Publications by authors named "Harry P Wagemakers"

Background: There is a lack of knowledge about the course of knee instability in patients with traumatic knee disorders.

Objective: The aim of the study was to determine the course of traumatic knee instability during 1-year follow-up and to observe the treatment of knee instability by GPs.

Methods: Patients (n = 134) aged 18-65 years with traumatic knee disorders who consulted their GP within 5 weeks after trauma were enrolled in a prospective cohort study.

View Article and Find Full Text PDF

Background: Prognosis of persistent complaints after knee injury is based on secondary care populations. In a primary care setting, however, no studies have addressed this issue.

Aim: To identify possible predictors of persistent complaints 1 year after a knee injury.

View Article and Find Full Text PDF

Objective: To assess the diagnostic accuracy of history taking and physical examination for assessing anterior cruciate ligament (ACL) lesions in primary care.

Design: Cross-sectional diagnostic study.

Setting: Primary care.

View Article and Find Full Text PDF

Background: Knee injuries may lead to pain and to functional limitations in the activities of daily living. Patients with knee injuries are frequently seen in general practice; however, the outcome and management in these patients is not known.

Aim: To assess the outcome and management of knee injuries at 12 months' follow-up in general practice.

View Article and Find Full Text PDF

Objective: To evaluate meniscal status change on follow-up MRI after 1 year, prognostic factors and association with clinical outcome in patients with conservatively treated knee injury.

Methods: We analysed 403 meniscal horns in 101 conservatively treated patients (59 male; mean age 40 years) in general practice who underwent initial knee MRI within 5 weeks of trauma. We performed ordinal logistic regression analysis to analyse prognostic factors for meniscal change on follow-up MRI after 1 year, and we assessed the association with clinical outcome.

View Article and Find Full Text PDF

Objective: To assess the diagnostic value of history taking and physical examination for knee joint effusion in patients with a knee injury who consult their general practitioner (GP). In addition, to determine the association between effusion seen on magnetic resonance imaging (MRI) and internal derangement of the knee.

Design: Prospective, observational cohort study.

View Article and Find Full Text PDF

Purpose: To assess the diagnostic value of history-taking and physical examination of medial collateral ligament lesions after a knee injury presenting in general practice.

Methods: Patients aged 18 to 65 years with a traumatic knee injury who consulted their general practitioner within 5 weeks after trauma filled out a questionnaire, underwent a standardized physical examination, and underwent a magnetic resonance imaging scan. Logistic regression analysis was used to test possible associations between determinants from history-taking/physical examination and medial collateral ligament lesions.

View Article and Find Full Text PDF

Objective: To assess the diagnostic value of history-taking and physical examination of meniscal tears in general practice.

Design: An observational study determining diagnostic values (sensitivity, specificity, predictive value, and likelihood ratios).

Setting: General practice.

View Article and Find Full Text PDF