MRI follow-up of conservatively treated meniscal knee lesions in general practice
| Autor: | Jan-Hein J. Hensen, Edwin H.G. Oei, Bart W. Koes, Sita M A Bierma-Zeinstra, Dammis Vroegindeweij, Ingrid M. Koster, M. G. Myriam Hunink, Harry P. A. Wagemakers, Simone S. Boks |
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| Přispěvatelé: | Radiology & Nuclear Medicine, General Practice |
| Jazyk: | angličtina |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent media_common.quotation_subject Knee Injuries Meniscus (anatomy) Trauma Pain assessment Surveys and Questionnaires Medicine Humans Radiology Nuclear Medicine and imaging Knee Meniscus media_common Neuroradiology medicine.diagnostic_test business.industry Convalescence Follow-up Magnetic resonance imaging Interventional radiology General Medicine Middle Aged Prognosis Magnetic Resonance Imaging Surgery Tibial Meniscus Injuries medicine.anatomical_structure Logistic Models Treatment Outcome Radiology Nuclear Medicine and imaging Musculoskeletal General practice Disease Progression Female sense organs Radiology business Knee injuries Family Practice Conservative treatment Follow-Up Studies |
| Zdroj: | European Radiology, 20(5), 1242-1250. Springer-Verlag European Radiology |
| ISSN: | 0938-7994 |
| DOI: | 10.1007/s00330-009-1648-3 |
| Popis: | Objective To evaluate meniscal status change on follow-up MRI after 1 year, prognostic factors and association with clinical outcome in patients with conservatively treated knee injury. Methods We analysed 403 meniscal horns in 101 conservatively treated patients (59 male; mean age 40 years) in general practice who underwent initial knee MRI within 5 weeks of trauma. We performed ordinal logistic regression analysis to analyse prognostic factors for meniscal change on follow-up MRI after 1 year, and we assessed the association with clinical outcome. Results On follow-up MRI 49 meniscal horns had deteriorated and 18 had improved. Age (odds ratio [OR] 1.3/decade), body weight (OR 1.2/10 kg), total anterior cruciate ligament (ACL) rupture on initial MRI (OR 2.4), location in the posterior horn of the medial meniscus (OR 3.0) and an initial meniscal lesion (OR 0.3) were statistically significant predictors of meniscal MRI appearance change after 1 year, which was not associated with clinical outcome. Conclusion In conservatively treated patients, meniscal deterioration on follow-up MRI 1 year after trauma is predicted by higher age and body weight, initial total ACL rupture, and location in the medial posterior horn. Change in MRI appearance is not associated with clinical outcome. |
| Databáze: | OpenAIRE |
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