Packer G J, McLatchie G R, Bowden W, Lennox C M
Department of General Surgery, Hartlepool General Hospital, UK.
Br J Sports Med. 1993 Jun;27(2):113-4. doi: 10.1136/bjsm.27.2.113.
In order to assess the management of knee injuries in a sports medicine clinic, an audit was performed of all new patients who attended the clinic over a 12-month period. Of the 167 new patients seen, 76 (46%) had sustained knee injuries. Of these, 43 (57%) were treated in the sports medicine clinic and 33 (43%) were referred for arthroscopic assessment. The maximum waiting time from the time of referral was 3 weeks, with 85% of patients seen within 1 week and 92% within 2 weeks. Arthroscopy was performed on 28 (85%) of the 33 patients referred, and the positive correlation between the sports clinic diagnosis and the arthroscopic diagnosis was 64%. Of the 33 patients referred for arthroscopy, 28 (85%) had sustained acute knee injuries while five (15%) had been treated at other hospitals before referral to the sports medicine clinic. A National Health Service sports medicine clinic is an effective means of treating knee injuries, provided that access to arthroscopy is readily available.
为了评估一家运动医学诊所对膝伤的治疗情况,对该诊所在12个月期间接待的所有新患者进行了一次审核。在167名新患者中,76名(46%)有膝伤。其中,43名(57%)在运动医学诊所接受治疗,33名(43%)被转诊进行关节镜评估。从转诊之时起的最长等待时间为3周,85%的患者在1周内就诊,92%在2周内就诊。在转诊的33名患者中,28名(85%)接受了关节镜检查,运动诊所诊断与关节镜诊断之间的正相关率为64%。在转诊进行关节镜检查的33名患者中,28名(85%)有急性膝伤,5名(15%)在转诊至运动医学诊所之前曾在其他医院接受治疗。如果能够方便地进行关节镜检查,国民医疗服务体系运动医学诊所是治疗膝伤的有效方式。