Evidence map›Paper›PMID 37197670›Full record

ArticleOrthopedic reviews2023

Meniscal extrusion: risk factors and diagnostic tools to predict early osteoarthritis.

Giuseppe Francesco Papalia, Pierangelo Za, Luca Saccone, Edoardo Franceschetti, Biagio Zampogna, Sebastiano Vasta, Rocco Papalia

Open access · goldAbstract read
In one paragraph

Article in Orthopedic reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 3% 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, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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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 2 institutions in 1 country.

Giuseppe Francesco PapaliaDepartment of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Pierangelo ZaDepartment of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Luca SacconeDepartment of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Edoardo FranceschettiDepartment of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Biagio ZampognaDepartment of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Sebastiano VastaDepartment of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Rocco PapaliaDepartment of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Campus Bio Medico University Hospital · ITUniversità Campus Bio-Medico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Meniscal extrusion (ME) is strongly correlated with cartilage wear and osteoarthritis (OA), be-cause of the altered kinematic and the decreased contact area between the tibia and femur. The aim of this narrative review is to analyze the process of ME, focusing on the possible causes, and to evaluate the correlation between ME and knee OA, in order to provide early diagnosis and treatments. Studies written in English that analyzed the causes of ME, provided indications re-garding diagnosis and treatment, and evaluated the relation between ME and early OA were in-cluded. Injuries, degeneration of the meniscal substance and meniscus root tears are associated with significantly increased ME. An extruded meniscus could be a manifestation of other pa-thologies such as disruption of coronary ligaments, cartilage loss, knee malalignment, ligament injuries, or OA. ME is strongly associated with osteoarthritis features, particularly with bone marrow lesion and cartilage damage. Magnetic resonance imaging represents the gold standard for the detection of ME. The severity of the medial meniscus extrusion may also affect healing af-ter repair, and meniscus extrusion is not completely reduced by meniscus posterior root tear re-pair. In this study, we proved that ME represents an important risk factor for early knee OA. We provided alternative theories of ME, such as meniscal fibers injury first and "dynamic extrusion of the menisci". The phenomenon of aging has been described as a new concept in the etiology of ME. Finally, we stated all the main techniques and characteristics of the diagnostic process, as well as the current knowledge in the therapeutic field.

Indexed as

Diagnosis toolsEarly OsteoarthritisMeniscal extrusionRoot Tears

Identifiers

PMID37197670
PMCPMC10184885
OpenAlexW4376610916

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.