PMID: 9006756Jan 1, 1997Paper

The clinical diagnosis and results of conservative treatment of knee distortion injury

Archives of Orthopaedic and Trauma Surgery
T Viljakka

Abstract

Distortion of the knee joint is a considerable trauma even when the knee is primarily stable. Of 50 patients, 30% displayed symptoms or signs 2 months after the injury and 36% on subsequent examination an average of 5.6 years later. In a repeat clinical examination one anterior cruciate ligament rupture was not confirmed at the primary stage (2%). For assessment of stability and extent of injury, the repeat clinical examination proved reliable. Ruptures of the meniscus were noted in 18% of the patients in connection with the primary injury. Of those who underwent a meniscus operation, 27% had further operations and, four patients of 50 had another operation as a result of a new trauma. Thus, a total of 25% of the patients required surgery. The material is biased as I sought to exclude ligament ruptures in the first instance. No patient was permanently incapacitated from work. A large portion of the later symptoms were connected with the patellofemoral joint or with the postoperative condition. Bandaging did not affect the resulting recovery rate. Regular exercise of the thigh muscles prevented the onset of quadriceps atrophy, but there was a clear deterioration in the condition of the muscles in the early stages.

References

Jan 1, 1977·Acta Orthopaedica Scandinavica·J GillquistN Oretorp
Feb 1, 1986·Acta Orthopaedica Scandinavica·T Viljakka
May 1, 1971·Clinical Orthopaedics and Related Research·J C Pickett, T J Altizer
May 1, 1984·The American Journal of Sports Medicine·R S LucieD G Messner
Jan 1, 1980·The American Journal of Sports Medicine·K E DeHaven
Feb 1, 1981·Acta Orthopaedica Scandinavica·J LysholmS O Liljedahl
Jan 1, 1982·Acta Orthopaedica Scandinavica. Supplementum·B Balkfors

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Citations

May 5, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Avi ElbazRonen Debi

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