Macroscopic Synovial Inflammation Correlates with Symptoms and Cartilage Lesions in Patients Undergoing Arthroscopic Partial Meniscectomy: A Clinical Study
Background: The aim of the study was to examine the relationship among patients’ characteristics, intraoperative pathology and pre/post-operative symptoms in a cohort of patients undergoing arthroscopic partial meniscectomy for symptomatic meniscal tears. Methods: Clinical data were collected (age,...
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creator | Olivotto, Eleonora Trisolino, Giovanni Belluzzi, Elisa Lazzaro, Antonello Strazzari, Alessandro Pozzuoli, Assunta Cigolotti, Augusto Ruggieri, Pietro Evangelista, Andrea Ometto, Francesca Stallone, Stefano Goldring, Steven R. Goldring, Mary B. Ramonda, Roberta Grigolo, Brunella Favero, Marta |
description | Background: The aim of the study was to examine the relationship among patients’ characteristics, intraoperative pathology and pre/post-operative symptoms in a cohort of patients undergoing arthroscopic partial meniscectomy for symptomatic meniscal tears. Methods: Clinical data were collected (age, sex, body mass index, time to surgery, trauma). Intraoperative cartilage pathology was assessed with Outerbridge score. Meniscal tears were graded with the ISAKOS classification. Synovial inflammation was scored using the Macro-score. Patient symptoms were assessed pre/post-operatively using the KOOS instrument. Results: In the series of 109 patients (median age 47 years), 50% of the meniscal tears were traumatic; 85% of patients showed mild to moderate synovitis; 52 (47.7%) patients had multiple cartilage defects and 31 (28.4%) exhibited a single focal chondral lesion. Outerbridge scores significantly correlated with patient age, BMI and synovial inflammation. There was a correlation between severity of chondral pathology and high-grade synovial hyperplasia. Pre-operative KOOS correlated with BMI, meniscal degenerative changes and symptom duration. Obesity, time to surgery, presence of high-grade synovial hyperplasia and high-grade cartilage lesions were independent predictors of worse post-operative pain and function. Conclusion: We demonstrated that pre-operative symptoms and post-operative outcomes correlate with synovitis severity and cartilage pathology, particularly in old and obese patients that underwent arthroscopic partial meniscectomy. Importantly, patients with a degenerative meniscal pattern and with longer time to surgery experienced more severe cartilage damage and, consequentially, pain and dysfunction. These findings are fundamental to identify patients suitable for earlier interventions. |
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Methods: Clinical data were collected (age, sex, body mass index, time to surgery, trauma). Intraoperative cartilage pathology was assessed with Outerbridge score. Meniscal tears were graded with the ISAKOS classification. Synovial inflammation was scored using the Macro-score. Patient symptoms were assessed pre/post-operatively using the KOOS instrument. Results: In the series of 109 patients (median age 47 years), 50% of the meniscal tears were traumatic; 85% of patients showed mild to moderate synovitis; 52 (47.7%) patients had multiple cartilage defects and 31 (28.4%) exhibited a single focal chondral lesion. Outerbridge scores significantly correlated with patient age, BMI and synovial inflammation. There was a correlation between severity of chondral pathology and high-grade synovial hyperplasia. Pre-operative KOOS correlated with BMI, meniscal degenerative changes and symptom duration. Obesity, time to surgery, presence of high-grade synovial hyperplasia and high-grade cartilage lesions were independent predictors of worse post-operative pain and function. Conclusion: We demonstrated that pre-operative symptoms and post-operative outcomes correlate with synovitis severity and cartilage pathology, particularly in old and obese patients that underwent arthroscopic partial meniscectomy. Importantly, patients with a degenerative meniscal pattern and with longer time to surgery experienced more severe cartilage damage and, consequentially, pain and dysfunction. These findings are fundamental to identify patients suitable for earlier interventions.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11154330</identifier><identifier>PMID: 35893418</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Arthritis ; Cartilage ; Classification ; Clinical medicine ; Data collection ; Inflammation ; Knee ; Osteoarthritis ; Pathology ; Statistical analysis ; Surgery ; Trauma</subject><ispartof>Journal of clinical medicine, 2022-07, Vol.11 (15), p.4330</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-4d2b291a3effd4dc403971901e263bd1b7c1dbe24903080275b7962ca889a6bb3</citedby><cites>FETCH-LOGICAL-c386t-4d2b291a3effd4dc403971901e263bd1b7c1dbe24903080275b7962ca889a6bb3</cites><orcidid>0000-0002-0361-9920 ; 0000-0002-6726-3177 ; 0000-0002-3990-6745 ; 0000-0001-9905-0363 ; 0000-0002-9683-8873 ; 0000-0001-9617-9882 ; 0000-0003-1129-2574 ; 0000-0003-2561-8096 ; 0000-0001-5407-9293</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9330366/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9330366/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids></links><search><creatorcontrib>Olivotto, Eleonora</creatorcontrib><creatorcontrib>Trisolino, Giovanni</creatorcontrib><creatorcontrib>Belluzzi, Elisa</creatorcontrib><creatorcontrib>Lazzaro, Antonello</creatorcontrib><creatorcontrib>Strazzari, Alessandro</creatorcontrib><creatorcontrib>Pozzuoli, Assunta</creatorcontrib><creatorcontrib>Cigolotti, Augusto</creatorcontrib><creatorcontrib>Ruggieri, Pietro</creatorcontrib><creatorcontrib>Evangelista, Andrea</creatorcontrib><creatorcontrib>Ometto, Francesca</creatorcontrib><creatorcontrib>Stallone, Stefano</creatorcontrib><creatorcontrib>Goldring, Steven R.</creatorcontrib><creatorcontrib>Goldring, Mary B.</creatorcontrib><creatorcontrib>Ramonda, Roberta</creatorcontrib><creatorcontrib>Grigolo, Brunella</creatorcontrib><creatorcontrib>Favero, Marta</creatorcontrib><title>Macroscopic Synovial Inflammation Correlates with Symptoms and Cartilage Lesions in Patients Undergoing Arthroscopic Partial Meniscectomy: A Clinical Study</title><title>Journal of clinical medicine</title><description>Background: The aim of the study was to examine the relationship among patients’ characteristics, intraoperative pathology and pre/post-operative symptoms in a cohort of patients undergoing arthroscopic partial meniscectomy for symptomatic meniscal tears. Methods: Clinical data were collected (age, sex, body mass index, time to surgery, trauma). Intraoperative cartilage pathology was assessed with Outerbridge score. Meniscal tears were graded with the ISAKOS classification. Synovial inflammation was scored using the Macro-score. Patient symptoms were assessed pre/post-operatively using the KOOS instrument. Results: In the series of 109 patients (median age 47 years), 50% of the meniscal tears were traumatic; 85% of patients showed mild to moderate synovitis; 52 (47.7%) patients had multiple cartilage defects and 31 (28.4%) exhibited a single focal chondral lesion. Outerbridge scores significantly correlated with patient age, BMI and synovial inflammation. There was a correlation between severity of chondral pathology and high-grade synovial hyperplasia. Pre-operative KOOS correlated with BMI, meniscal degenerative changes and symptom duration. Obesity, time to surgery, presence of high-grade synovial hyperplasia and high-grade cartilage lesions were independent predictors of worse post-operative pain and function. Conclusion: We demonstrated that pre-operative symptoms and post-operative outcomes correlate with synovitis severity and cartilage pathology, particularly in old and obese patients that underwent arthroscopic partial meniscectomy. Importantly, patients with a degenerative meniscal pattern and with longer time to surgery experienced more severe cartilage damage and, consequentially, pain and dysfunction. These findings are fundamental to identify patients suitable for earlier interventions.</description><subject>Arthritis</subject><subject>Cartilage</subject><subject>Classification</subject><subject>Clinical medicine</subject><subject>Data collection</subject><subject>Inflammation</subject><subject>Knee</subject><subject>Osteoarthritis</subject><subject>Pathology</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Trauma</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc9qGzEQxkVoaUKaU19AkEuhONWf3ZXUQ8EsbRpwSCDJWWglrS2jlVxJm-Bn6ctWJiGknYsG5jffzOgD4BNGF5QK9HWrJ4xx21CKjsAJQYwtEOX03Zv8GJzlvEU1OG8IZh_AMW25oA3mJ-DPtdIpZh13TsO7fYiPTnl4FUavpkkVFwPsY0rWq2IzfHJlU6lpV-KUoQoG9ioV59XawpXNlc7QBXhbG20oGT4EY9M6urCGy1Q2r4NuD111zrUNLmurq9z-G1zC3rvgdC3cldnsP4L3o_LZnr28p-Dh54_7_tdidXN51S9XC015VxaNIQMRWFE7jqYxukFUMCwQtqSjg8ED09gMljQCUcQRYe3AREe04lyobhjoKfj-rLubh8kaXVdPystdcpNKexmVk_9WgtvIdXyUov467boq8PlFIMXfs81FToezvFfBxjlL0omWCIpEW9Hz_9BtnFOo50nCEOoahBGr1Jdn6uBNTnZ8XQYjefBdvvGd_gVleqIa</recordid><startdate>20220726</startdate><enddate>20220726</enddate><creator>Olivotto, Eleonora</creator><creator>Trisolino, Giovanni</creator><creator>Belluzzi, Elisa</creator><creator>Lazzaro, Antonello</creator><creator>Strazzari, Alessandro</creator><creator>Pozzuoli, Assunta</creator><creator>Cigolotti, Augusto</creator><creator>Ruggieri, Pietro</creator><creator>Evangelista, Andrea</creator><creator>Ometto, Francesca</creator><creator>Stallone, Stefano</creator><creator>Goldring, Steven R.</creator><creator>Goldring, Mary B.</creator><creator>Ramonda, Roberta</creator><creator>Grigolo, Brunella</creator><creator>Favero, Marta</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0361-9920</orcidid><orcidid>https://orcid.org/0000-0002-6726-3177</orcidid><orcidid>https://orcid.org/0000-0002-3990-6745</orcidid><orcidid>https://orcid.org/0000-0001-9905-0363</orcidid><orcidid>https://orcid.org/0000-0002-9683-8873</orcidid><orcidid>https://orcid.org/0000-0001-9617-9882</orcidid><orcidid>https://orcid.org/0000-0003-1129-2574</orcidid><orcidid>https://orcid.org/0000-0003-2561-8096</orcidid><orcidid>https://orcid.org/0000-0001-5407-9293</orcidid></search><sort><creationdate>20220726</creationdate><title>Macroscopic Synovial Inflammation Correlates with Symptoms and Cartilage Lesions in Patients Undergoing Arthroscopic Partial Meniscectomy: A Clinical Study</title><author>Olivotto, Eleonora ; Trisolino, Giovanni ; Belluzzi, Elisa ; Lazzaro, Antonello ; Strazzari, Alessandro ; Pozzuoli, Assunta ; Cigolotti, Augusto ; Ruggieri, Pietro ; Evangelista, Andrea ; Ometto, Francesca ; Stallone, Stefano ; Goldring, Steven R. ; Goldring, Mary B. ; Ramonda, Roberta ; Grigolo, Brunella ; Favero, Marta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-4d2b291a3effd4dc403971901e263bd1b7c1dbe24903080275b7962ca889a6bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Arthritis</topic><topic>Cartilage</topic><topic>Classification</topic><topic>Clinical medicine</topic><topic>Data collection</topic><topic>Inflammation</topic><topic>Knee</topic><topic>Osteoarthritis</topic><topic>Pathology</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Olivotto, Eleonora</creatorcontrib><creatorcontrib>Trisolino, Giovanni</creatorcontrib><creatorcontrib>Belluzzi, Elisa</creatorcontrib><creatorcontrib>Lazzaro, Antonello</creatorcontrib><creatorcontrib>Strazzari, Alessandro</creatorcontrib><creatorcontrib>Pozzuoli, Assunta</creatorcontrib><creatorcontrib>Cigolotti, Augusto</creatorcontrib><creatorcontrib>Ruggieri, Pietro</creatorcontrib><creatorcontrib>Evangelista, Andrea</creatorcontrib><creatorcontrib>Ometto, Francesca</creatorcontrib><creatorcontrib>Stallone, Stefano</creatorcontrib><creatorcontrib>Goldring, Steven R.</creatorcontrib><creatorcontrib>Goldring, Mary B.</creatorcontrib><creatorcontrib>Ramonda, Roberta</creatorcontrib><creatorcontrib>Grigolo, Brunella</creatorcontrib><creatorcontrib>Favero, Marta</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</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 Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olivotto, Eleonora</au><au>Trisolino, Giovanni</au><au>Belluzzi, Elisa</au><au>Lazzaro, Antonello</au><au>Strazzari, Alessandro</au><au>Pozzuoli, Assunta</au><au>Cigolotti, Augusto</au><au>Ruggieri, Pietro</au><au>Evangelista, Andrea</au><au>Ometto, Francesca</au><au>Stallone, Stefano</au><au>Goldring, Steven R.</au><au>Goldring, Mary B.</au><au>Ramonda, Roberta</au><au>Grigolo, Brunella</au><au>Favero, Marta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Macroscopic Synovial Inflammation Correlates with Symptoms and Cartilage Lesions in Patients Undergoing Arthroscopic Partial Meniscectomy: A Clinical Study</atitle><jtitle>Journal of clinical medicine</jtitle><date>2022-07-26</date><risdate>2022</risdate><volume>11</volume><issue>15</issue><spage>4330</spage><pages>4330-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>Background: The aim of the study was to examine the relationship among patients’ characteristics, intraoperative pathology and pre/post-operative symptoms in a cohort of patients undergoing arthroscopic partial meniscectomy for symptomatic meniscal tears. Methods: Clinical data were collected (age, sex, body mass index, time to surgery, trauma). Intraoperative cartilage pathology was assessed with Outerbridge score. Meniscal tears were graded with the ISAKOS classification. Synovial inflammation was scored using the Macro-score. Patient symptoms were assessed pre/post-operatively using the KOOS instrument. Results: In the series of 109 patients (median age 47 years), 50% of the meniscal tears were traumatic; 85% of patients showed mild to moderate synovitis; 52 (47.7%) patients had multiple cartilage defects and 31 (28.4%) exhibited a single focal chondral lesion. Outerbridge scores significantly correlated with patient age, BMI and synovial inflammation. There was a correlation between severity of chondral pathology and high-grade synovial hyperplasia. Pre-operative KOOS correlated with BMI, meniscal degenerative changes and symptom duration. Obesity, time to surgery, presence of high-grade synovial hyperplasia and high-grade cartilage lesions were independent predictors of worse post-operative pain and function. Conclusion: We demonstrated that pre-operative symptoms and post-operative outcomes correlate with synovitis severity and cartilage pathology, particularly in old and obese patients that underwent arthroscopic partial meniscectomy. Importantly, patients with a degenerative meniscal pattern and with longer time to surgery experienced more severe cartilage damage and, consequentially, pain and dysfunction. These findings are fundamental to identify patients suitable for earlier interventions.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>35893418</pmid><doi>10.3390/jcm11154330</doi><orcidid>https://orcid.org/0000-0002-0361-9920</orcidid><orcidid>https://orcid.org/0000-0002-6726-3177</orcidid><orcidid>https://orcid.org/0000-0002-3990-6745</orcidid><orcidid>https://orcid.org/0000-0001-9905-0363</orcidid><orcidid>https://orcid.org/0000-0002-9683-8873</orcidid><orcidid>https://orcid.org/0000-0001-9617-9882</orcidid><orcidid>https://orcid.org/0000-0003-1129-2574</orcidid><orcidid>https://orcid.org/0000-0003-2561-8096</orcidid><orcidid>https://orcid.org/0000-0001-5407-9293</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Arthritis Cartilage Classification Clinical medicine Data collection Inflammation Knee Osteoarthritis Pathology Statistical analysis Surgery Trauma |
title | Macroscopic Synovial Inflammation Correlates with Symptoms and Cartilage Lesions in Patients Undergoing Arthroscopic Partial Meniscectomy: A Clinical Study |
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