The Forgotten Joint Score-12 as a valuable patient-reported outcome measure for patients after first-time patellar dislocation

Knee. 2020 Mar;27(2):406-413. doi: 10.1016/j.knee.2019.12.004. Epub 2020 Jan 8.


Background: The aim of this study is to assess joint awareness after first-time patellar dislocation using the Forgotten Joint Score-12 (FJS-12) and to compare performance of this measurement tool to acknowledged patient-reported outcome scores.

Methods: A retrospective analysis of patients with confirmed first-time patellar dislocation was performed. Patients were assessed with the FJS-12, the Kujala and the WOMAC scores. Reference values for the FJS-12 were obtained from a matched healthy control group with no history of previous knee joint pathology. We calculated Cronbach's alpha, assessed the ceiling effect for all scores, and calculated the Spearman correlation coefficient between them RESULTS: Fifty-six patients (mean follow-up 8.2 years, range 1.6-14.1) with a mean age of 26.4 years were analysed. Compared with the age- and gender-matched control group, the patellar dislocation group showed significantly lower (worse) mean FJS-12 scores (88 vs. 71, P < 0.001). Inter-score correlation between the FJS-12 and the Kujala was high (r = 0.74) and significant (P < 0.001), as well as between FJS-12 and WOMAC (r = 0.81, P < 0.001). Cronbach's alpha of the FJS-12 was 0.92 (95% confidence interval 0.90-0.94). The FJS-12 showed less ceiling effect (16%) compared with the Kujala score (23%) and the WOMAC score (32%).

Conclusions: The concept of joint awareness has been successfully applied to a patient population after patellar dislocation. The FJS-12 showed less ceiling effect compared with the Kujala and the WOMAC scores, suggesting the score was able to capture subtle knee problems in patients after patellar dislocation.

Keywords: Forgotten Joint Score-12 (FJS-12); Joint awareness; Patellar dislocation; Patient-reported outcomes (PROs).

MeSH terms

  • Adolescent
  • Adult
  • Case-Control Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patellar Dislocation / therapy*
  • Patient Reported Outcome Measures*
  • Reproducibility of Results
  • Retrospective Studies
  • Young Adult