Evidence map›Paper›PMID 40501314›Full record

GuidelineKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2025

The formal EU-US Meniscus Rehabilitation 2024 Consensus: An ESSKA-AOSSM-AASPT initiative. Part II-Prevention, non-operative treatment and return to sport.

Robert Prill, C Benjamin Ma, Stephanie E Wong, Philippe Beaufils, Juan Carlos Monllau, Elanna K Arhos, Roland Becker, Francesco Della Villa, J Brett Goodloe, James J Irrgang and 20 more

Abstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. [2024 American Academy of Orthopaedic Surgeons (AAOS) Clinical Practice Guideline: An interpretation of the diagnosis and management of acute isolated meniscal injury].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Guideline
  3. Guideline
  4. Article
  5. Article
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  9. The ageing meniscus: Pathophysiology, epidemiology and management.Journal of experimental orthopaedics · 2026
    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

30 authors.

Robert PrillDepartment of Orthopedics and Traumatology, Brandenburg Medical School Theodor Fontane, University Hospital Brandenburg/Havel, Brandenburg an der Havel, Germany.ORCID https://orcid.org/0000-0002-4916-1206
C Benjamin MaDepartment of Orthopaedic Surgery, University of California, San Francisco, California, USA.ORCID https://orcid.org/0000-0003-0434-732X
Stephanie E WongDepartment of Orthopaedic Surgery, University of California, San Francisco, California, USA.
Philippe BeaufilsCentre Médical, ESSKA Office, Luxembourg.
Juan Carlos MonllauDepartment of Orthopedics and Traumatology, Hospital del Mar, Barcelona, Spain.
Elanna K ArhosDepartment of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0001-9829-1624
Roland BeckerDepartment of Orthopedics and Traumatology, Brandenburg Medical School Theodor Fontane, University Hospital Brandenburg/Havel, Brandenburg an der Havel, Germany.ORCID https://orcid.org/0000-0003-1833-7608
Francesco Della VillaIsokinetic Medical Group, FIFA Medical Centre of Excellence, Education & Research Department, Bologna, Italy.ORCID https://orcid.org/0000-0001-9379-6666
J Brett GoodloeDepartment of Orthopedic Surgery, VCU Health, Richmond, Virginia, USA.
James J IrrgangDepartment of Physical Therapy, University of Pittsburgh School of Health and Rehabilitation Sciences, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-7529-2672
Jitka KlugarovaCochrane Czech Republic, Czech CEBHC: JBI Centre of Excellence, Czech GRADE Network, Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic.
Emma L KlostermanDepartment of Orthopaedic Surgery, Michigan Medicine, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0001-5186-8596
Aleksandra KrólikowskaPhysiotherapy Research Laboratory, University Centre of Physiotherapy and Rehabilitation, Faculty of Physiotherapy, Wroclaw Medical University, Wroclaw, Poland.ORCID https://orcid.org/0000-0002-6283-5500
Aaron J KrychDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.ORCID https://orcid.org/0000-0003-3248-8007
Robert F LaPradeTwin Cities Orthopedics, Edina and Eagan, Minnesota, USA.ORCID https://orcid.org/0000-0002-9823-2306
Robert ManskeWichita State University, Ascension Via Christi, Wichita, Kansas, USA.
Nicky van MelickSports & Orthopedics Research Center, Anna TopSupport, Eindhoven, The Netherlands.ORCID https://orcid.org/0000-0002-0998-1453
Jill K MonsonTwin Cities Orthopedics, Edina and Eagan, Minnesota, USA.ORCID https://orcid.org/0000-0001-8584-8614
Marko OstojicOsteon Orthopedics and Sports Medicine Clinic, Mostar, Bosnia and Herzegovina.
Mark V PaternoDivision of Occupational Therapy and Physical Therapy, Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0003-2997-5023
Tomasz PiontekDepartment of Rehasport, Sport Medicine Lab, Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, Poznan, Poland.ORCID https://orcid.org/0000-0002-8604-4682
Simone PerelliUniversitat Autònoma de Barcelona, Institut Català de Traumatologia i Medicina del'Esport (ICATME) - Hospital Universitari Dexeus, Knee and Arthroscopy Unit, Barcelona, Spain.ORCID https://orcid.org/0000-0003-0010-024X
Alexandre RambaudSaint-Michel Campus, Institute of Physiotherapy of Saint-Etienne, Saint-Etienne, France.ORCID https://orcid.org/0000-0001-7194-7777
James RobinsonMS Knee Specialists, Bristol, UK.
Laura C SchmittDivision of Physical Therapy, Ohio State University, School of Health and Rehabilitation Sciences and OSU Sports Medicine Research Institute, Columbus, Ohio, USA.
Eric Hamrin SenorskiDepartment of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-9340-0147
Thorkell SnaebjornssonMedical Faculty, University Hospital of Iceland, Landspitali, University of Iceland, Reykjavik, Iceland.
Adam J TaglieroDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.ORCID https://orcid.org/0000-0001-9205-3924
Airelle O GiordanoDepartment of Physical Therapy, University of Delaware, Newark, Delaware, USA.
Nicolas PujolDepartment of Orthopedic and Trauma Surgery, Centre Hospitalier de Versailles, Le Chesnay-Rocquencourt, France.ORCID https://orcid.org/0000-0002-2013-8926

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePart two of this consensus aimed to provide recommendations for the prevention of meniscus injuries, non-operative treatment of acute tears and degenerative lesions, return to sports and patient-reported outcome measures.

methodsThis consensus followed the European Society of Knee Surgery, Sports Traumatology and Arthroscopy (ESSKA) formal consensus methodology. For this combined ESSKA-American Orthopedic Society for Sports Medicine (AOSSM)-American Academy of Sports Physical Therapy (AASPT) initiative, 67 experts from 14 countries, including orthopedic surgeons and physiotherapists, were involved. The 26 Steering Group members established guiding questions, screened the existing evidence, and proposed statements, and provided Grades of recommendations. The 41 Rating Group members assessed the statements according to a Likert scale (1-9). Final documents were assessed by an international peer review group for geographical adaptability.

resultsLow to moderate scientific level of evidence was available, so that grades of recommendations were low (three Grade A ratings, four Grade B, three Grade C and 13 Grade D), underlining the relevance of this consensus. One strong and 17 relative agreements with overall median of 8 (8-9) and a mean of 7.92 ± 0.37 were achieved for 23 statements on 18 questions. Prevention of meniscus injuries is possible with general knee injury reduction programmes and through avoidance of certain activities. Non-operative treatment including physical therapy is the first line approach for degenerative meniscus lesions and may be an option for some acute tears. Return to sports after meniscus tear surgery should be both criterion-based and time-based. Patient reported outcomes in combination with performance-based measures are recommended to evaluate the rehabilitation process.

conclusionThis international EU-US consensus established recommendations for prevention strategies, describes rehabilitation of non-operated patients and of patients after partial meniscectomy, meniscus repair and meniscus reconstruction, and establishes return to sport criteria. These updated and structured recommendations may be applied by surgeons and physiotherapists. LEVEL OF EVIDENCE: Level I, consensus.

Indexed as

Athletic InjuriesKnee InjuriesReturn to SportTibial Meniscus InjuriesConsensusHumansPatient Reported Outcome MeasuresSocieties, MedicalSports MedicineUnited Stateskneemeniscectomynon‐operative treatmentphysical therapyphysiotherapyrepair

Identifiers

PMID40501314
PMCPMC12310080

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Registered trials

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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.