Giorgino Riccardo, Maggioni Davide Maria, Viganò Marco, Verdoni Fabio, Pandini Elisa, Balbino Cristiana, Manta Nicola, D'Anchise Roberto, Mangiavini Laura
Residency Program in Orthopedics and Traumatology, University of Milan, 20122 Milan, Italy.
IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, Italy.
Healthcare (Basel). 2021 Sep 30;9(10):1311. doi: 10.3390/healthcare9101311.
The SARS-CoV-2 pandemic drastically changed daily life activities and medical practice, leading to a reorganization of healthcare activities. People spent two months in home-isolation, changing their daily habits and undertaking a more sedentary lifestyle. Change in lifestyle is related to important consequences in knee pathologies. The aim of this study was to evaluate the outpatient activity for knee pathologies before and after lockdown in terms of incidence, severity, diagnosis, and treatment.
Medical records of patients with knee pathology in outpatient follow-up at IRCCS Istituto Ortopedico Galeazzi in Milan (Italy) were analyzed in the time frame 4 May-4 September 2020 and compared with patients examined between 4 May and 4 September 2019.
A significant increase of knee diagnoses associated to patellofemoral disorders in 2020 was found ( = 0.004). In addition, physiotherapy was significantly more prescribed in 2020 than in 2019 ( = 0.012).
The SARS-CoV-2 pandemic lockdown did not drastically change knee pathology, but it may have had an impact on it, highlighting a summary worsening of patellofemoral disorders associated with other knee diagnoses. Further studies are required to validate this result.
严重急性呼吸综合征冠状病毒2（SARS-CoV-2）大流行极大地改变了日常生活活动和医疗实践，导致医疗保健活动的重新组织。人们居家隔离了两个月，改变了日常习惯，采取了更加久坐的生活方式。生活方式的改变与膝关节疾病的重要后果有关。本研究的目的是从发病率、严重程度、诊断和治疗方面评估封锁前后膝关节疾病的门诊活动情况。
对意大利米兰IRCCS加莱阿齐骨科研究所门诊随访的膝关节疾病患者的病历进行分析，时间范围为2020年5月4日至9月4日，并与2019年5月4日至9月4日期间检查的患者进行比较。
发现2020年与髌股关节疾病相关的膝关节诊断显著增加（P = 0.004）。此外，2020年物理治疗的处方量显著高于2019年（P = 0.012）。
SARS-CoV-2大流行封锁并未彻底改变膝关节疾病，但可能对其产生了影响，突出显示了与其他膝关节诊断相关的髌股关节疾病总体有所恶化。需要进一步研究来验证这一结果。
