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Open Access 01-05-2010 | Musculoskeletal

MRI follow-up of conservatively treated meniscal knee lesions in general practice

Authors: Edwin H. G. Oei, Ingrid M. Koster, Jan-Hein J. Hensen, Simone S. Boks, Harry P. A. Wagemakers, Bart W. Koes, Dammis Vroegindeweij, Sita M. A. Bierma-Zeinstra, M. G. Myriam Hunink

Published in: European Radiology | Issue 5/2010

Abstract

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.

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Title: MRI follow-up of conservatively treated meniscal knee lesions in general practice
Authors: Edwin H. G. Oei
Ingrid M. Koster
Jan-Hein J. Hensen
Simone S. Boks
Harry P. A. Wagemakers
Bart W. Koes
Dammis Vroegindeweij
Sita M. A. Bierma-Zeinstra
M. G. Myriam Hunink
Publication date: 01-05-2010
Publisher: Springer-Verlag
Published in: European Radiology / Issue 5/2010
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-009-1648-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

MRI follow-up of conservatively treated meniscal knee lesions in general practice

Abstract

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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