ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2015
Successful conservative treatment of patients with MRI-verified meniscal lesions.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014Pooled it
- Arthroscopic outside-in "two-needle suture" technique for anterior horn tears of the lateral meniscus.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025Article
- Characterizing Treatment Credibility, Treatment Expectancy, and Symptom Expectancy in Patients Before Nonoperative Treatment for Degenerative Meniscal Tears.Orthopaedic journal of sports medicine · 2024Article
- Return to Play and Player Performance After Meniscal Tear Among Elite-Level European Soccer Players: A Matched Cohort Analysis of Injuries From 2006 to 2016.Orthopaedic journal of sports medicine · 2022Article
- Article
- Conservative Management of Possible Meniscal Derangement Using the Mulligan Concept: A Case Report.Journal of chiropractic medicine · 2017Article
- [Treatment of degenerative meniscal lesions : From eminence to evidence-based medicine].Der Orthopade · 2017Review
- Association of MRI findings and expert diagnosis of symptomatic meniscal tear among middle-aged and older adults with knee pain.BMC musculoskeletal disorders · 2016Article
- [Operative joint-preserving therapy of gonarthrosis].Zeitschrift fur Rheumatologie · 2014Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo follow a prospective cohort of consecutive patients with MRI-verified meniscal lesions to identify pre-treatment prognostic factors for long-term results following arthroscopic or conservative treatment.
methodsIn the course of 1 year, 291 patients with knee pain and clinically suspected of meniscal lesion were referred to the regional orthopaedic division and subjected to MRI and clinical examination by an experienced surgeon. Patients with MRI-verified meniscal lesions were treated according to an arthroscopy restrictive strategy meaning that treatment was initiated by conservative treatment. Arthroscopy was only performed if satisfying pain relief was not obtained. The Lysholm score and Knee Injury and Osteoarthritis Outcome Score (KOOS) were obtained at baseline and after 12-24 months. A multiple linear regression model was used to investigate which pre-treatment prognostic factors were associated with improvement in the KOOS subscale pain from baseline to follow-up.
resultsAn MRI-verified meniscal lesion was found in 185 patients (64%). Among these, 58% were treated successfully by conservative treatment. A high KOOS subscale pain score at baseline was associated with less improvement from baseline to follow-up. Bucket-handle lesions were associated with larger improvement from baseline to follow-up compared to flap-tear lesions.
conclusionMRI findings and clinical status measured by KOOS subscale pain are prognostic for improvement among patients treated for MRI-verified meniscal lesions. Good results were observed for both operative and conservative treatment. The success rate for conservative treatment was 58%. LEVEL OF EVIDENCE: Prospective cohort study, Level II.
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