Epidemiology of intra- and peri-articular structural injuries in traumatic knee joint hemarthrosis - data from 1145 consecutive knees with subacute MRI

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• 作者：O. Olsson^&dagger ; ; ^{ola.a.olsson@skane.se" class="auth_mail" title="E-mail the corresponding author} ; A. Isacsson^&dagger ; ; ^{anders.isacsson@skane.se" class="auth_mail" title="E-mail the corresponding author} ; M. Englund^&Dagger ; ; ^&sect ; ; ^{martin.englund@med.lu.se" class="auth_mail" title="E-mail the corresponding author} ; R.B. Frobell^&dagger ; ; ^‖ ; ^{richard.frobell@skane.se" class="auth_mail" title="E-mail the corresponding author}
• 关键词：ACL injury ; Patella dislocation ; Epidemiology ; Hemarthrosis ; MRI
• 刊名：Osteoarthritis and Cartilage
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：24
• 期：11
• 页码：1890-1897
• 全文大小：736 K

文摘

In patients with traumatic knee distorsion and hemarthrosis, to investigate the panorama of structural injury, as visualized on magnetic resonance imaging (MRI).

Sec_2">Design

para0015">Cohort study of 1145 consecutive patients with traumatic knee distorsion who underwent MRI within median 8 days after injury. We present structural injury as visualized on MRI in relation to age, sex and activity at injury. Population based gender specific annual incidences of common structural injuries were calculated.

Results

para0020">The majority of injuries (72%) occurred during sports. Overall, anterior cruciate ligament (ACL) rupture was the most common structural injury (52%), followed by meniscal tear (41%) and lateral patella dislocation (LPD, 17%). Only 12% of ACL tears were isolated with meniscal tear being the most common associated injury (55%). The annual incidence of ACL injury was 77 (70–85, 95% CI) per 100,000 inhabitants with significant differences between men (91, 80–103) and women (63, 53–73). In those aged 16 years and younger, LPD was the most frequent structural injury, both in boys (39%) and girls (43%). In this age group, the annual incidence of LPD was 88 (68–113) and higher in boys (113, 81–154) than in girls (62, 39–95).

Conclusions

para0025">ACL injury occurs in one out of two knees with traumatic hemarthrosis but only 12% are without concomitant structural injury. The overall rate of traumatic knee hemarthrosis and ACL injury is higher in men. In those aged 10–19 years, ACL rupture is more common among girls than boys whereas in those 16 years and younger, LPD is more common among boys than girls.