Evidence map›Paper›PMID 29648924›Full record

SynthesisSports health

Operative Treatment of Isolated Meniscus Injuries in Adolescent Patients: A Meta-Analysis and Review.

Gina M Mosich, Virginia Lieu, Edward Ebramzadeh, Jennifer J Beck

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Meniscus repairs in the adolescent population-safe and reliable outcomes: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Pediatric meniscus morphology varies with age: a cadaveric study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  11. [Research progress of knee meniscal repair techniques].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
    Review
  12. Article
  13. Clinical Outcome of Arthroscopic Repair for Isolated Meniscus Tear in Athletes.International journal of environmental research and public health · 2023
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Outcomes of Meniscus Repair in Children and Adolescents.Current reviews in musculoskeletal medicine · 2019
    Review
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

4 authors at 2 institutions in 1 country.

Gina M MosichDepartment of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California.
Virginia LieuDepartment of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California.
Edward EbramzadehOrthopaedic Institute for Children, UCLA, Los Angeles, California.
Jennifer J BeckDepartment of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California.
University of California, Los Angeles · USOrthopaedic Institute for Children · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextWith the rise in sports participation and increased athleticism in the adolescent population, there is an ever-growing need to better understand adolescent meniscus pathology and treatment.

objectiveTo better understand the operative management of meniscus tears in the adolescent population. DATA SOURCES: A systematic review of PubMed (MEDLINE) and Google Scholar was performed for all archived years. STUDY SELECTION: Studies that reported on isolated meniscus tears in adolescent patients (age, 10-19 years) were included. STUDY

designSystematic review and meta-analysis. LEVEL OF EVIDENCE: Level 4. DATA EXTRACTION: Two authors reviewed and extracted data from studies that fulfilled all inclusion criteria.

resultsNine studies on isolated meniscus tears in adolescent patients were found, with level of evidence ranging from 3 to 4. These studies evaluated a total of 373 patients (248 males, 125 females) and 390 knees. Seven studies were published between 1979 and 2000, all of which discuss meniscectomy as the primary treatment. Two studies were published after 2000 and report on meniscus repair surgery. The mean patient age was 14.4 years. A total of 308 meniscectomies and 64 meniscus repairs were performed. Follow-up ranged from 1.8 to 30 years (mean, 10.8 years). A 37% retear rate was reported for patients undergoing meniscus repair. Different outcome measures were used for meniscectomy versus meniscus repair. Three studies evaluating meniscectomy reported Tapper-Hoover scores, showing 54 patients with an excellent result, 58 with good, 57 with fair, and 23 with poor results.

conclusionA shift in the management of isolated adolescent meniscal tears is reflected in the literature, with a recent increase in operative repair. This is likely secondary to poor outcomes after meniscectomy reflected in long-term follow-up studies. The current literature highlights the need for improved description of tear patterns, standardized reporting of outcome measures, and improved study methodologies to help guide orthopaedic surgeons on operative treatment of meniscal tears in adolescent patients.

Indexed as

AdolescentAthletic InjuriesChildFemaleHumansMaleMeniscectomyTibial Meniscus InjuriesTreatment OutcomeYoung Adultadolescentmeniscusoperativepediatric

Identifiers

PMID29648924
PMCPMC6044115
OpenAlexW2798159226

What OpenQuestion holds

Textmetadata
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.