocation report affected quality of life and function, as measured using the Banff Patella Instability Instrument, Kujala and EQ-5D-5L index scores.

Autor: Eysturoy NH; Department of Orthopedic Surgery, National Hospital of the Faroe Islands, Torshavn, Faroe Island.; Department of Orthopedic Surgery, Zealand University Hospital, Køge and Aleris Hospital, Copenhagen, Denmark., Husum HC; Department of Orthopedic Surgery, Interdisciplinary Orthopedics, Aalborg University Hospital, Aalborg, Denmark., Ingelsrud LH; Clinical Orthopedic Research Hvidovre, Copenhagen University Hospital Amager-Hvidovre, Copenhagen, Denmark., Danielsen O; Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark., Blønd L; Department of Orthopedic Surgery, Zealand University Hospital, Køge and Aleris Hospital, Copenhagen, Denmark., Mortensen E; Department of Orthopedic Surgery, National Hospital of the Faroe Islands, Torshavn, Faroe Island., Hölmich P; Department of Orthopedic Surgery, Sports Orthopedic Research Center-Copenhagen (SORC-C), Copenhagen University Hospital Amager-Hvidovre, Copenhagen, Denmark., Barfod KW; Department of Orthopedic Surgery, Sports Orthopedic Research Center-Copenhagen (SORC-C), Copenhagen University Hospital Amager-Hvidovre, Copenhagen, Denmark.
Jazyk: angličtina
Zdroj: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2024 Nov; Vol. 32 (11), pp. 2830-2839. Date of Electronic Publication: 2024 May 20.
DOI: 10.1002/ksa.12270
Abstrakt: Purpose: We aimed to establish patient-reported outcome measure (PROM) reference data for a cohort of patients with prior patellar dislocation without previous knee surgery.
Methods: All inhabitants of the Faroe Islands aged 15-19 years were sent an online survey via secure email to establish a national cohort. They were asked to answer questions regarding demographics, whether they had prior patellar dislocation and to complete the PROMs: the Banff Patella Instability Instrument (BPII), Kujala, Marx activity and EQ-5D-5L questionnaires. Participants who had undergone knee surgery were excluded. Participants who had prior patellar dislocation underwent radiographic examinations to diagnose trochlear dysplasia. The study included three cohorts: the general population, prior patellar dislocation and prior patellar dislocation and trochlear dysplasia cohorts.
Results: Of the 3749 individuals contacted, 1119 completed the survey and responded to at least one PROM. Of these, 102 reported a history of patellar dislocation and 57 of them had trochlear dysplasia. All PROMs, except the Marx score, reflected a worse quality of life and function after patellar dislocation than in the general population cohort; this was most pronounced in the BPII. The percentage of people experiencing problems in EQ-5D-5L dimensions was higher in the patellar dislocation and trochlear dysplasia cohorts than in the general population cohort in all EQ-5D-5L domains, except anxiety/depression.
Conclusion: Adolescents who had patellar dislocation reported reduced quality of life and function according to the BPII, Kujala and EQ-5D-5L index values, as well as all EQ-5D-5L domains, except for anxiety/depression. However, their activity levels remained high.
Level of Evidence: Level III.
(© 2024 The Authors. Knee Surgery, Sports Traumatology, Arthroscopy published by John Wiley & Sons Ltd on behalf of European Society of Sports Traumatology, Knee Surgery and Arthroscopy.)
Databáze: MEDLINE
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