Successful conservative treatment of patients with MRI-verified meniscal lesions
Purpose To follow a prospective cohort of consecutive patients with MRI-verified meniscal lesions to identify pre-treatment prognostic factors for long-term results following arthroscopic or conservative treatment. Methods In the course of 1 year, 291 patients with knee pain and clinically suspected...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2015-01, Vol.23 (1), p.178-183 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Rathleff, Camilla Rams Cavallius, Christian Jensen, Hans Peter Simonsen, Ole Højgaard Rasmussen, Sten Kaalund, Søren Østgaard, Svend Erik |
| description | Purpose
To follow a prospective cohort of consecutive patients with MRI-verified meniscal lesions to identify pre-treatment prognostic factors for long-term results following arthroscopic or conservative treatment.
Methods
In the course of 1 year, 291 patients with knee pain and clinically suspected of meniscal lesion were referred to the regional orthopaedic division and subjected to MRI and clinical examination by an experienced surgeon. Patients with MRI-verified meniscal lesions were treated according to an arthroscopy restrictive strategy meaning that treatment was initiated by conservative treatment. Arthroscopy was only performed if satisfying pain relief was not obtained. The Lysholm score and Knee Injury and Osteoarthritis Outcome Score (KOOS) were obtained at baseline and after 12–24 months. A multiple linear regression model was used to investigate which pre-treatment prognostic factors were associated with improvement in the KOOS subscale pain from baseline to follow-up.
Results
An MRI-verified meniscal lesion was found in 185 patients (64 %). Among these, 58 % were treated successfully by conservative treatment. A high KOOS subscale pain score at baseline was associated with less improvement from baseline to follow-up. Bucket-handle lesions were associated with larger improvement from baseline to follow-up compared to flap-tear lesions.
Conclusion
MRI findings and clinical status measured by KOOS subscale pain are prognostic for improvement among patients treated for MRI-verified meniscal lesions. Good results were observed for both operative and conservative treatment. The success rate for conservative treatment was 58 %.
Level of evidence
Prospective cohort study, Level II. |
| doi_str_mv | 10.1007/s00167-013-2494-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1647012369</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1643144865</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-d240c05bbf6564f9fd385a6f381b01eb3a4a15ba08c1e0c91b0a085d40bd62273</originalsourceid><addsrcrecordid>eNqNkVtLw0AQhRdRbK3-AF8k4Isvq7OXJM2jFC8FRfHyvGw2s5qSJnU3qdhf74ZWEUHwaQ6z35yd4RByyOCUAaRnHoAlKQUmKJeZpKstMmRSCJoKmW6TIWSSUw5xMiB73s8AgpTZLhlwEae9HJL7x84Y9N52VWSa2qNb6rZcYtQ61O0c6zZqbLQIvSB99F62r9Htw5Qu0ZW2xCIKSOmNrqIKfRkM9smO1ZXHg00dkefLi6fJNb25u5pOzm-okWnc0oJLMBDnuU3CIjazhRjHOrFizHJgmAstNYtzDWPDEEwWukHHhYS8SDhPxYicrH0Xrnnr0LdqHvbAqtI1Np1XLJEpMC6S7D-oYFKOkzigx7_QWdO5OhzSU5zxTATPEWFryrjGe4dWLVw51-5DMVB9MmqdjArJqD4ZtQozRxvnLp9j8T3xFUUA-Brw4al-Qffj6z9dPwFuHpjd</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1642129312</pqid></control><display><type>article</type><title>Successful conservative treatment of patients with MRI-verified meniscal lesions</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Rathleff, Camilla Rams ; Cavallius, Christian ; Jensen, Hans Peter ; Simonsen, Ole Højgaard ; Rasmussen, Sten ; Kaalund, Søren ; Østgaard, Svend Erik</creator><creatorcontrib>Rathleff, Camilla Rams ; Cavallius, Christian ; Jensen, Hans Peter ; Simonsen, Ole Højgaard ; Rasmussen, Sten ; Kaalund, Søren ; Østgaard, Svend Erik</creatorcontrib><description>Purpose
To follow a prospective cohort of consecutive patients with MRI-verified meniscal lesions to identify pre-treatment prognostic factors for long-term results following arthroscopic or conservative treatment.
Methods
In the course of 1 year, 291 patients with knee pain and clinically suspected of meniscal lesion were referred to the regional orthopaedic division and subjected to MRI and clinical examination by an experienced surgeon. Patients with MRI-verified meniscal lesions were treated according to an arthroscopy restrictive strategy meaning that treatment was initiated by conservative treatment. Arthroscopy was only performed if satisfying pain relief was not obtained. The Lysholm score and Knee Injury and Osteoarthritis Outcome Score (KOOS) were obtained at baseline and after 12–24 months. A multiple linear regression model was used to investigate which pre-treatment prognostic factors were associated with improvement in the KOOS subscale pain from baseline to follow-up.
Results
An MRI-verified meniscal lesion was found in 185 patients (64 %). Among these, 58 % were treated successfully by conservative treatment. A high KOOS subscale pain score at baseline was associated with less improvement from baseline to follow-up. Bucket-handle lesions were associated with larger improvement from baseline to follow-up compared to flap-tear lesions.
Conclusion
MRI findings and clinical status measured by KOOS subscale pain are prognostic for improvement among patients treated for MRI-verified meniscal lesions. Good results were observed for both operative and conservative treatment. The success rate for conservative treatment was 58 %.
Level of evidence
Prospective cohort study, Level II.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-013-2494-z</identifier><identifier>PMID: 23575649</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Arthritis ; Arthroscopy ; Female ; Humans ; Knee ; Lysholm Knee Score ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Menisci, Tibial - surgery ; Middle Aged ; Orthopedics ; Osteoarthritis ; Pain ; Pain Measurement ; Patient Outcome Assessment ; Patients ; Prognosis ; Prospective Studies ; Regression analysis ; Surgeons ; Tibial Meniscus Injuries ; Variables</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015-01, Vol.23 (1), p.178-183</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-d240c05bbf6564f9fd385a6f381b01eb3a4a15ba08c1e0c91b0a085d40bd62273</citedby><cites>FETCH-LOGICAL-c475t-d240c05bbf6564f9fd385a6f381b01eb3a4a15ba08c1e0c91b0a085d40bd62273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-013-2494-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-013-2494-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23575649$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rathleff, Camilla Rams</creatorcontrib><creatorcontrib>Cavallius, Christian</creatorcontrib><creatorcontrib>Jensen, Hans Peter</creatorcontrib><creatorcontrib>Simonsen, Ole Højgaard</creatorcontrib><creatorcontrib>Rasmussen, Sten</creatorcontrib><creatorcontrib>Kaalund, Søren</creatorcontrib><creatorcontrib>Østgaard, Svend Erik</creatorcontrib><title>Successful conservative treatment of patients with MRI-verified meniscal lesions</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
To follow a prospective cohort of consecutive patients with MRI-verified meniscal lesions to identify pre-treatment prognostic factors for long-term results following arthroscopic or conservative treatment.
Methods
In the course of 1 year, 291 patients with knee pain and clinically suspected of meniscal lesion were referred to the regional orthopaedic division and subjected to MRI and clinical examination by an experienced surgeon. Patients with MRI-verified meniscal lesions were treated according to an arthroscopy restrictive strategy meaning that treatment was initiated by conservative treatment. Arthroscopy was only performed if satisfying pain relief was not obtained. The Lysholm score and Knee Injury and Osteoarthritis Outcome Score (KOOS) were obtained at baseline and after 12–24 months. A multiple linear regression model was used to investigate which pre-treatment prognostic factors were associated with improvement in the KOOS subscale pain from baseline to follow-up.
Results
An MRI-verified meniscal lesion was found in 185 patients (64 %). Among these, 58 % were treated successfully by conservative treatment. A high KOOS subscale pain score at baseline was associated with less improvement from baseline to follow-up. Bucket-handle lesions were associated with larger improvement from baseline to follow-up compared to flap-tear lesions.
Conclusion
MRI findings and clinical status measured by KOOS subscale pain are prognostic for improvement among patients treated for MRI-verified meniscal lesions. Good results were observed for both operative and conservative treatment. The success rate for conservative treatment was 58 %.
Level of evidence
Prospective cohort study, Level II.</description><subject>Adult</subject><subject>Arthritis</subject><subject>Arthroscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Knee</subject><subject>Lysholm Knee Score</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Menisci, Tibial - surgery</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Patient Outcome Assessment</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Regression analysis</subject><subject>Surgeons</subject><subject>Tibial Meniscus Injuries</subject><subject>Variables</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkVtLw0AQhRdRbK3-AF8k4Isvq7OXJM2jFC8FRfHyvGw2s5qSJnU3qdhf74ZWEUHwaQ6z35yd4RByyOCUAaRnHoAlKQUmKJeZpKstMmRSCJoKmW6TIWSSUw5xMiB73s8AgpTZLhlwEae9HJL7x84Y9N52VWSa2qNb6rZcYtQ61O0c6zZqbLQIvSB99F62r9Htw5Qu0ZW2xCIKSOmNrqIKfRkM9smO1ZXHg00dkefLi6fJNb25u5pOzm-okWnc0oJLMBDnuU3CIjazhRjHOrFizHJgmAstNYtzDWPDEEwWukHHhYS8SDhPxYicrH0Xrnnr0LdqHvbAqtI1Np1XLJEpMC6S7D-oYFKOkzigx7_QWdO5OhzSU5zxTATPEWFryrjGe4dWLVw51-5DMVB9MmqdjArJqD4ZtQozRxvnLp9j8T3xFUUA-Brw4al-Qffj6z9dPwFuHpjd</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Rathleff, Camilla Rams</creator><creator>Cavallius, Christian</creator><creator>Jensen, Hans Peter</creator><creator>Simonsen, Ole Højgaard</creator><creator>Rasmussen, Sten</creator><creator>Kaalund, Søren</creator><creator>Østgaard, Svend Erik</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150101</creationdate><title>Successful conservative treatment of patients with MRI-verified meniscal lesions</title><author>Rathleff, Camilla Rams ; Cavallius, Christian ; Jensen, Hans Peter ; Simonsen, Ole Højgaard ; Rasmussen, Sten ; Kaalund, Søren ; Østgaard, Svend Erik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-d240c05bbf6564f9fd385a6f381b01eb3a4a15ba08c1e0c91b0a085d40bd62273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Arthritis</topic><topic>Arthroscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Knee</topic><topic>Lysholm Knee Score</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Menisci, Tibial - surgery</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Patient Outcome Assessment</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Regression analysis</topic><topic>Surgeons</topic><topic>Tibial Meniscus Injuries</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rathleff, Camilla Rams</creatorcontrib><creatorcontrib>Cavallius, Christian</creatorcontrib><creatorcontrib>Jensen, Hans Peter</creatorcontrib><creatorcontrib>Simonsen, Ole Højgaard</creatorcontrib><creatorcontrib>Rasmussen, Sten</creatorcontrib><creatorcontrib>Kaalund, Søren</creatorcontrib><creatorcontrib>Østgaard, Svend Erik</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rathleff, Camilla Rams</au><au>Cavallius, Christian</au><au>Jensen, Hans Peter</au><au>Simonsen, Ole Højgaard</au><au>Rasmussen, Sten</au><au>Kaalund, Søren</au><au>Østgaard, Svend Erik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful conservative treatment of patients with MRI-verified meniscal lesions</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>23</volume><issue>1</issue><spage>178</spage><epage>183</epage><pages>178-183</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
To follow a prospective cohort of consecutive patients with MRI-verified meniscal lesions to identify pre-treatment prognostic factors for long-term results following arthroscopic or conservative treatment.
Methods
In the course of 1 year, 291 patients with knee pain and clinically suspected of meniscal lesion were referred to the regional orthopaedic division and subjected to MRI and clinical examination by an experienced surgeon. Patients with MRI-verified meniscal lesions were treated according to an arthroscopy restrictive strategy meaning that treatment was initiated by conservative treatment. Arthroscopy was only performed if satisfying pain relief was not obtained. The Lysholm score and Knee Injury and Osteoarthritis Outcome Score (KOOS) were obtained at baseline and after 12–24 months. A multiple linear regression model was used to investigate which pre-treatment prognostic factors were associated with improvement in the KOOS subscale pain from baseline to follow-up.
Results
An MRI-verified meniscal lesion was found in 185 patients (64 %). Among these, 58 % were treated successfully by conservative treatment. A high KOOS subscale pain score at baseline was associated with less improvement from baseline to follow-up. Bucket-handle lesions were associated with larger improvement from baseline to follow-up compared to flap-tear lesions.
Conclusion
MRI findings and clinical status measured by KOOS subscale pain are prognostic for improvement among patients treated for MRI-verified meniscal lesions. Good results were observed for both operative and conservative treatment. The success rate for conservative treatment was 58 %.
Level of evidence
Prospective cohort study, Level II.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23575649</pmid><doi>10.1007/s00167-013-2494-z</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015-01, Vol.23 (1), p.178-183 |
| issn | 0942-2056 1433-7347 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Arthritis Arthroscopy Female Humans Knee Lysholm Knee Score Magnetic Resonance Imaging Male Medicine Medicine & Public Health Menisci, Tibial - surgery Middle Aged Orthopedics Osteoarthritis Pain Pain Measurement Patient Outcome Assessment Patients Prognosis Prospective Studies Regression analysis Surgeons Tibial Meniscus Injuries Variables |
| title | Successful conservative treatment of patients with MRI-verified meniscal lesions |
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