keyword
https://read.qxmd.com/read/33241058/clinical-and-radiological-outcomes-of-meniscal-repair-versus-partial-meniscectomy-for-medial-meniscus-root-tears-a-systematic-review-and-meta-analysis
#1
REVIEW
Kyung-Han Ro, Jun-Ho Kim, Jae-Won Heo, Dae-Hee Lee
Background: Given the superiority of meniscal repair over partial meniscectomy according to biomechanical data, the clinical outcomes of meniscal repair are likely to be better than those of partial meniscectomy for a medial meniscus root tear (MMRT). Purpose/Hypothesis: This review was designed to compare the clinical and radiological results between meniscal repair and partial meniscectomy for MMRTs. It was hypothesized that meniscal repair would result in better clinical and radiological results compared with partial meniscectomy...
November 2020: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/33240955/no-effect-of-long-term-risedronate-use-on-cartilage-and-subchondral-bone-in-an-experimental-rabbit-model-of-osteoarthritis
#2
Silvia Fernández-Martín, María Permuy, Mónica López-Peña, Fernando Muñoz, Antonio González-Cantalapiedra
Osteoarthritis (OA) is the most prevalent degenerative joint disease in animals and humans. It is characterized by pain, articular cartilage damage and joint stiffness. It has been suggested that the status of the subchondral bone compartment plays an important role in the initiation and progression of OA. Bisphosphonates have been proposed as a potential disease-modifying treatment for OA, however their effectiveness is not yet clear. Twenty-four male adult New Zealand rabbits were used to evaluate the effects of risedronate on the subchondral bone quality and cartilage degradation in a long-term model of experimentally induced OA...
2020: Frontiers in Veterinary Science
https://read.qxmd.com/read/33239183/increased-prevalence-and-associated-costs-of-psychiatric-comorbidities-in-patients-undergoing-sports-medicine-operative-procedures
#3
Jacqueline E Baron, Zain M Khazi, Kyle R Duchman, Brian R Wolf, Robert W Westermann
PURPOSE: To evaluate the prevalence of preoperatively diagnosed psychiatric comorbidities and the impact of these comorbidities on the healthcare costs of ten common orthopaedic sports medicine procedures. METHODS: Patients undergoing 10 common sports medicine procedures from 2007 to 2017q1 were identified using the Humana claims database. These procedures included anterior cruciate ligament reconstruction; posterior cruciate ligament reconstruction; medial collateral ligament repair/reconstruction; Achilles repair/reconstruction; Rotator cuff repair; meniscectomy/meniscus repair; hip arthroscopy; arthroscopic shoulder labral repair; patellofemoral instability procedures; and shoulder instability repair...
October 24, 2020: Arthroscopy
https://read.qxmd.com/read/33222461/clinical-efficacy-of-arthroscopy-in-the-treatment-of-discoid-meniscus-injury-and-related-risk-factors-for-postoperative-pain
#4
Jiong Lu, Yinan Chen, Minwei Hu, Changhui Sun
BACKGROUND: Discoid meniscus is an abnormal meniscus of the knee joint. This study aimed to analyze the clinical efficacy of arthroscopy in the treatment of discoid meniscus injury, and determine the related risk factors for postoperative pain. METHODS: A total of 80 patients with a discoid meniscus injury who were diagnosed and treated in our hospital from May 2017 to May 2018 were selected. According to the different surgical methods, they were divided into the study group (treated with meniscus plasty) or the control group (treated with subtotal meniscectomy)...
November 16, 2020: Annals of Palliative Medicine
https://read.qxmd.com/read/33221427/opioid-consumption-after-knee-arthroscopy
#5
Parth M Kamdar, Nicole Liddy, Christopher Antonacci, Nikhil K Mandava, Demetris Delos, Katherine B Vadasdi, James G Cunningham, Marc S Kowalsky, R Timothy Greene, Frank G Alberta, Paul M Sethi
PURPOSE: To prospectively observe opioid consumption in patients undergoing knee arthroscopy and to create an evidence based guideline for opioid prescription. METHODS: This prospective multicenter observational study enrolled patients undergoing outpatient knee arthroscopy for meniscal repair, meniscectomy, or chondroplasty. Patients were provided a pain journal to record postoperative opioid consumption, NPRS pain scores, and Likert scale satisfaction scores for a one-week period postoperatively...
November 19, 2020: Arthroscopy
https://read.qxmd.com/read/33210027/combination-of-magnesium-ions-and-vitamin-c-alleviates-synovitis-and-osteophyte-formation-in-osteoarthritis-of-mice
#6
Hao Yao, Jiankun Xu, Jiali Wang, Yifeng Zhang, Nianye Zheng, Jiang Yue, Jie Mi, Lizhen Zheng, Bingyang Dai, Wenhan Huang, Shuhang Yung, Peijie Hu, Yechun Ruan, Qingyun Xue, Kiwai Ho, Ling Qin
Introduction: We previously demonstrated that magnesium ions (Mg2+ ) was a novel therapeutic alternative for osteoarthritis (OA) through promoting the hypoxia inducible factor-1α (HIF-1α)-mediated cartilage matrix synthesis. However, oxidative stress can inhibit the expression of HIF-1α, amplify the inflammation that potentially impairs the therapeutic efficacy of Mg2+ in OA. Vitamin (VC), a potent antioxidant, may enhance the efficacy of Mg2+ in OA treatment. This study aims to investigate the efficacy of combination of Mg2+ and VC on alleviating joint destruction and pain in OA...
May 2021: Bioactive Materials
https://read.qxmd.com/read/33204508/the-menisci-and-articular-cartilage-a-life-long-fascination
#7
REVIEW
Sebastian Kopf, Manuel-Paul Sava, Christian Stärke, Roland Becker
The menisci and articular cartilage of the knee have a close embryological, anatomical and functional relationship, which explains why often a pathology of one also affects the other.Traumatic meniscus tears should be repaired, when possible, to protect the articular cartilage.Traumatic articular cartilage lesions can be treated with success using biological treatment options such as microfracture or microdrilling, autologous chondrocyte transplantation (ACT), or osteochondral transplantation (OCT) depending on the depth and area of the lesion...
October 2020: EFORT Open Reviews
https://read.qxmd.com/read/33195707/functional-outcomes-of-arthroscopic-partial-meniscectomy-versus-physical-therapy-for-degenerative-meniscal-tears-using-a-patient-specific-score-a-randomized-controlled-trial
#8
Julia C A Noorduyn, Tess Glastra van Loon, Victor A van de Graaf, Nienke W Willigenburg, Ise K Butter, Gwendolyne G M Scholten-Peeters, Michel W Coppieters, Rudolf W Poolman, Vanessa A B Scholtes, Eduard L A R Mutsaerts, Matthijs R Krijnen, Dirk Jan F Moojen, Derek F P van Deurzen, Coen H Bloembergen, Julius Wolkenfelt, Arthur de Gast, Thom Snijders, Daniel B F Saris, Nienke Wolterbeek, Camille Neeter, Gino M M J Kerkhoffs, Rolf W Peters, Igor C J B van den Brand, Suzanne de Vos-Jakobs, Andy B Spoor, Taco Gosens, Wahid Rezaie, Dirk Jan Hofstee, Bart J Burger, Daniel Haverkamp, Anton M J S Vervest, Thijs A van Rheenen, Anne E Wijsbek, Ewoud R A van Arkel, Bregje J W Thomassen, Sheila Sprague, Maurits W van Tulder, Mirjam Schavemaker, Rogier van Dijk, J van der Kraan
Background: It is unknown whether the treatment effects of partial meniscectomy and physical therapy differ when focusing on activities most valued by patients with degenerative meniscal tears. Purpose: To compare partial meniscectomy with physical therapy in patients with a degenerative meniscal tear, focusing on patients' most important functional limitations as the outcome. Study Design: Randomized controlled trial; Level of evidence, 1...
October 2020: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/33194044/erythropoietin-enhances-meniscal-regeneration-and-prevents-osteoarthritis-formation-in-mice
#9
Xiao-Ning Fu, Hui-Wu Li, Na Du, Xu Liang, Shi-Hao He, Kuang-Jin Guo, Tian-Fang Li
Osteoarthritis (OA) is a leading cause of pain and disability, and knee is the most commonly afflicted joint. Meniscal tear due to injury or degeneration is an established factor for OA pathogenesis. Previous studies have demonstrated that meniscectomy does not reduce the OA incidence. We hypothesized that enhancing meniscal regeneration may prevent OA formation and progression. We first investigated the developmental pattern of mouse meniscus. Knee joint samples were collected at embryonic stages as well as after birth for histological and immunohistochemical studies...
2020: American Journal of Translational Research
https://read.qxmd.com/read/33177650/ezh2-inhibition-reduces-cartilage-loss-and-functional-impairment-related-to-osteoarthritis
#10
Lyess Allas, Sybille Brochard, Quitterie Rochoux, Jules Ribet, Cleo Dujarrier, Alexis Veyssiere, Juliette Aury-Landas, Ophélie Grard, Sylvain Leclercq, Denis Vivien, Hang-Korng Ea, Eric Maubert, Martine Cohen-Solal, Karim Boumediene, Véronique Agin, Catherine Baugé
Histone methyltransferase EZH2 is upregulated during osteoarthritis (OA), which is the most widespread rheumatic disease worldwide, and a leading cause of disability. This study aimed to assess the impact of EZH2 inhibition on cartilage degradation, inflammation and functional disability. In vitro, gain and loss of EZH2 function were performed in human articular OA chondrocytes stimulated with IL-1β. In vivo, the effects of EZH2 inhibition were investigated on medial meniscectomy (MMX) OA mouse model. The tissue alterations were assayed by histology and the functional disabilities of the mice by actimetry and running wheel...
November 11, 2020: Scientific Reports
https://read.qxmd.com/read/33172589/editorial-commentary-ramp-lesion-the-eye-sees-only-what-the-mind-is-prepared-to-comprehend
#11
EDITORIAL
Bertrand Sonnery-Cottet
If our consciousness is not prepared, it is difficult to identify a ramp lesion on preoperative magnetic resonance imaging due to its low sensitivity. In clinical practice, the prevalence of ramp lesion in the anterior cruciate ligament (ACL)-injured knee can be up to 30%, with an increased frequency in chronic ACL injuries and in revision ACL. To identify the ramp lesion, routine arthroscopic exploration of the posteromedial portion of knee using a trans-notch view during ACL reconstruction therefore seems essential...
November 2020: Arthroscopy
https://read.qxmd.com/read/33163844/predictors-of-successful-treatment-1-year-after-arthroscopic-partial-meniscectomy-data-from-the-ome-cohort
#12
(no author information available yet)
Arthroscopic partial meniscectomy (APM) is one of the most common orthopaedic procedures. Understanding factors that predict better patient-reported outcomes is important for guiding patient and clinician decision-making. The purpose of this study was to evaluate predictors of pain and function after APM in a large, multisite, academic health system cohort. Methods: We prospectively enrolled 665 patients who were ≥40 years of age and who had APM without any concomitant ligament or cartilage-resurfacing procedures...
October 2020: JB & JS Open Access
https://read.qxmd.com/read/33144235/preoperative-patient-centric-predictors-of-postoperative-outcomes-in-patients-undergoing-arthroscopic-meniscectomy
#13
Sreten Franovic, Noah Kuhlmann, Alex Pietroski, Collin Schlosser, Brendan Page, Kelechi R Okoroha, Vasilios Moutzouros, Eric Makhni
PURPOSE: The purpose of this study was to determine the minimal clinically important difference (MCID) utilizing Patient-Reported Outcome Measurement Information System (PROMIS) compute-adaptive testing (CAT) assessments in patients undergoing arthroscopic partial meniscectomy. The secondary purpose was to identify which preoperative patient factors are associated with MCID achievement. METHODS: Three PROMIS CAT assessments (Physical Function (PF), Pain Interference (PI), and Depression(D)) were administered to all patients presenting to one of two board-certified, sports medicine orhtopedic surgeons...
October 31, 2020: Arthroscopy
https://read.qxmd.com/read/33134979/rates-and-risk-factors-of-revision-arthroscopy-or-conversion-to-total-knee-arthroplasty-within-1-year-following-isolated-meniscectomy
#14
Avinesh Agarwalla, Anirudh K Gowd, Joseph N Liu, Nirav H Amin, Brian C Werner
Purpose: To identify the rates of and risk factors for revision arthroscopy and conversion to total knee arthroplasty (TKA) within 1 year of isolated meniscectomy. Methods: Humana and Medicare national insurance databases were queried for patients who underwent isolated meniscectomy. Patients who underwent revision arthroscopy or TKA within 1 year postoperatively were identified by International Classification of Diseases Procedural Codes, Ninth Revision, and Current Procedural Terminology codes...
October 2020: Arthroscopy, sports medicine, and rehabilitation
https://read.qxmd.com/read/33134058/outside-in-continuous-meniscal-suture-technique-of-the-knee
#15
José Leonardo Rocha de Faria, Douglas Mello Pavão, Vitor Barion Castro de Padua, Eduardo Branco de Sousa, João Matheus Guimarães, Berliet Assad Gomes, Alan de Paula Mozella
The meniscus is largely responsible for the health and longevity of the knee. It has diverse functions, being fundamental in load absorption and distribution and even in joint stability. To preserve meniscal functions and prevent the occurrence of osteoarthritis after meniscectomy, several meniscal repair techniques have been developed. To perform meniscal repair in anterior horn, the outside-in technique is the most used. There are few devices for performing them, with most of the surgical techniques described using needles...
October 2020: Arthroscopy Techniques
https://read.qxmd.com/read/33134048/circumferential-surrounding-sandwich-meniscal-repair-a-salvage-technique-to-save-the-meniscus
#16
Eduard Alentorn-Geli, Xavier Cuscó, Jordi Navarro, Roberto Seijas, David Barastegui, Gonzalo Samitier, Gilbert Steinbacher, Pedro Álvarez-Díaz, Jorge Ramírez, Ramón Cugat
Meniscal injuries are extremely common in the general and athletic populations. The management strategy has switched from meniscectomy to meniscal-preserving techniques. It is nowadays extensively accepted that surgeons have to do their best to repair the meniscus and try to preserve as much tissue as possible. However, in many cases the tissue quality is poor and the tear pattern is complex. In such scenarios, meniscal repair has a lower success rate. In the present surgical technique, an arthroscopic all-inside circumferential-surrounding meniscal repair technique is presented...
October 2020: Arthroscopy Techniques
https://read.qxmd.com/read/33127695/spontaneous-atraumatic-knee-haemarthrosis
#17
Sefa William Canbilen, Khaldoun El Abed, Riaz Ahmad
Spontaneous knee haemarthrosis is a rare condition, most prevalent in the elderly with osteoarthritis. Recent reports have proposed that the source of bleeding is the peripheral arteries supplying the posterior horn of the lateral meniscus. In this case, a 62-year-old active man presented with acute postero-lateral left knee pain and swelling with limited weight bearing or movement of the knee. No recent history of trauma but history of lateral compartment dominant osteoarthritis and arthroscopic partial lateral meniscectomy of left knee...
October 30, 2020: BMJ Case Reports
https://read.qxmd.com/read/33126373/relationship-of-alignment-in-the-lower-extremity-with-early-degeneration-of-articular-cartilage-after-resection-of-the-medial-meniscus-quantitative-analysis-using-t2-mapping
#18
Shuji Nakagawa, Yuji Arai, Hiroaki Inoue, Yuta Fujii, Kenta Kaihara, Yasuo Mikami
The objective of this study was to examine the relationship between cartilage degeneration early after partial medial meniscectomy and abnormal alignment in the lower extremity.The subjects were 34 patients (37 knees) with medial meniscal tear who underwent arthroscopic partial meniscectomy. MRI was performed before and 6 months after surgery. T2 mapping images in sagittal sections of medial femoral condyle were produced and 10 regions of interest were set at intervals of 10° in the articular cartilage in the femur...
October 30, 2020: Medicine (Baltimore)
https://read.qxmd.com/read/33111272/t2-mapping-values-in-postmeniscectomy-knee-articular-cartilage-after-running-early-signs-of-osteoarthritis
#19
Dror Lindner, Yigal Chechik, Yiftah Beer, Sigal Tal, Oleg Lysyy, Tamar Blumenfeld-Katzir, Noam Ben-Eliezer, Gabriel Agar
Loading on the joints during running may have a deleterious effect on post-partial meniscectomy knee cartilage, leading to osteoarthritis. Utilizing T2-mapping measurements before and after running may enable the observation of changes in the articular cartilage of the postmeniscectomy knees compared with healthy knees. After medial partial meniscectomy, 12 volunteers underwent magnetic resonance imaging (MRI) of the both knees, before and immediately after 30 minutes of running. Quantitative assessment of articular cartilage was performed using a T2-mapping technique...
October 27, 2020: Journal of Knee Surgery
https://read.qxmd.com/read/33108528/female-gender-and-medial-meniscal-lesions-are-associated-with-increased-pain-and-symptoms-following-anterior-cruciate-ligament-reconstruction-in-patients-aged-over-50-years
#20
David Dejour, Christophe de Lavigne, Jean-Claude Panisset, Jean-François Gonzalez, Quentin Ode, Matthieu Ehlinger, Sebastien Lustig
PURPOSE: Several studies report satisfactory clinical outcomes following ACLR in older patients, but none evaluated the effects of meniscal and cartilage lesions. The aim was to evaluate the influence of meniscal and cartilage lesions on outcomes of ACLR in patients aged over 50 years. METHODS: The authors prospectively collected records of 228 patients that underwent primary ACLR, including demographics, time from injury to surgery, whether injuries were work related, and sports level (competitive, recreational, or none)...
October 27, 2020: Knee Surgery, Sports Traumatology, Arthroscopy
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