The impact of magnetic resonance imaging on the rate of arthroscopy and patient outcome for knee disorders requiring arthroscopy

Completed

Conditions: Mechanical Disorder of the knee requiring Arthroscopy
Musculoskeletal Diseases
Knee disorder

Registration Number: ISRCTN07964137

Lead Sponsor: niversity Hospital of North Staffordshire (UK)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 384

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

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

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Comparison of the proportion of arthroscopies (diagnostic or therapeutic) carried out in each arm of the study

Secondary Outcome Measures

Name	Time	Method
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. <br>2. Short Form health survey (SF36): a comprehensive generic measure of health outcome.<br>3. Knee injury and OsteoArthritis (OA) score: a self reported measure of symptoms, stiffness, pain, function and quality of life specific to knee injury. <br>4. Knee Society Score: will be carried out by a trained independent assessor (physiotherapist) who will be blinded to the management policy used.<br>5. Pain Severity <br>6. Patient satisfaction