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Assessing diagnostic challenges in acute soft-tissue knee injuries
Thomas Molloy1,2, Benjamin Gompels1, Stephen McDonnell1
1Division of Trauma and Orthopaedic Surgery, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK.
Bone & Joint Open
|November 5, 2024
Summary
Diagnosing soft-tissue knee injuries (STKIs) in acute care presents challenges. This study found that a patient-centered approach and a uniform framework can improve diagnostic consistency among healthcare professionals.
Area of Science:
- Orthopaedic surgery
- Sports medicine
- Diagnostic challenges in acute care
Background:
- Soft-tissue knee injuries (STKIs) pose diagnostic challenges in acute settings.
- Variability exists among orthopaedic healthcare stakeholders regarding STKI diagnosis.
Purpose of the Study:
- To assess the challenges in diagnosing STKIs in acute care settings.
- To identify and rank the perceived importance of diagnostic components for STKIs.
Main Methods:
- A modified e-Delphi study involving 32 orthopaedic healthcare stakeholders.
- Three rounds of scoring and ranking diagnostic components using a ten-point Likert scale.
- Refinement of diagnostic items based on stakeholder feedback across rounds.
Main Results:
- Initial stakeholder opinions on STKI diagnostic components showed significant variability.
- A patient-centered approach and specific diagnostic methods were consistently recognized as important.
- Opinions converged from Round 2 to Round 3, indicating developing consensus.
Conclusions:
- Addressing variability in STKI diagnosis requires a uniform, evidence-based framework.
- A paradigm shift towards standardized STKI evaluation in acute care is possible.
- Improved diagnostic methods and a patient-centered approach are crucial for acute STKI management.
