Fatigue meniscal tears: a description of the lesion and the results of arthroscopic partial meniscectomy

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art_DEMANGE_Fatigue_meniscal_tears_a_description_of_the_lesion_2016.PDF (596.85 KB)
Citações na Scopus
9
Tipo de produção
article
Data de publicação
2016
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
Citação
INTERNATIONAL ORTHOPAEDICS, v.40, n.2, p.399-405, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Purpose The purpose of this study was to describe the clinical outcomes of partial meniscectomy in patients with ""fatigue meniscal tear"", which presents as a non-traumatic tear with abrupt onset of symptoms of a radial tear in the transition between the middle and posterior thirds of the meniscus. Methods We prospectively followed 71 patients with ""fatigue meniscal tear"" (41 women and 30 men, mean age of 63 years, SD 6.9 years) recruited among 497 patients with isolated medial meniscal lesions treated between January 2006 and June 2011. Inclusion criteria were spontaneous abrupt onset knee pain, minor or no trauma, no radiographic or MRI osteoarthritis, no bone oedema, pre-operative magnetic resonance image of medial meniscus tear, and arthroscopic evaluation demonstrating radial or vertical flap tear in the body to posterior horn junction of the medial meniscus. We followed all patients for a minimum of two years and reviewed their clinical symptoms, physical exam, functional outcome, and patient satisfaction at last follow-up. Results The average follow-up was 4.2 years, with a minimum follow-up of two years. Among the 71 patients, there were 59 (83.1 %) good or excellent results and 12 (16.9 %) poor results. These 12 patients demanded further treatment because of persistent pain, with three of the patients developing subchondral bone fracture. All patient complaints and poor outcomes could be identified in the initial six months after surgery. There was no gender difference in the subgroup analysis. Conclusion Our findings indicate that patients with ""fatigue meniscal tear"" benefit from arthroscopic partial meniscectomy, with only 16.9 % reporting unfavourable results.
Palavras-chave
Knee, Arthroscopy, Menisci, Tibial, Injuries, Osteoarthritis, MeSH terms, Meniscus tear, Meniscectomy
URI
https://observatorio.fm.usp.br/handle/OPI/13479
Referências
  1. Yao L, 2004, SKELETAL RADIOL, V33, P260, DOI 10.1007/s00256-004-0751-4
  2. Herrlin S, 2007, KNEE SURG SPORT TR A, V15, P393, DOI 10.1007/s00167-006-0243-2
  3. Robertson DD, 2009, J BONE JOINT SURG BR, V91B, P190, DOI 10.1302/0301-620X.91B2.21097
  4. Lubowitz JH, 2014, ARTHROSCOPY, V30, P654, DOI 10.1016/j.arthro.2014.04.007
  5. Demange MK, 2011, CLINICS, V66, P159, DOI 10.1590/S1807-59322011000100027
  6. Sihvonen R, 2013, NEW ENGL J MED, V369, P2515, DOI 10.1056/NEJMoa1305189
  7. Anderson AF, 2011, AM J SPORT MED, V39, P926, DOI 10.1177/0363546511400533
  8. Gauffin H, 2014, OSTEOARTHR CARTILAGE, V22, P1808, DOI 10.1016/j.joca.2014.07.017
  9. Rossi MJ, 2014, ARTHROSCOPY, V30, P536, DOI 10.1016/j.arthro.2014.02.013
  10. Englund M, 2009, ARTHRITIS RHEUM, V60, P831, DOI 10.1002/art.24383
  11. NORMAN A, 1978, RADIOLOGY, V129, P653
  12. Yamamoto T, 2000, J BONE JOINT SURG AM, V82A, P858
  13. Peterfy CG, 2004, OSTEOARTHR CARTILAGE, V12, P177, DOI 10.1016/j.joca.2003.11.003
  14. Katz JN, 2013, NEW ENGL J MED, V368, P1675, DOI 10.1056/NEJMoa1301408
  15. FAIRBANK TJ, 1948, J BONE JOINT SURG BR, V30, P664
  16. Sung JH, 2013, ARTHROSCOPY, V29, P726, DOI 10.1016/j.arthro.2012.11.016
  17. Englund M, 2008, NEW ENGL J MED, V359, P1108, DOI 10.1056/NEJMoa0800777
  18. Wenger A, 2013, ARTHRITIS RHEUM-US, V65, P1804, DOI 10.1002/art.37947
  19. Badlani JT, 2013, AM J SPORT MED, V41, P1238, DOI 10.1177/0363546513490276
  20. Lee DH, 2011, KNEE SURG SPORT TR A, V19, P222, DOI 10.1007/s00167-010-1274-2
  21. Yim JH, 2013, AM J SPORT MED, V41, P1565, DOI 10.1177/0363546513488518
  22. Abrams GD, 2013, AM J SPORT MED, V41, P2333, DOI 10.1177/0363546513495641
  23. Pengas IP, 2012, J BONE JOINT SURG BR, V94B, P1649, DOI 10.1302/0301-620X.94B12.30562
  24. Hunter DJ, 2006, ARTHRITIS RHEUM, V54, P2488, DOI 10.1002/art.22016
  25. Camanho Gilberto Luis, 2006, Clinics (Sao Paulo), V61, P133, DOI 10.1590/S1807-59322006000200008
  26. Kamimura M, 2015, KNEE SURG SPORT TR A, V23, P158, DOI 10.1007/s00167-014-2939-z

Coleções
Artigos e Materiais de Revistas Científicas - FM/MOT
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - LIM/41