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Actual aspects of treatment of meniscus inju

[Review]
Eduard Bezuglov; Vladimir Yurievich Khaitin; Alisa Viktorovna Tokareva; Evgeny Nikolaevich Goncharov; Anastasia Vladimirovna Lyubushkina; Artemy Mikhailovich Lazarev;

The survey shows current ideas about the treatment of meniscus injuries among patients of different age groups. Various asymptomatic changes in the knee joint in populations with different level of physical activity with a pain syndrome can cause excessive indications for surgical treatment. A comparative analysis of the effectiveness of conservative and surgical treatment of the meniscus has been carried out. Short-term and long-term results of various types of surgical interventions were described. It was shown that the choice of treatment should be strictly differentiated and considers age, body mass index, the presence and stage of accompanying osteoarthritis, as well as the required level of postoperative physical activity. If there is presence of degenerative meniscal tears the method of choice should be conservative treatment, which is based a set of exercises. Only if the symptoms persist for several months, surgical methods can be considered as a treatment.

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References:
1. Jarit G. J, Bosco J. A. 3rd. Meniscal repair and reconstruction. Bull. NYU Hosp. Jt. Dis. 2010;68(2):84-90. Available at: https://www.ncbi.nlm.nih.gov/pubmed/20632982. Accessed April 12, 2019.
2. Beaufils P., Becker R., Kopf S., Matthieu O., Pujol N. The knee meniscus: management of traumatic tears and degenerative lesions. EFORT Open Rev. 2017;2(5):195-203. https://doi.org/10.1302/2058-5241.2.160056
3. Cullen K. A., Hall M. J., Golosinskiy A. Ambulatory surgery in the United States, 2006. National Health Statistics Report. 2009;(11):1-25. Available at: https://www.ncbi.nlm. nih.gov/pubmed/20632982. Accessed April 12, 2019.
4. Thorlund J. B., Hare K. B., Lohmander L. S. Large increase in arthroscopic meniscus surgery in the middle-aged and older population in Denmark from 2000 to 2011. Acta Orthop. 2014;85(3):287-292. https://doi.org/10.3109/17453674.2014.919558
5. Siemieniuk R. A. C., Harris I. A., Agoritsas T., Poolman R. W., Brignardello-Petersen R. [et al.]. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ. 2017;357:j1982. https://doi.org/10.1136/bmj.j1982
6. Yan R., Wang H., Yang Z., Ji Z. H., Guo Y. M. Predicted probability of meniscus tears: comparing history and physical examination with MRI. Swiss. Med. Wkly. 2011;141:w13314. https://doi.org/10.4414/smw.2011.13314
7 Crawford R., Walley G., Bridgman S., Maffulli N. Magnetic resonance imaging versus arthroscopy in the diagnosis of knee pathology, concentrating on meniscal lesions and ACL tears: a systematic review. Br. Med. Bull. 2007;84:5. https://doi.org/10.1093/bmb/ldm022
8. Frobell R., Cooper R., Morris H., Arendt E. Acute knee injuries. In: Clinical Sports Medicine, 4th ed, Brukner P, Khan K (Eds), McGraw-Hill, 2012.
9. Thorlund J. B., Rodriguez Palomino J., Juhl C. B., Ingelsrud L. H., Skou A. U. Infographic. Exercise therapy for meniscal tears: evidence and recommendations. Br. J. Sports Med. 2019;53(5):315. https://doi.org/10.1136/bjsports-2018-099492
10. Smith B. E., Thacker D., Crewesmith A., Hall M. Special tests for assessing meniscal tears within the knee: a systematic review and meta-analysis. Evid. Based Med. 2015;20(3):88-97. https://doi.org/10.1136/ebmed-2014-110160
11. Yan R., Wang H., Yang Z., Ji Z. H., Guo Y. M. Predicted probability of meniscus tears: comparing history and physical examination with MRI. Swiss Med. Wkly. 2011;141:w13314. https://doi.org/10.4414/smw.2011.13314
12. Beaufils P., Becker R., Kopf S., Englund M., Verdonk R., Ollivier M., Seil R. Surgical Management of Degenerative Meniscus Lesions: The 2016 ESSKA Meniscus Consensus. Joints. 2017;28;5(2):59-69. https://doi.org/10.1055/s-0037-1603813
13. Beals C. T., Magnussen R. A., Graham W. C., Flanigan D. C. The Prevalence of Meniscal Pathology in Asymptomatic Athletes. Sports Med. 2016;46(10):1517-1524. https://doi.org/10.1007/s40279-016-0540-y
14. Jazrawi L., Gold H. T., Zuckerman J. D. Physical Therapy or Arthroscopic Surgery for Treatment of Meniscal Tears. JAMA. 2018;2;320(13):1326-1327. https://doi.org/10.1001/jama.2018.13181
15. Petty C. A., Lubowitz J. H. Does arthroscopic partial meniscectomy result in knee osteoarthritis? A systematic review with a minimum of 8 years’ follow-up. Arthroscopy. 2011;27(3):419-424. https://doi.org/10.1016/j.arthro.2010.08.016
16. Doral M. N., Bilge O., Huri G., Turhan E., Verdonk R. Modern treatment of meniscal tears. EFORT Open Rev. 2018;3(5):260. https://doi.org/10.1302/2058-5241.3.170067
17. Mosich G. M., Lieu V., Ebramzadeh E., Operative Treatment of Isolated Meniscus Injuries in Adolescent Patients: A Meta-Analysis and Review. Beck JJ. Sports Health. 2018;10(4):311. https://doi.org/10.1177/1941738118768201
18. Collins N. J., Misra D., Felson D. T., Crossley K. M., Roos E. M. Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS) and Tegner Activity Score (TAS). Arthritis Care Res. (Hoboken). 2011;63Suppl.11: S208-228. https://doi.org/10.1002/acr.20632
19. Stein T., Mehling A. P., Welsch F., von Eisenhart-Rothe R., Jager A. Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears. Am. J. Sports Med. 2010;38(8):1542- 1548. https://doi.org/10.1177/0363546510364052
20. Hulet C., Menetrey J., Beaufils P., Chambat P., Dijan P. [et al.]. French Arthroscopic Society (SFA). Clinical and radiographic results of arthroscopic partial lateral meniscectomies in stable knees with a minimum follow up of 20 years. Knee Surg. Sports Traumatol. Arthrosc. 2015;23(1):225- 231. https://doi.org/10.1007/s00167-014-3245-5
21. Montgomery S. R., Zhang A., Ngo S. S., Wang J. C., Hame S. L. Cross-sectional analysis of trends in meniscectomy and meniscus repair. Orthopedics. 2013;36(8):e1007- 1013. https://doi.org/10.3928/01477447-20130724-15
22. Sihvonen R., Paavola M., Malmivaara A., Itala A., Joukainen A. [et al.]. Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N. Engl. J. Med. 2013;26;369(26):2515-2524. https://doi.org/10.1056/NEJMoa1305189
23. Kise N. J., Risberg M. A., Stensrud S., Ranstam J., Engebretsen L., Roos E. M. Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomized controlled trial with two-year follow-up. BMJ. 2016;20;354:i3740. https://doi.org/10.1136/bmj.i3740
24. Lee S. H., Lee O. S., Kim S. T., Lee Y. S. Revisiting Arthroscopic Partial Meniscectomy for Degenerative Tears in Knees with Mild or No Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Clin. J. Sport Med. 2018. https://doi.org/10.1097/JSM.0000000000000585
25. Van de Graaf V. A., Noorduyn J. C. A., Willigenburg N. W., Butter I. K., de Gast A. [et al.], ESCAPE Research Group. Effect of Early Surgery vs Physical Therapy on Knee Function Among Patients with Nonobstructive Meniscal Tears: The ESCAPE Randomized Clinical Trial. JAMA. 2018;2;320(13):1328-1337. https://doi.org/10.1001/jama.2018.13308
26. MacFarlane L. A., Yang H., Collins J. E., Guermazi A., Jones M. H. [et al.]. MeTeOR Investigator Group, Brophy R. H., Cole B. J., Levy B. A., Mandl L. A., Martin S., Marx R. G., Matava M., Safran-Norton C., Stuart M., Wright R. Influence of Baseline Magnetic Resonance Imaging Features on Outcome of Arthroscopic Meniscectomy and Physical Therapy Treatment of Meniscal Tears in Osteoarthritis. Am. J. Sports Med. 2019;17:363546518819444. https://doi.org/10.1177/0363546518819444
27. Lamplot J. D., Brophy R. H. The role for arthroscopic partial meniscectomy in knees with degenerative changes: a systematic review. Bone Joint J. 2016;98-B(7):934-938. https://doi.org/10.1302/0301-620X.98B7.37410
28. Yeh P. C., Starkey C., Lombardo S., Vitti G., Kharrazi F. D. Epidemiology of isolated meniscal injury and its effect on performance in athletes from the National Basketball Association. Am. J. Sports Med. 2012;40(3):589-594. https://doi.org/10.1177/0363546511428601
29. Kujala U. M., Kettunen J., Paananen H., Aalto T., Battie M. C. [et al.]. Knee osteoarthritis in former runners, soccer players, weight lifters and shooters. Arthritis Rheum. 1995;38(4):539-546. https://doi.org/10.1002/art.1780380413.
30. Gouttebarge V., Inklaar H., Frings-Dresen M. H. Risk and consequences of osteoarthritis after a professional football career: a systematic review of the recent literature. J. Sports Med. Phys. Fitness. 2014;54(4):494-504. Available at: https://www.ncbi.nlm.nih.gov/pubmed/25034551 . Accessed April 12, 2019.
31. Kuijt M. T., Inklaar H., Gouttebarge V., Frings-Dresen M. H. Knee and ankle osteoarthritis in former elite soccer players: a systematic review of the recent literature. J. Sci. Med. Sport. 2012;15(6):480-487. https://doi.org/10.10.16/j.jsams.2012.02.008
32. Chatain F., Adeleine P., Chambat P., Neyret P., Société Française d’Arthroscopie. A comparative study of medial versus lateral arthroscopic partial meniscectomy on stable knees: 10-year minimum follow-up. Arthroscopy. 2003;19(8):842-849. https://doi.org/10.1016/S0749-8063(03)00735-7
33. Major N. M. Role of MRI in prevention of metatarsal stress fractures in collegiate basketball players. AJR Am. J. Roentgenol. 2006;186(1):255-258. https://doi.org/10.2214/AJR.04.1275
34. De Carli A., Mossa L., Larciprete M., Ferretti M., Argento G., Ferretti A. The gymnasts shoulder MRI and clinical findings. J. Sports Med. Phys. Fitness. 2012;52(1):71-79. Available at: https://www.ncbi.nlm.nih.gov/pubmed/22327089. Accessed April 12, 2019.
35. Branci S., Thorborg K., Bech B. H., Boesen M., Nielsen M. B., Holmich P. MRI findings in soccer players with long-standing adductor-related groin pain and asymptomatic controls. Br. J. Sports Med. 2015;49(10):681-691. https://doi.org/1136/bjsports-2014-093710
36. Johansson F. R., Skillgate E., Adolfsson A., Jenner G., DeBri E. [et al.]. Asymptomatic Elite Adolescent Tennis Players’ Signs of Tendinosis in Their Dominant Shoulder Compared with Their Nondominant Shoulder. J. Athl. Train. 2015;(12):1299-1305. https://doi.org/10.4085/1062-6050-51.1.07
37. Brunner M. C., Flower S. P., Evancho A. M., Allman F. L., Apple D. F., Fajman W. A. MRI of the athletic knee. Findings in asymptomatic professional basketball and collegiate football players. Invest. Radiol. 1989;24(1):72-75. Available at: https://www.ncbi.nlm.nih.gov/pubmed/2917825. Accessed April 12, 2019.
38. Smith M. V., Nepple J. J., Wright R. W., Matava M. J., Brophy R. H. Knee Osteoarthritis Is Associated with Previous Meniscus and Anterior Cruciate Ligament Surgery Among Elite College American Football Athletes. Sports Health. 2017;9(3):247-251. https://doi.org/10.1177/1941738116683146
39. Pappas G. P., Vogelsong M. A., Staroswiecki E., Gold G. E., Safran M. R. Magnetic Resonance Imaging of Asymptomatic Knees in Collegiate Basketball Players: The Effect of One Season of Play. Clin. J. Sport Med. 2016;26(6):483- 489. https://doi.org/10.1097/JSM.0000000000000283
40. Kaplan L. D. Magnetic resonance imaging of the knee in asymptomatic professional basketball players. Arthroscopy. 2005;21(5):557-561. https://doi.org/10.1016/j.arthro.2005.01.009
41. Schueller-Weidekamm C., Schueller G., Uffmann M., Bader T. R. Does marathon running cause acute lesions of the knee? Evaluation with magnetic resonance imaging. Eur. Radiol. 2006;16(10):2179-2185. https://doi.org/10.1007/s00330-005-0132-y
42. Mattioti S. B., Soder R. B., Becker R. G., Santos F. S., Baldisserotto M. MRI of the knees in asymptomatic adolescent Soccer Players: A case-control study. J. Magn. Reson. Imaging. 2017;45(1):59-65. https://doi.org/10.1002/jmri.25329
43. Soder R. B., Simoes J. D., Soder J. B., Baldisserotto M. MRI of the knee joint in asymptomatic adolescent soccer players: a controlled study. AJR Am. J. Roentgenol. 2011;196(1):W61-65. https://doi.org/10.2214/AJR.10.4928
44. Soder R. B., Mizerkowski M. D., Petkowitcz R., Baldisserotto M. MRI of the knee in asymptomatic adolescent swimmers: a controlled study. Br. J. Sports Med. 2012;46(4):268- 272. https://doi.org/10.1136/bjsm.2010.083345
45. Gómez J. E., Molina D. D., Rettig S. D., Kan J. H. Bone Bruises in Children and Adolescents Are Not Associated with Ligament Ruptures. Orthop. J. Sports. Med. 2018;27;6(7):2325967118786960. https://doi.org/10.1177/2325967118786960
46. Schneider S., Sauer J., Berrsche G., Lobel C., Sommer D. K., Schmitt H. Joint pain and consumption of analgesics among young elite athletes: Nationwide data from youth basketball. Schmerz. 2018. https://doi.org/10.1007/s00482-018-0309-3
47. Rathleff C. R., Baird W. N., Olesen J. L., Roos E. M., Rasmussen S., Rathleff M. S. Hip and knee strength is not affected in 12-16-year-old adolescents with patellofemoral pain: a cross-sectional population-based study. PLoS One. 2013;8(11):e79153. https://doi.org/10.1371/journal.pone.0079153
48. Thorlund J. B., Juhl C. B., Roos E. M., Lohmander L. S. Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms. BMJ. 2015;16;350:h2747. https://doi.org/10.1136/bmj.h2747
49. Hare K. B., Lohmander L. S., Christensen R., Roos E. M. Arthroscopic partial meniscectomy in middle-aged patients with mild or no knee osteoarthritis: a protocol for a double-blind, randomized sham-controlled multi-centre trial. BMC Musculoskelet Disord. 2013;25;14:71. https://doi.org/10.1186/1471-2474-14-71
50. Spahn G., Plettenberg H., Hoffman M., Klemm H. T., Brochhausen-Delius C., Hofmann G. O. The frequency of cartilage lesions in non-injured knees with symptomatic meniscus tears: results from an arthroscopic and NIR- (near-infrared) spectroscopic investigation). Archives of Orthopaedic and Trauma Surgery, 2017;137(6):837-844. https://doi.org/10.1007/s00402-017-2672-4
51. Neyret P., Donell S. T., Dejour H. Results of partial meniscectomy related to the state of the anterior cruciate ligament. Review at 20 to 35 years. J. Bone Joint. Surg. Br. 1993;75(1):36-40. Available at: https://www.ncbi.nlm.nih.gov/pubmed/8421030. Accessed April 12, 2019.
52. Bonneux I., Vandekerckhove B. Arthroscopic partial lateral meniscectomy long-term results in athletes. Acta Orthop. Belg. 2002;68(4):356-61. Available at: https:// www.ncbi.nlm.nih.gov/pubmed/12415937. Accessed April 12, 2019.
53. Nawabi D. H., Cro S., Hamid I. P., Williams A. Return to play after lateral meniscectomy compared with medial meniscectomy in elite professional soccer players. Am. J. Sports Med. 2014;42(9):2193-2198. https://doi.org/10.1177/0363546514540271
54. Svantesson E., Cristiani R., Hamrin Senorski E., Forssblad M., Samuelsson K., Stalman A. Meniscal repair results in inferior short-term outcomes compared with meniscal resection: a cohort study of 6398 patients with primary anterior cruciate ligament reconstruction. Knee Surg. Sports Traumatol. Arthrosc. 2018;26(8):2251-2258. https://doi.org/10.1007/s00167-017-4793-2
55. Zimmerer A., Sobau C., Nietschke R., Schneider M., Ellermann A. Long-term outcome after all inside meniscal repair using the FasT-Fix system. J. Orthop. 2018;15(2):602- 605. https://doi.org/10.1016/j.jor.2018.05.042
56. Lyman S., Hidaka C., Valdez A. S., Hetsroni I., Pan T. J. [et al.]. Risk factors for meniscectomy after meniscal repair. Am. J. Sports Med. 2013;41(12):2772-2778. https://doi. org/10.1177/0363546513503444
57. Krych A. J., McIntosh A. L., Voll A. E., Stuart M. J., Dahm D. L. Arthroscopic repair of isolated meniscal tears in patients 18 years and younger. Am. J. Sports Med. 2008;36(7):1283- 1289. https://doi.org/10.1177/0363546508314411
58. Bogunovic L., Kruse L. M., Haas A. K., Huston L. J., Wrigth R. W. Outcome of All-Inside Second-Generation Meniscal Repair: Minimum Five-Year Follow-up. J. Bone Joint. Surg. Am. 2014;6;96(15):1303-1307. https://doi.org/10.2106/JBJS.M.00266
59. Chirichella P. S., Jow S., Iacono S., Wey H. E., Malanga G. A. Treatment of Knee Meniscus Phatology: Rehabilitation, Surgery and Orthobiologics. PM R. 2019;11(3):292- 308. https://doi.org/10.1016/j.pmrj.2018.08.384
60. Kartus J. T. Editorial Commentary: Fresh Evidence That There Is Still No Reliable Evidence on How to Best Treat Knee Degenerative Meniscus Tears. Arthroscopy. 2018;34(9):2711-2712. https://doi.org/10.1016/j.arthro.2018.06.013

Keywords: meniscectomy, degenerative meniscal tears, osteoarthritis, meniscus suture, conservative treatment of knee injuries


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