Prevalence of ligamentous knee injuries in pedestrian versus motor vehicle accidents
Autor: | Matthew McDonald, R. Garrett Steinmetz, Gregory Heigle, Shaun Tkach, Kimberly Hollabaugh, Douglas Rowles, David Teague, John Hamilton |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Sports medicine Traumatic brain injury Deep vein medicine.medical_treatment Knee Injuries 03 medical and health sciences 0302 clinical medicine Trauma Centers Rheumatology Prevalence medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Pedestrians Retrospective Studies 030222 orthopedics Rehabilitation Multiple Trauma Knee Dislocation business.industry Trauma center Accidents Traffic medicine.disease musculoskeletal system Magnetic Resonance Imaging Surgery Tibial Fractures medicine.anatomical_structure Spinal Injuries Ligaments Articular Orthopedic surgery Female Patella lcsh:RC925-935 business human activities Research Article |
Zdroj: | BMC Musculoskeletal Disorders, Vol 21, Iss 1, Pp 1-8 (2020) BMC Musculoskeletal Disorders |
ISSN: | 1471-2474 |
Popis: | BackgroundThe purpose of this study was to determine the prevalence and characteristics of ligamentous knee injuries and to compare patient demographics, associated injuries and hospital stay to pedestrians who did not sustain a ligamentous knee injury.MethodsA retrospective review of all adult patients presenting as pedestrians struck by a motor vehicle to a level 1 trauma center over a three-year period was performed. Demographics, length of stay, orthopedic and non-orthopedic traumatic injuries were recorded. Magnetic resonance imaging was reviewed for ligamentous, bony and chondral injuries.ResultsFive hundred thirty-nine patients were included. Sixty-seven (12.4%) patients sustained a total of 84 ligamentous knee injuries. OF these knee injuries that had MRI (55/84), the majority (96%) were multi-ligamentous in nature. Patients with ligamentous knee injury were more likely to also be affected by traumatic brain injury, solid organ injury, cervical and lumbar spine injury, pelvic ring injuries, distal femur fractures, patella fractures, knee dislocations, tibial plateau fractures, tibial pilon fractures, and deep vein thrombosis when compared to patients who did not sustain ligamentous knee injury. Patients who sustained ligamentous knee injury were more likely to require hospital and intensive care admission and had a longer overall hospital stay.ConclusionGiven the high prevalence of ligamentous knee injuries in this patient population, these patients should be thoroughly evaluated for a ligamentous knee injury. If ligamentous knee injury is suspected, MRI should be considered as a majority of these injuries involved multiple structures. Patients with ligamentous knee injuries often had multi-system injuries with resulting longer hospital stay when compared to those without ligamentous knee injuries. |
Databáze: | OpenAIRE |
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