دورية أكاديمية
أعرض في EDS

Which preoperative factors, including bone bruise, are associated with knee pain/symptoms at index anterior cruciate ligament reconstruction (ACLR)? A Multicenter Orthopaedic Outcomes Network (MOON) ACLR Cohort Study.

التفاصيل البيبلوغرافية
العنوان: Which preoperative factors, including bone bruise, are associated with knee pain/symptoms at index anterior cruciate ligament reconstruction (ACLR)? A Multicenter Orthopaedic Outcomes Network (MOON) ACLR Cohort Study.
المؤلفون: Dunn WR; Department of Orthopaedic Surgery and Rehabilitation, Vanderbilt University Medical School, Nashville, TN 37232-8300, USA. warren.dunn@vanderbilt.edu, Spindler KP, Amendola A, Andrish JT, Kaeding CC, Marx RG, McCarty EC, Parker RD, Harrell FE Jr, An AQ, Wright RW, Brophy RH, Matava MJ, Flanigan DC, Huston LJ, Jones MH, Wolcott ML, Vidal AF, Wolf BR
مؤلفون مشاركون: MOON ACL Investigation
المصدر: The American journal of sports medicine [Am J Sports Med] 2010 Sep; Vol. 38 (9), pp. 1778-87. Date of Electronic Publication: 2010 Jul 01.
نوع المنشور: Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 7609541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-3365 (Electronic) Linking ISSN: 03635465 NLM ISO Abbreviation: Am J Sports Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2004- : Thousand Oaks, CA : Sage Publications
Original Publication: Baltimore, Williams & Wilkins.
مواضيع طبية MeSH: Anterior Cruciate Ligament Injuries* , Orthopedic Procedures*, Anterior Cruciate Ligament/*surgery , Knee Injuries/*pathology , Knee Injuries/*surgery , Knee Joint/*pathology , Knee Joint/*surgery , Pain/*etiology, Adolescent ; Adult ; Bone and Bones/injuries ; Cartilage, Articular/injuries ; Cohort Studies ; Contusions/complications ; Female ; Humans ; Linear Models ; Male ; Nomograms ; Pain Measurement ; Preoperative Period ; Risk Factors ; Young Adult
مستخلص: Background: Increased knee pain at the time of anterior cruciate ligament reconstruction may potentially predict more difficult rehabilitation, prolonged recovery, and/or be predictive of increased knee pain at 2 years.
Hypothesis: A bone bruise and/or other preoperative factors are associated with more knee pain/symptoms at the time of index anterior cruciate ligament reconstruction, and the presence of a bone bruise would be associated with specific demographic and injury-related factors.
Study Design: Cohort study (prevalence); Level of evidence, 2.
Methods: In 2007, the Multicenter Orthopaedic Outcomes Network (MOON) database began to prospectively collect surgeon-reported magnetic resonance imaging bone bruise status. A multivariable analysis was performed to (1) determine if a bone bruise, among other preoperative factors, is associated with more knee symptoms/pain and (2) examine the association of factors related to bone bruise. To evaluate the association of a bone bruise with knee pain/symptoms, linear multiple regression models were fit using the continuous scores of the Knee injury and Osteoarthritis Outcome Score (KOOS) symptoms and pain subscales and the Short Form 36 (SF-36) bodily pain subscale as dependent variables. To examine the association between a bone bruise and risk factors, a logistic regression model was used, in which the dependent variable was the presence or absence of a bone bruise.
Results: Baseline data for 525 patients were used for analysis, and a bone bruise was present in 419 (80%). The cohort comprises 58% male patients, with a median age of 23 years. The median Marx activity level was 13. Factors associated with more pain were higher body mass index (P < .0001), female sex (P = .001), lateral collateral ligament injury (P = .012), and older age (P = .038). Factors associated with more symptoms were a concomitant lateral collateral ligament injury (P = .014), higher body mass index (P < .0001), and female sex (P < .0001). Bone bruise is not associated with symptoms/pain at the time of index anterior cruciate ligament reconstruction. None of the factors included in the SF-36 bodily pain model were found to be significant. After controlling for other baseline factors, the following factors were associated with a bone bruise: younger age (P = .034) and not jumping at the time of injury (P = .006).
Conclusion: After anterior cruciate ligament injury, risk factors associated with a bone bruise are younger age and not jumping at the time of injury. Bone bruise is not associated with symptoms/pain at the time of index anterior cruciate ligament reconstruction.
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معلومات مُعتمدة: K23 AR052392 United States AR NIAMS NIH HHS; R01 AR053684 United States AR NIAMS NIH HHS; K23 AR052392-04 United States AR NIAMS NIH HHS; 1R01 AR053684 United States AR NIAMS NIH HHS
تواريخ الأحداث: Date Created: 20100703 Date Completed: 20101228 Latest Revision: 20220317
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC3692374
DOI: 10.1177/0363546510370279
PMID: 20595556
قاعدة البيانات: MEDLINE
الوصف
تدمد:1552-3365
DOI:10.1177/0363546510370279