ArticleActa orthopaedica2016
Knee arthroscopies: who gets them, what does the radiologist report, and what does the surgeon find? An evaluation from southern Sweden.
Article in Acta orthopaedica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Prevalence of knee osteoarthritis features on magnetic resonance imaging in asymptomatic uninjured adults: a systematic review and meta-analysis.British journal of sports medicine · 2019Pooled it
- Linking meniscal pathology to Baker's cyst formation: the role of tear type, location and chondral damage.BMC musculoskeletal disorders · 2026Article
- The correlation between femoral trochlear dysplasia and meniscal tear in young individuals: a finite element analysis based on MRI.Quantitative imaging in medicine and surgery · 2025Article
- Meniscus Radial Tears: Current Concepts on Management and Repair Techniques.Current reviews in musculoskeletal medicine · 2023Review
- A tailored intervention does not reduce low value MRI's and arthroscopies in degenerative knee disease when the secular time trend is taken into account: a difference-in-difference analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Prognostic Factors of Mid- to Long-term Clinical Outcomes after Arthroscopic Partial Meniscectomy for Medial Meniscal Tears.Clinics in orthopedic surgery · 2022Article
- Current concepts on meniscal repairs.Journal of clinical orthopaedics and trauma · 2022Review
- Preferences and beliefs of Dutch orthopaedic surgeons and patients reduce the implementation of "Choosing Wisely" recommendations in degenerative knee disease.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Association Between Acupuncture and Knee Surgery for Osteoarthritis: A Korean, Nationwide, Matched, Retrospective Cohort Study.Frontiers in medicine · 2020Article
- Effect of medial meniscus extrusion on arthroscopic surgery outcome in the osteoarthritic knee associated with medial meniscus tear: a minimum 4-year follow-up.Chinese medical journal · 2019Article
- Patient-reported symptoms and changes up to 1 year after meniscal surgery.Acta orthopaedica · 2018Observational
- Risk factors for first hospitalization due to meniscal lesions - a population-based cohort study with 30 years of follow-up.BMC musculoskeletal disorders · 2017Article
- Article
- Analysis of medical service use of knee osteoarthritis and knee meniscal and ligament injuries in Korea: a cross-sectional study of national patient sample data.BMC musculoskeletal disorders · 2017Article
- Inappropriate use of arthroscopic meniscal surgery in degenerative knee disease.Acta orthopaedica · 2017Article
- Signs of knee osteoarthritis common in 620 patients undergoing arthroscopic surgery for meniscal tear.Acta orthopaedica · 2017Article
- Routine knee arthroscopic surgery for the painful knee in middle-aged and old patients--time to abandon ship.Acta orthopaedica · 2016Article
- Use of MRI by radiologists and orthopaedic surgeons to detect intra-articular injuries of the knee.Revista brasileira de ortopediaArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeSeveral randomized controlled trials have not shown any added benefit of arthroscopy over placebo surgery or physiotherapy in middle-aged patients with knee symptoms without trauma. We studied the characteristics of the knee arthroscopies performed in southern Sweden. PATIENTS AND
methodsFrom the orthopedic surgical records from 2007-2009 in the Skåne region of Sweden (with a population of 1.2 million), we retrieved ICD-10 diagnostic codes and selected all 4,096 arthroscopies that were diagnosed peroperatively with code M23.2 (derangement of meniscus due to old tear or injury) or code M17 (knee osteoarthritis). We extracted information on cartilage and meniscus status at arthroscopy, and we also randomly sampled 502 of these patients from the regional archive of radiology and analyzed the preoperative prevalence of radiographic or magnetic resonance imaging (MRI)-defined osteoarthritis.
results2,165 (53%) of the 4,096 arthroscopies had the diagnostic code M23.2 or M17. In this subgroup, 1,375 cases (64%) had typical findings consistent with degenerative meniscal tear (i.e. that correspond to a degenerative meniscal tear in at least a third of all arthroscopies). Of the randomly sampled patients, the preoperative prevalence of radiological knee osteoarthritis was 46%.
interpretationThere is a discrepancy between evidence-based medicine treatment guidelines and clinical practice regarding the amount of knee arthroscopies performed in patients with symptoms of degenerative knee disease.
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