July 21, 2022 JAMA Network Open TAKE-HOME MESSAGE This 5-year follow-up of the ESCAPE trial examined the long-term (3–5 years) effects of arthroscopic partial meniscectomy versus exercise-based physical therapy (PT) in patients with degenerative meniscal tears. The authors assessed patient-reported knee function and the progression of knee osteoarthritis using radiographs for more than 5 years […]
October 2, 2018 The ESCAPE Randomized Clinical Trial Victor A. van de Graaf, MD Key Points Question Is physical therapy noninferior to early surgery with arthroscopic partial meniscectomy for improving knee function among patients with nonobstructive meniscal tears? Findings In this noninferiority randomized clinical trial that included 321 patients, knee function that was measured by a self-administered […]
The Canadian Chiropractic Guideline Initiative (CCGI) has just finished appraising and summarizing this 2018 guideline published in JOSPT, “Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions”. This summary covers key recommendations for a physical examination (outcome measures, physical performance measures, and physical impairment measures), diagnosis, clinical course, risk factors, interventions, and imaging studies. […]
Osteoarthritis Cartilage. 2017 Jan;25(1):23-29. doi: 10.1016/j.joca.2016.09.013. Epub 2016 Oct 3. Rongen JJ, Rovers MM, van Tienen TG, Buma P, Hannink G. Abstract OBJECTIVE: The primary objective was to assess whether patients with knee osteoarthritis and whom undergo arthroscopic meniscectomy have an increased risk for future knee replacement surgery. DESIGN: Data used were obtained from the […]
What are the findings? Meniscal pathology features such as tear type, tear size and tear location identified at arthroscopy were not associated with preoperative self-reported knee pain and function in patients undergoing arthroscopic meniscal surgery. Other structural knee joint pathologies found at surgery, such as cartilage damage, were not associated with preoperative self-reported knee pain […]
03.06.2016 Patients with arthroscopy were 30% more likely to have joint replacement by Nancy Walsh Senior Staff Writer, MedPage Today ORLANDO — Among patients who have meniscal damage complicated by knee osteoarthritis (OA), arthroscopy did not decrease or delay the likelihood of eventually having knee replacement, a researcher reported here. In a large cohort of […]
Mechanical Symptoms and Arthroscopic Partial Meniscectomy in Patients With Degenerative Meniscus Tear: A Secondary Analysis of a Randomized Trial Raine Sihvonen, MD, PhD Background: Recent evidence shows that arthroscopic partial meniscectomy (APM) offers no benefit over conservative treatment of patients with a degenerative meniscus tear. However, patients who report mechanical symptoms (sensations of knee catching […]
Larry Hand January 16, 2015 Physicians may be able to predict which patients with knee osteoarthritis (OA) will be subject to severe pain by determining whether meniscal lesions are contributing to neuropathic pain (NP) in the knee, according to an article published online December 14 in Arthritis Research & Therapy. Using magnetic resonance imaging (MRI) to make a diagnosis of […]
Alice J. S. Fox, MSc Sports Health. 2012 July; 4(4): 340–351. Abstract Context: Information regarding the structure, composition, and function of the knee menisci has been scattered across multiple sources and fields. This review contains a concise, detailed description of the knee menisci—including anatomy, etymology, phylogeny, ultrastructure and biochemistry, vascular anatomy and neuroanatomy, biomechanical function, […]