Mechanical Disorder of the knee requiring Arthroscopy Musculoskeletal Diseases Knee disorder
Conditions
Interventions
MRI Scan of knee and knee arthroscopy
Sponsors
University Hospital of North Staffordshire (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients currently listed for arthroscopy or who have been admitted to hospital with an acute knee injury 2. Aged 18 years and above 3. Mechanical knee problem in whom an arthroscopy is indicated. Defined pragmatically as: suspected internal derangement of the knee e.g., cruciate/collateral ligament haemarthrosis (occurring in first 12 hours of injury) in the absence of fracture 4. Convincing symptoms but no signs, such as history of locking or giving way but normal exam 5. Unresolved significant symtoms after conservative treatment 6. Unresolved knee pain
Exclusion criteria
Exclusion criteria: 1. Multiple trauma 2. Unable or unwilling to give informed consent 3. Tumour 4. Suspected primary synovial disease 5. Previous arthroscopy of knee 6. Contraindications to MRI: e.g., pacemaker, pregnancy, ferric implants 7. Knee infection 8. Previous MRI of the affected knee
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of the proportion of arthroscopies (diagnostic or therapeutic) carried out in each arm of the study | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. A simple generic measure of health outcome. It allows an accurate self-description of current health related quality of life, assessing mobility, self-care, usual activity level, pain/discomfort and anxiety/depression. 2. Short Form health survey (SF36): a comprehensive generic measure of health outcome. 3. Knee injury and OsteoArthritis (OA) score: a self reported measure of symptoms, stiffness, pain, function and quality of life specific to knee injury. 4. Knee Society Score: will be carried out by a trained independent assessor (physiotherapist) who will be blinded to the management policy used. 5. Pain Severity 6. Patient satisfaction | — |
Countries
United Kingdom
Outcome results
None listed