Outcome of knee injuries in general practice: 1-year follow-up.
BACKGROUND
Knee injuries may lead to pain and to functional limitations in the activities of daily living. Patients with knee injuries are frequently seen in general practice; however, the outcome and management in these patients is not known.


OBJECTIVE
To assess the outcome and management of knee injuries at 12 months' follow-up in general practice.


METHODS
A prospective observational cohort study with a 1-year follow-up.


METHODS
Primary health care.


METHODS
Adult patients consulting their GP after knee injury (n = 134) participated in the cohort. A magnetic resonance imaging scan was carried out and patients were diagnosed as either no lesion or an isolated meniscal tear, an isolated collateral or cruciate ligament lesion, or a combination. Follow-up questionnaires were filled in up to 12 months' follow-up.


RESULTS
At 12 months' follow-up, 34 patients reported full recovery and 67 patients reported major improvement. At baseline, 37 patients (28%) were referred to physical therapy and 17 patients (13%) were referred to secondary care. During 1 year of follow-up, another 21 referrals to physical therapy and 11 referrals to secondary care took place. The pain severity decreased the most, and the Lysholm knee score increased in the majority of patients during the first 3 months after injury. In total, 18 arthroscopies were performed in 15 patients. One patient underwent an anterior cruciate ligament reconstruction.


CONCLUSIONS
The vast majority of patients report clinically relevant recovery. There is no clear difference in outcomes between patients with meniscal tears or ligament lesions and patients without these diagnoses.
Erasmus Medical Centre, Department of General Practice, Rotterdam, The Netherlands. hpa.wagemakers@dordrecht.nl
Harry P A
HP
Wagemakers
Pim A J
PA
Luijsterburg
Edith M
EM
Heintjes
Marjolein Y
MY
Berger
Jan
J
Verhaar
Bart W
BW
Koes
Sita M A
SM
Bierma-Zeinstra
D000293:Adolescent; D000328:Adult; D000070598:Anterior Cruciate Ligament Injuries; D018771:Arthralgia / Q000209:etiology; D001182:Arthroscopy / Q000706:statistics & numerical data; D004812:Epidemiologic Methods; D005194:Family Practice; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000175:diagnosis / Q000534:rehabilitation / Q000628:therapy*; D008279:Magnetic Resonance Imaging / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities / Q000706:statistics & numerical data; D020127:Recovery of Function; D012017:Referral and Consultation / Q000706:statistics & numerical data; D000070600:Tibial Meniscus Injuries; D016896:Treatment Outcome; D055815:Young Adult