Evidence map›Paper›PMID 36479669›Full record

ReviewCurrent rheumatology reports2023

The Interplay of Biomechanical and Biological Changes Following Meniscus Injury.

Patrick X Bradley, Karl N Thomas, Avery L Kratzer, Allison C Robinson, Jocelyn R Wittstein, Louis E DeFrate, Amy L McNulty

Open access · greenAbstract readReview
In one paragraph

Review in Current rheumatology reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
15.7field-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

34 citing papers in PubMed, 67 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. [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
  6. Article
  7. Article
  8. Biologic Augmentation for Meniscus Repair: A Narrative Review.Bioengineering (Basel, Switzerland) · 2026
    Review
  9. Article
  10. Anisotropic wear behavior of meniscus: Influence of cross-shear and loading magnitude.Journal of the mechanical behavior of biomedical materials · 2026
    Article
  11. Article
  12. Article
  13. Review
  14. Current Rehabilitation Principles Following Meniscus Repairs.Current reviews in musculoskeletal medicine · 2025
    Review
  15. Article
  16. Long-Term Results for Meniscus Repair.Current reviews in musculoskeletal medicine · 2025
    Review
  17. Article
  18. Article
  19. Review
  20. Article
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

7 authors at 1 institution in 1 country.

Patrick X Bradley *Department of Mechanical Engineering and Materials Science, Duke University, Durham, NC, USA.
Karl N Thomas *Department of Orthopaedic Surgery, Duke University School of Medicine, DUMC Box 3093, Durham, NC, 27710, USA.
Avery L KratzerDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.
Allison C RobinsonDepartment of Orthopaedic Surgery, Duke University School of Medicine, DUMC Box 3093, Durham, NC, 27710, USA.
Jocelyn R WittsteinDepartment of Orthopaedic Surgery, Duke University School of Medicine, DUMC Box 3093, Durham, NC, 27710, USA.
Louis E DeFrate *Department of Mechanical Engineering and Materials Science, Duke University, Durham, NC, USA.
Amy L McNulty *Department of Orthopaedic Surgery, Duke University School of Medicine, DUMC Box 3093, Durham, NC, 27710, USA. alr@duke.edu.ORCID 0000-0003-0556-0106
Duke University · US

Funding

In Vivo Knee Motion and ACL Biomechanics During Dynamic ActivitiesR01AR065527 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E. · 2014 to 2024
$4.8M
Biomechanical and Biological Predictors of Cartilage Health Following Meniscus InjuryR01AR079184 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E., GOODE, ADAM · 2021 to 2025
$3.5M
Using 3D Nonwovens Fabrication to Engineer Region-Specific Extracellular Matrix Structure and Bioactivity of the Knee MeniscusR01AR078245 · NIAMS · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI FISHER, MATTHEW B, MCNULTY, AMY L · 2021 to 2025
$2.6M
Mechanotransduction in Meniscus Health and RepairR01AR073221 · NIAMS · DUKE UNIVERSITY · PI MCNULTY, AMY L · 2019 to 2023
$2.1M
Weight loss, in vivo cartilage mechanics, and joint healthR01AR074800 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E. · 2019 to 2023
$1.8M
NIAMS NIH HHS R01 AR065527NIAMS NIH HHS R01 AR073221NIAMS NIH HHS R01 AR074800NIAMS NIH HHS R01 AR078245NIAMS NIH HHS R01 AR079184
6 · The paper itself

Abstract

purpose of reviewMeniscus injury often leads to joint degeneration and post-traumatic osteoarthritis (PTOA) development. Therefore, the purpose of this review is to outline the current understanding of biomechanical and biological repercussions following meniscus injury and how these changes impact meniscus repair and PTOA development. Moreover, we identify key gaps in knowledge that must be further investigated to improve meniscus healing and prevent PTOA. RECENT

findingsFollowing meniscus injury, both biomechanical and biological alterations frequently occur in multiple tissues in the joint. Biomechanically, meniscus tears compromise the ability of the meniscus to transfer load in the joint, making the cartilage more vulnerable to increased strain. Biologically, the post-injury environment is often characterized by an increase in pro-inflammatory cytokines, catabolic enzymes, and immune cells. These multi-faceted changes have a significant interplay and result in an environment that opposes tissue repair and contributes to PTOA development. Additionally, degenerative changes associated with OA may cause a feedback cycle, negatively impacting the healing capacity of the meniscus. Strides have been made towards understanding post-injury biological and biomechanical changes in the joint, their interplay, and how they affect healing and PTOA development. However, in order to improve clinical treatments to promote meniscus healing and prevent PTOA development, there is an urgent need to understand the physiologic changes in the joint following injury. In particular, work is needed on the in vivo characterization of the temporal biomechanical and biological changes that occur in patients following meniscus injury and how these changes contribute to PTOA development.

Indexed as

Arthroplasty, Replacement, KneeCartilage, ArticularMeniscusOsteoarthritisCytokinesHumansCytokinesCartilageInflammationLoadingMechanicsPost-traumatic osteoarthritisRepair

Identifiers

PMID36479669
PMCPMC10267895
OpenAlexW4310945825

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.