Skip to main content
Erschienen in: Wiener klinische Wochenschrift 19-20/2014

01.10.2014 | original article

Patient-specific evaluation of knee disorders in clinical practice

verfasst von: Lukas Leopold Negrin, MD, MSc, Stefan Hajdu, MD, MBA

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 19-20/2014

Einloggen, um Zugang zu erhalten

Summary

Background

Nowadays, an increasing number of patients expect their physician to provide a measureable and, therefore, comparable treatment effect that quantifies success or failure of the applied therapy. Unfortunately, different knee classification schemes applied to the same patient may provide diverging results. Therefore, the objective of this paper was to present recommendations to clinicians for a meaningful outcome assessment of their patients.

Methods

Out of 39 knee evaluation systems available in the literature, we performed an elimination process based on the criteria (1) widespread use, (2) available reference values and (3) publication of at least one validation study.

Results

Six clinical scores were detected which met the inclusion criteria. Owing to authors’ recommendations and personal opinion the International Knee Documentation Committee (IKDC) Score, the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) were identified to be the most suitable outcome measures that enable patients a realistic assessment of their treatment effect compared with individuals in similar life situations.

Conclusion

To our opinion the IKDC should be applied to athletic patients suffering from post-traumatic knee symptoms who are younger than 50 years. For non-athletes aged 50 years and older the WOMAC is considered suitable whereas the KOOS is recommended to all other patients with knee disorders.
Literatur
3.
Zurück zum Zitat Barber-Westin SD, Noyes FR, McCloskey JW. Rigorous statistical reliability, validity, and responsiveness testing of the Cincinnati Knee Rating System in 350 subjects with uninjured, injured, or anterior cruciate ligament-reconstructed knees. Am J Sports Med. 1999;27:402–16.PubMed Barber-Westin SD, Noyes FR, McCloskey JW. Rigorous statistical reliability, validity, and responsiveness testing of the Cincinnati Knee Rating System in 350 subjects with uninjured, injured, or anterior cruciate ligament-reconstructed knees. Am J Sports Med. 1999;27:402–16.PubMed
4.
Zurück zum Zitat Christel P, Djian P, Darman Z, et al. Etude des résultas de l’intervention de Marshall-MacIntosh selon trois systèmes d’évaluation (ARPEGE, Lysholm, IKDC). 90 cas revue avac un reculd’au moins un an. Rev Chir Orthop. 1993;79:473–83.PubMed Christel P, Djian P, Darman Z, et al. Etude des résultas de l’intervention de Marshall-MacIntosh selon trois systèmes d’évaluation (ARPEGE, Lysholm, IKDC). 90 cas revue avac un reculd’au moins un an. Rev Chir Orthop. 1993;79:473–83.PubMed
5.
Zurück zum Zitat Sgaglione NA, Del Pizzo W, Fox JM, et al. Critical analysis of knee ligament rating systems. Am J Sports Med. 1995;23:660–7.PubMedCrossRef Sgaglione NA, Del Pizzo W, Fox JM, et al. Critical analysis of knee ligament rating systems. Am J Sports Med. 1995;23:660–7.PubMedCrossRef
6.
Zurück zum Zitat Noyes FR, Barber SD, Mooar LA. A rationale for assessing sports activity levels and limitations in knee disorders. Clin Orthop Relat Res. 1989;246:238–49.PubMed Noyes FR, Barber SD, Mooar LA. A rationale for assessing sports activity levels and limitations in knee disorders. Clin Orthop Relat Res. 1989;246:238–49.PubMed
7.
Zurück zum Zitat O’Donoghue DH. An analysis of end results of surgical treatment of major injuries to the ligaments of the knee. J Bone Joint Surg Am. 1955;37A:1–13. O’Donoghue DH. An analysis of end results of surgical treatment of major injuries to the ligaments of the knee. J Bone Joint Surg Am. 1955;37A:1–13.
8.
Zurück zum Zitat Negrin LL. Klinische Ergebnisse nach Mikrofrakturierung des Kniegelenks: Grundlagen, internationaler Vergleich und eigene Ergebnisse. VDM Verlag Dr. Müller: Saarbrücken 2010. Negrin LL. Klinische Ergebnisse nach Mikrofrakturierung des Kniegelenks: Grundlagen, internationaler Vergleich und eigene Ergebnisse. VDM Verlag Dr. Müller: Saarbrücken 2010.
9.
Zurück zum Zitat Negrin LL, Vécsei V. A general overview of knee outcome measures in common use. Glob J Surg. 2011;2:105–32. Negrin LL, Vécsei V. A general overview of knee outcome measures in common use. Glob J Surg. 2011;2:105–32.
10.
Zurück zum Zitat Lysholm J, Tegner Y. Knee injury rating scales. Acta Orthop. 2007;78:445–53. Lysholm J, Tegner Y. Knee injury rating scales. Acta Orthop. 2007;78:445–53.
11.
Zurück zum Zitat Hefti F, Müller W, Jakob RP et al. Evaluation of knee ligament injuries with the IKDC form. Knee Surg Sports Traumatal Arthrosc. 1993;1: 226–34.CrossRef Hefti F, Müller W, Jakob RP et al. Evaluation of knee ligament injuries with the IKDC form. Knee Surg Sports Traumatal Arthrosc. 1993;1: 226–34.CrossRef
13.
Zurück zum Zitat Roos EM, Roos PH, Lohmander LS, et al. Knee Injury and Osteoarthritis Outcome Score (KOOS): development of a self-administrated outcome measure. J Orthop Sports Phys Ther. 1998;28:88–96.PubMedCrossRef Roos EM, Roos PH, Lohmander LS, et al. Knee Injury and Osteoarthritis Outcome Score (KOOS): development of a self-administrated outcome measure. J Orthop Sports Phys Ther. 1998;28:88–96.PubMedCrossRef
14.
Zurück zum Zitat Irrgang JJ, Snyder-Mackler L, Wainner RS, et al. Development of a patient-reported measure of function of the knee. J Bone Joint Surg Am. 1998;80:1132–45.PubMed Irrgang JJ, Snyder-Mackler L, Wainner RS, et al. Development of a patient-reported measure of function of the knee. J Bone Joint Surg Am. 1998;80:1132–45.PubMed
15.
Zurück zum Zitat Irrgang JJ, Safran MR, Fu FH. Knee outcome survey: sports activity scale. In: Zachazewski JE, Magee DJ, Quillen WS, editors. The knee: ligamentous and meniscal injuries. Philadelphia: W.B. Saunders Co; 1996: 660–1. Irrgang JJ, Safran MR, Fu FH. Knee outcome survey: sports activity scale. In: Zachazewski JE, Magee DJ, Quillen WS, editors. The knee: ligamentous and meniscal injuries. Philadelphia: W.B. Saunders Co; 1996: 660–1.
16.
Zurück zum Zitat Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res. 1985;198:43–9.PubMed Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res. 1985;198:43–9.PubMed
17.
Zurück zum Zitat Bellamy N, Buchanan WW, Goldsmith CH, et al. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15:1833–40.PubMed Bellamy N, Buchanan WW, Goldsmith CH, et al. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15:1833–40.PubMed
18.
Zurück zum Zitat Borsa PA, Lephart SM, Irrgang JJ. Sport-specifity of knee scoring systems to assess disability in anterior cruciate ligament-deficient athletes. J Sport Rehabil. 1998;7:44–50. Borsa PA, Lephart SM, Irrgang JJ. Sport-specifity of knee scoring systems to assess disability in anterior cruciate ligament-deficient athletes. J Sport Rehabil. 1998;7:44–50.
19.
Zurück zum Zitat Andrade MS, Cohen M, Picarro LC, et al. Knee performance after anterior cruciate ligament reconstruction. Isokinet Exerc Sci. 2002;10:81–6. Andrade MS, Cohen M, Picarro LC, et al. Knee performance after anterior cruciate ligament reconstruction. Isokinet Exerc Sci. 2002;10:81–6.
20.
Zurück zum Zitat Tanner SM, Dainty KN, Marx RG, et al. Knee-specific quality-of-life-instruments: which ones measure symptoms and disabilities most important to patients? Am J Sports Med. 2007;35:1450–8.PubMedCrossRef Tanner SM, Dainty KN, Marx RG, et al. Knee-specific quality-of-life-instruments: which ones measure symptoms and disabilities most important to patients? Am J Sports Med. 2007;35:1450–8.PubMedCrossRef
21.
Zurück zum Zitat Wright RW. Knee injury outcome measures. J Am Acad Orthop Surg. 2009;17:31–9.PubMed Wright RW. Knee injury outcome measures. J Am Acad Orthop Surg. 2009;17:31–9.PubMed
22.
Zurück zum Zitat Roos EM, Roos PH, Lohmander LS, et al. Knee Injury and Osteoarthritis Outcome Score (KOOS)-validation of a Swedish version. Scand J Med Sci Sports. 1998;8:439–48.PubMedCrossRef Roos EM, Roos PH, Lohmander LS, et al. Knee Injury and Osteoarthritis Outcome Score (KOOS)-validation of a Swedish version. Scand J Med Sci Sports. 1998;8:439–48.PubMedCrossRef
23.
Zurück zum Zitat Haverkamp D, Sierevelt IN, Breugern SJ, et al. Translation and validation of the Dutch version of the International Knee Documentation Committee Subjective Knee Form. Am J Sports Med. 2006;34:1680–4.PubMedCrossRef Haverkamp D, Sierevelt IN, Breugern SJ, et al. Translation and validation of the Dutch version of the International Knee Documentation Committee Subjective Knee Form. Am J Sports Med. 2006;34:1680–4.PubMedCrossRef
24.
Zurück zum Zitat Higgins LD, Taylor MK, Park D, et al. Reliability and validity of the International Knee Documentation Committee (IKDC) Subjective Knee Form. Joint Bone Spine. 2007;74:594–9.PubMedCrossRef Higgins LD, Taylor MK, Park D, et al. Reliability and validity of the International Knee Documentation Committee (IKDC) Subjective Knee Form. Joint Bone Spine. 2007;74:594–9.PubMedCrossRef
25.
Zurück zum Zitat Irrgang JJ, Anderson AF, Boland AL, et al. Development and validation of the International Knee Documentation Subjective Knee Form. Am J Sports Med. 2001;29:600–13.PubMed Irrgang JJ, Anderson AF, Boland AL, et al. Development and validation of the International Knee Documentation Subjective Knee Form. Am J Sports Med. 2001;29:600–13.PubMed
26.
Zurück zum Zitat Anderson AF, Irrgang JJ, Kocher MS, et al. The International Knee Documentation Committee Subjective Knee Evaluation Form: normative data. Am J Sports Med. 2006;34:128–35.PubMedCrossRef Anderson AF, Irrgang JJ, Kocher MS, et al. The International Knee Documentation Committee Subjective Knee Evaluation Form: normative data. Am J Sports Med. 2006;34:128–35.PubMedCrossRef
27.
Zurück zum Zitat Paradowski PT, Bergman S, Sundén-Lundius A, et al. Knee complaints vary with age and gender in the adult population. Population-based reference data for the Knee Injury and Osteoarthritis Outcome Score (KOOS). BMC Musculoskelet Disord. 2006;7:38.PubMedCentralPubMedCrossRef Paradowski PT, Bergman S, Sundén-Lundius A, et al. Knee complaints vary with age and gender in the adult population. Population-based reference data for the Knee Injury and Osteoarthritis Outcome Score (KOOS). BMC Musculoskelet Disord. 2006;7:38.PubMedCentralPubMedCrossRef
28.
Zurück zum Zitat Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2011;26:355–69.CrossRef Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2011;26:355–69.CrossRef
29.
Zurück zum Zitat Jinks C, Jordan K, Croft P. Measuring the population impact of knee pain and disability with the Western Ontarion and MacMaster Universities Osteoarthritis Index (WOMAC). Pain. 2002;100:55–64.PubMedCrossRef Jinks C, Jordan K, Croft P. Measuring the population impact of knee pain and disability with the Western Ontarion and MacMaster Universities Osteoarthritis Index (WOMAC). Pain. 2002;100:55–64.PubMedCrossRef
30.
Zurück zum Zitat Peat G, Thomas E, Handy J, et al. The Knee Clinical Assessment Study—CAS(K). A prospective study of knee pain and knee osteoarthritis in the general population: baseline recruitment and retention at 18 months. BMC Musculoskelet Disord. 2006;7:30.PubMedCentralPubMedCrossRef Peat G, Thomas E, Handy J, et al. The Knee Clinical Assessment Study—CAS(K). A prospective study of knee pain and knee osteoarthritis in the general population: baseline recruitment and retention at 18 months. BMC Musculoskelet Disord. 2006;7:30.PubMedCentralPubMedCrossRef
31.
Zurück zum Zitat Roos EM, Lohmander LS. The Knee Injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis Health Qual Life Outcomes. 2003;1:64.PubMedCentralPubMedCrossRef Roos EM, Lohmander LS. The Knee Injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis Health Qual Life Outcomes. 2003;1:64.PubMedCentralPubMedCrossRef
32.
Zurück zum Zitat Lohmander LS, Roos HP. Knee ligament injury, surgery and osteoarthritis. Truth or consequences. Acta Orthop Scand. 1994;65:605–9.PubMedCrossRef Lohmander LS, Roos HP. Knee ligament injury, surgery and osteoarthritis. Truth or consequences. Acta Orthop Scand. 1994;65:605–9.PubMedCrossRef
Metadaten
Titel
Patient-specific evaluation of knee disorders in clinical practice
verfasst von
Lukas Leopold Negrin, MD, MSc
Stefan Hajdu, MD, MBA
Publikationsdatum
01.10.2014
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 19-20/2014
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-014-0600-y

Weitere Artikel der Ausgabe 19-20/2014

Wiener klinische Wochenschrift 19-20/2014 Zur Ausgabe

MUW researcher of the month

Researcher of the Month

mitteilungen der gesellschaft

ÖGIM Flip