Evidence map›Paper›PMID 21279996›Full record

ArticleArthritis and rheumatism2011

Synovial inflammation in patients undergoing arthroscopic meniscectomy: molecular characterization and relationship to symptoms.

Carla R Scanzello, Brian McKeon, Bryan H Swaim, Edward DiCarlo, Eva U Asomugha, Veero Kanda, Anjali Nair, David M Lee, John C Richmond, Jeffrey N Katz and 2 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Arthritis and rheumatism, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 157 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
157citing papers in PubMed, 3 pooled it
12.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

157 citing papers in PubMed, 3 syntheses or guidelines pooled it, 245 citations in OpenAlex.

  1. Clinics in orthopedic surgery · 2025
    Pooled it
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  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. [Advances in immunomodulatory strategies for meniscal regeneration].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
  9. Article
  10. Article
  11. Observational
  12. Synovial fibroblasts modulate endothelial activation in an acute injury-on-a-chip model.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Human Knee as an Organ: Joint Tissue Collection, Processing, and Scoring for Multimodal Analyses.Laboratory investigation; a journal of technical methods and pathology · 2026
    Review
  18. Review
  19. Article
  20. Article

97 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Carla R ScanzelloRush University Medical Center, Section of Rheumatology, Chicago, Illinois 60612, USA. Carla_Scanzello@rush.edu
Brian McKeon
Bryan H Swaim
Edward DiCarlo
Eva U Asomugha
Veero Kanda
Anjali Nair
David M Lee
John C Richmond
Jeffrey N Katz
Mary K Crow
Steven R Goldring
Hospital for Special Surgery · USNew England Baptist Hospital · USRush University Medical Center · USHarvard University · US

Funding

Musculoskeletal Research and Mentoring ProgramsK24AR002123 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI KATZ, JEFFREY NEIL · 2000 to 2009
$1.1M
The Toll-like receptor pathway in Meniscal Injury and OsteoarthritisK08AR057859 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI SCANZELLO, CARLA ROSE · 2010 to 2014
$620k
NIAMS NIH HHS K08 AR057859NIAMS NIH HHS K24 AR002123
6 · The paper itself

Abstract

objectiveTraumatic and degenerative meniscal tears have different anatomic features and different proposed etiologies, yet both are associated with the development or progression of osteoarthritis (OA). In established OA, synovitis is associated with pain and progression, but a relationship between synovitis and symptoms in isolated meniscal disease has not been reported. Accordingly, we sought to characterize synovial pathology in patients with traumatic meniscal injuries and determine the relationships between inflammation, meniscal and cartilage pathology, and symptoms.

methodsThirty-three patients without evidence of OA who were undergoing arthroscopic meniscectomy for meniscal injuries were recruited. Pain and function were assessed preoperatively; meniscal and cartilage abnormalities were documented at the time of surgery. Inflammation in synovial biopsy specimens was scored, and associations between inflammation and clinical outcomes were determined. Microarray analysis of synovial tissue was performed, and gene expression patterns in patients with and those without inflammation were compared.

resultsSynovial inflammation was present in 43% of the patients and was associated with worse preoperative pain and function scores, independent of age, sex, or cartilage pathology. Microarray analysis and real-time polymerase chain reaction revealed a chemokine signature in synovial biopsy specimens with increased inflammation scores.

conclusionOur findings indicate that in patients with traumatic meniscal injury undergoing arthroscopic meniscectomy without radiographic evidence of OA, synovial inflammation occurs frequently and is associated with increased pain and dysfunction. Synovia with increased inflammation scores exhibit a unique chemokine signature. Chemokines may contribute to the development of synovial inflammation in patients with meniscal pathology; they also represent potential therapeutic targets for reducing inflammatory symptoms.

Indexed as

AdultAgedArthroscopyCartilage, ArticularChemokinesDisability EvaluationFemaleGene ExpressionHealth StatusHumansKnee JointMaleMassachusettsMenisci, TibialMiddle AgedOsteoarthritis, KneeChemokinesRNA, Messenger

Identifiers

PMID21279996
PMCPMC3260472
OpenAlexW2126313701

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.