scholarly journals Reconstruction and/or Repair of The Multi-Ligament Knee Injury: A Systematic Review

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
David S Constantinescu
2017 ◽  
Vol 25 ◽  
pp. S363 ◽  
Author(s):  
E. Poulsen ◽  
G.H. Concalves ◽  
E.M. Roos ◽  
J. Thorlund ◽  
C.B. Juhl

2021 ◽  
Author(s):  
Xuelong Chen ◽  
Zhizhuo Li ◽  
Hui Fang ◽  
Xiangyang Yin ◽  
Chengxin Li ◽  
...  

Abstract Background: The prevalence of knee injury is high and early diagnosis is significant to guide clinical treatment. MRI is recognized as the gold standard for detecting bone marrow edema (BME) in patients with acute knee injury, but limitations still exist. Dual-energy CT (DECT) is investigated as a promising alternative.Methods: We systematically retrieved studies from EMBASE, Scopus, PUBMED, and the Cochrane Library and collected gray literatures. According to PRISMA-DTA guidelines, a systematic review was performed from inception to July 31, 2021, assessing the diagnostic accuracy of DECT for detecting BME in at least 10 adult patients with acute knee injuries and with an MRI reference standard. Study details were independently extracted by two reviewers. Meta-analysis was performed using a bivariate mixed-effects regression model with subgroup analysis performed to evaluate for sources of variability. Results: Nine studies evaluating 290 patients between the ages of 23–53 with acute knee injuries undergoing DECT and MRI were included in analysis. Summary sensitivity, specificity, and AUC values for BME were 85% (95% confidence interval (CI) 77–90%), 96% (95% CI 93–97%), and 0.97 (95% CI 0.95–0.98), respectively. There were no statistically significant differences in specificity and sensitivity amongst comparative subgroups to account for presumed variability amongst studies.Conclusion: DECT is accurate for detecting BME in patients with acute knee injuries and can be used as an alternative to MRI, particularly when MRI is contraindicated or unavailable.


2014 ◽  
Vol 44 (10) ◽  
pp. 1403-1426 ◽  
Author(s):  
Marloes H. P. ter Stege ◽  
Joan M. Dallinga ◽  
Anne Benjaminse ◽  
Koen A. P. M. Lemmink

2016 ◽  
Vol 24 (8) ◽  
pp. 1317-1329 ◽  
Author(s):  
N.J. Collins ◽  
C.A.C. Prinsen ◽  
R. Christensen ◽  
E.M. Bartels ◽  
C.B. Terwee ◽  
...  

2012 ◽  
Vol 471 (1) ◽  
pp. 340-340 ◽  
Author(s):  
Nathan L. Grimm ◽  
Kevin G. Shea ◽  
Ryan W. Leaver ◽  
Stephen K. Aoki ◽  
James L. Carey

2021 ◽  
Author(s):  
Bonar McGuire ◽  
Ben King

ABSTRACTObjectivesIdentify neuromuscular risk factors for non-contact knee injury, using a systematic review and meta-analysis, to inform the development of preventive strategies.MethodsMedline, Web of Science and SCOPUS were searched from inception until November 2020. Prospective and nested case-control studies that analysed baseline neuromuscular characteristics as potential risk factors for subsequent non-contact knee injuries were included. Two reviewers independently appraised methodological quality using a modified Newcastle–Ottawa Scale. Meta-analysis was performed where appropriate, with standardised mean differences calculated for continuous scaled data.ResultsSeventeen studies were included, comprising baseline data from 5,584 participants and 415 non-contact knee injuries (heterogeneous incidence = 7.4%). Protocols and outcome measures differed across studies, limiting data pooling. Twenty-one neuromuscular variables were included in the meta-analysis. Three were identified as risk factors. For patellofemoral pain, among military recruits: reduced non-normalised quadriceps strength at 60º/s (SMD −0.66; 95% CI −0.99, −0.32); reduced quadriceps strength at 240º/s (normalised by body mass) (SMD −0.53; CI −0.87, −0.20). For PFP/ACL injury among female military recruits: reduced quadriceps strength at 60º/s (normalised by body mass) (SMD −0.50; CI −0.92, −0.08).ConclusionsQuadriceps weakness is a risk factor for PFP among military recruits, and for PFP/ACL injury among female military recruits. However, the effect sizes are small, and the generalisability of these findings is limited. The effectiveness of quadriceps strengthening interventions for preventing PFP and ACL injury merits evaluation in prospective randomised trials.


2018 ◽  
Vol 34 (5) ◽  
pp. 1708-1716 ◽  
Author(s):  
Joshua S. Everhart ◽  
Amy Du ◽  
Radhika Chalasani ◽  
James C. Kirven ◽  
Robert A. Magnussen ◽  
...  

2021 ◽  
Vol 47 ◽  
pp. 193-200
Author(s):  
Elaine M. Mullally ◽  
Alexandra C. Atack ◽  
Mark Glaister ◽  
Nicholas C. Clark

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