• Nynke M Swart, Kim van Oudenaarde, Bierma-ZeinstraSita M ASMADepartment of General Practice, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.Department of Orthopaedics, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands., Johan L Bloem, BindelsPatrick J EPJEDepartment of General Practice, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands., Paul R Algra, Monique Reijnierse, and LuijsterburgPim A JPAJDepartment of General Practice, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands..
• Department of General Practice, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
• Eur J Gen Pract. 2019 Oct 1; 25 (4): 205-213.

AbstractBackground: It remains unclear to what extent patients with traumatic knee complaints aged 18-45 years seen in general practice experience difficulties with return to sports.Objectives: This study aims to determine the proportion of patients with a knee trauma that return to sports at six weeks and three months follow-up. Also examined were associations between no return to sports and baseline patient/trauma characteristics, knee complaints and MR (magnetic resonance) findings, as well as the additive value of MR findings.Methods: Included were patients with traumatic knee complaints participating in a randomized controlled trial assessing the cost-effectiveness of an MR scan in general practice. Patients were classified as 'no return to sports' or 'return to sports' (sports on pre-injury or adapted level). Potential baseline predictors for no return to sports were assessed using logistic regression analyses. The area under the curves (AUC) was compared.Results: At six weeks and three months follow-up, 147 (59%) and 175 (74%) patients, respectively, reported return to sports. Combining patient characteristics, trauma characteristics and knee complaints predicted no return to sports with an AUC of 0.86 (95%CI: 0.81-0.90) at six weeks and of 0.82 (95%CI: 0.76-0.88) at three months follow-up. After adding MR findings, the AUC was 0.79 (95%CI: 0.71-0.87) at six weeks and 0.79 (95%CI: 0.70-0.88) at three months follow-up.Conclusion: Three out of four patients with a knee trauma in general practice reported return to sports at three months follow-up. A combination of patient/trauma characteristics and knee complaints predicted no return to sports, whereas MR findings had no additive value. Trial registration: Dutch trial registration: registration number: NTR3689. registration date: 7 November 2012.

16 keywords...

hide…