LIMP Score and Anterior Cruciate Ligament Injury in Patient Undergoing Arthoscopy for Acute Knee Injury: An Observational Study

Introduction: Globally, anterior cruciate ligament injury is common but difficult clinical diagnosis in acute setting because of pain during examination and difficult availability of investigations and diagnostic arthroscopy. Legs giving way, Inability to continue the task, Massive effusion and pop...

Full description

Saved in:
Bibliographic Details
Main Authors: Mahesh Karmacharya, Binod Sherchan, Bikash KC, Ram Sharma Subedi, Badri Rijal, Saphalata Devi Koju
Format: Article
Language:English
Published: Nepal Medical Association 2024-12-01
Series:Journal of Nepal Medical Association
Subjects:
Online Access:https://www.jnma.com.np/jnma/index.php/jnma/article/view/8858
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841560988707454976
author Mahesh Karmacharya
Binod Sherchan
Bikash KC
Ram Sharma Subedi
Badri Rijal
Saphalata Devi Koju
author_facet Mahesh Karmacharya
Binod Sherchan
Bikash KC
Ram Sharma Subedi
Badri Rijal
Saphalata Devi Koju
author_sort Mahesh Karmacharya
collection DOAJ
description Introduction: Globally, anterior cruciate ligament injury is common but difficult clinical diagnosis in acute setting because of pain during examination and difficult availability of investigations and diagnostic arthroscopy. Legs giving way, Inability to continue the task, Massive effusion and pop sound heard at the time of injury or LIMP score is a history based scoring which can be aid to diagnose anterior cruciate ligament injury. This study is designed to find out the proportion of patient with LIMP score of >2 having anterior cruciate ligament injury. Methods: An observational cross-section study was done among the patients visiting emergencies and out patient department of respective hospitals after approval from Institutional review Committee (Reference number: 23/2078/79). The LIMP score was assessed during the presentation and patients were followed up at arthoscopy for the final diagnosis. Results: There were 126 patients enrolled in the study among which 68 (54%) had LIMP score of >2. Out of the total, 74 (59%) had anterior cruciate ligament inury among which 67 (90.5%) had LIMP score >2. Among the patient who did not have anterior cruciate ligament injury, 51 (98%) had LIMP score <2. Conclusions: The proportion of patients having anterior cruciate ligament injury were higher in the category with LIMP score >2. 
format Article
id doaj-art-b6e261470acb467bba7b9b2a6c265c81
institution Kabale University
issn 0028-2715
1815-672X
language English
publishDate 2024-12-01
publisher Nepal Medical Association
record_format Article
series Journal of Nepal Medical Association
spelling doaj-art-b6e261470acb467bba7b9b2a6c265c812025-01-03T09:12:34ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2024-12-016328110.31729/jnma.8858LIMP Score and Anterior Cruciate Ligament Injury in Patient Undergoing Arthoscopy for Acute Knee Injury: An Observational Study Mahesh Karmacharya0Binod Sherchan1Bikash KC2Ram Sharma Subedi3Badri Rijal4Saphalata Devi Koju5Department of Orthopedics, National Academy of Medical Sciences, Mahaboudha, Kathmandu, NepalDepartment of Orthopedics, National Academy of Medical Sciences, Mahaboudha, Kathmandu, NepalDepartment of Orthopedics, National Academy of Medical Sciences, Mahaboudha, Kathmandu, NepalDepartment of Orthopedics, National Academy of Medical Sciences, Mahaboudha, Kathmandu, NepalDepartment of Orthopedics, National Academy of Medical Sciences, Mahaboudha, Kathmandu, NepalBhaktapur Hospital, Dudhpati, Bhaktapur, Nepal Introduction: Globally, anterior cruciate ligament injury is common but difficult clinical diagnosis in acute setting because of pain during examination and difficult availability of investigations and diagnostic arthroscopy. Legs giving way, Inability to continue the task, Massive effusion and pop sound heard at the time of injury or LIMP score is a history based scoring which can be aid to diagnose anterior cruciate ligament injury. This study is designed to find out the proportion of patient with LIMP score of >2 having anterior cruciate ligament injury. Methods: An observational cross-section study was done among the patients visiting emergencies and out patient department of respective hospitals after approval from Institutional review Committee (Reference number: 23/2078/79). The LIMP score was assessed during the presentation and patients were followed up at arthoscopy for the final diagnosis. Results: There were 126 patients enrolled in the study among which 68 (54%) had LIMP score of >2. Out of the total, 74 (59%) had anterior cruciate ligament inury among which 67 (90.5%) had LIMP score >2. Among the patient who did not have anterior cruciate ligament injury, 51 (98%) had LIMP score <2. Conclusions: The proportion of patients having anterior cruciate ligament injury were higher in the category with LIMP score >2.  https://www.jnma.com.np/jnma/index.php/jnma/article/view/8858arthroscopic ACL injuryarthroscopyhistory based diagnosisLIMP score
spellingShingle Mahesh Karmacharya
Binod Sherchan
Bikash KC
Ram Sharma Subedi
Badri Rijal
Saphalata Devi Koju
LIMP Score and Anterior Cruciate Ligament Injury in Patient Undergoing Arthoscopy for Acute Knee Injury: An Observational Study
Journal of Nepal Medical Association
arthroscopic ACL injury
arthroscopy
history based diagnosis
LIMP score
title LIMP Score and Anterior Cruciate Ligament Injury in Patient Undergoing Arthoscopy for Acute Knee Injury: An Observational Study
title_full LIMP Score and Anterior Cruciate Ligament Injury in Patient Undergoing Arthoscopy for Acute Knee Injury: An Observational Study
title_fullStr LIMP Score and Anterior Cruciate Ligament Injury in Patient Undergoing Arthoscopy for Acute Knee Injury: An Observational Study
title_full_unstemmed LIMP Score and Anterior Cruciate Ligament Injury in Patient Undergoing Arthoscopy for Acute Knee Injury: An Observational Study
title_short LIMP Score and Anterior Cruciate Ligament Injury in Patient Undergoing Arthoscopy for Acute Knee Injury: An Observational Study
title_sort limp score and anterior cruciate ligament injury in patient undergoing arthoscopy for acute knee injury an observational study
topic arthroscopic ACL injury
arthroscopy
history based diagnosis
LIMP score
url https://www.jnma.com.np/jnma/index.php/jnma/article/view/8858
work_keys_str_mv AT maheshkarmacharya limpscoreandanteriorcruciateligamentinjuryinpatientundergoingarthoscopyforacutekneeinjuryanobservationalstudy
AT binodsherchan limpscoreandanteriorcruciateligamentinjuryinpatientundergoingarthoscopyforacutekneeinjuryanobservationalstudy
AT bikashkc limpscoreandanteriorcruciateligamentinjuryinpatientundergoingarthoscopyforacutekneeinjuryanobservationalstudy
AT ramsharmasubedi limpscoreandanteriorcruciateligamentinjuryinpatientundergoingarthoscopyforacutekneeinjuryanobservationalstudy
AT badririjal limpscoreandanteriorcruciateligamentinjuryinpatientundergoingarthoscopyforacutekneeinjuryanobservationalstudy
AT saphalatadevikoju limpscoreandanteriorcruciateligamentinjuryinpatientundergoingarthoscopyforacutekneeinjuryanobservationalstudy