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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2014, Number 1

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Acta Ortop Mex 2014; 28 (1)

Functional repercussions of meniscal injuries on the postoperative physical athletic performance of athletes

Cristiani-Díaz GA, Delgado-Brambila HA

Language: Spanish
References: 23
Page: 33-38
PDF size: 154.68 Kb.


ABSTRACT

The practice of sports has experienced a huge boom in societies worldwide. It often involves knee injuries, specifically meniscal tears that warrant surgical treatment which may include: fragment remodeling and resection, meniscal repair or, in extreme cases, the use of a meniscal graft. In this prospective study we performed fragment resection and meniscal remodeling in athletes and we measured their postoperative physical-athletic performance. Methods: Inclusion criteria: Patients of both sexes who practice a sport either as amateurs or at a recreational competitive level, who sustained a meniscal injury. Exclusion criteria: Patients with associated total anterior cruciate ligament tear, patients lost to follow-up, and patients eligible for meniscal repair. 23-patient cohort including 10 females and 13 males who presented at our hospital. A diagnostic protocol to certify the injury was applied. Patients underwent surgery to perform meniscal fragment resection and remodeling. They later underwent rehabilitation at the physiatrics service and finally received approval to return to sports. The Tegner Lysholm Knee Scoring Scale was used to assess postoperative results. Conclusion: All patients were able to return to practice their pre-injury sport, but their performance was 20 to 30% lower than before. Recovery took longer in females.


REFERENCES

  1. Dasić Z, Radoicić D: Arthroscopic partial medial meniscectomy. Vojnosanit Pregl. 2011; 68(9): 774-8.

  2. Insall J, Scott N: Surgery of the knee. 3th ed. Independence Square West, Philadelphia: 2004: pp. 22-34.

  3. Giuliani JR, Burns TC: Treatment of meniscal injuries in young athletes. J Knee Surg. 2011; 24(2): 93-100.

  4. Peña E, Calvo B, Martínez MA: Why lateral meniscectomy is more dangerous than medial meniscectomy. A finite element study. J Orthop Res. 2006; 24(5): 1001-10.

  5. Zeichen J, Hankemeier S: Arthroscopic partial meniscectomy. Oper Orthop Traumatol. 2006; 18(5-6): 380-92.

  6. Greis PE, Holmstrom MC, Bardana DD: Meniscal injury: II. Management. J Am Acad Orthop Surg. 2002; 10(3): 177-87.

  7. Kim SJ, Hwang BY, Choi DH, Mei Y: The paradoxical McMurray test for the detection of meniscal tears: an arthroscopic study of mechanisms, types, and accuracy. J Bone Joint Surg Am. 2012; 94(16): e1181-7.

  8. Rinonapoli G, Carraro A: The clinical diagnosis of meniscal tear is not easy. Reliability of two clinical meniscal tests and magnetic resonance imaging. Int J Immunopathol Pharmacol. 2011; 24(1 Suppl. 2): 39-44.

  9. Hegedus EJ, Cook C, Hasselblad V: Physical examination tests for assessing a torn meniscus in the knee: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2007; 37(9): 541-50.

  10. Hing W, Phys D: Validity of the McMurray’s test and modified versions of the test: a systematic literature review. J Man Manip Ther. 2009; 17(1): 22-35.

  11. Tegner Y, Lysholm J: Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res. 1985; (198): 43-9.

  12. Ericsson YB, Roos EM, Dahlberg L: Muscle strength, functional performance, and self-reported outcomes four years after arthroscopic partial meniscectomy in middle-aged patients. Arthritis Rheum. 2006; 55(6): 946-52.

  13. Petty CA, Lubowitz JH: Does arthroscopic partial meniscectomy result in knee osteoarthritis? A systematic review with a minimum of 8 years’ follow-up. Arthroscopy. 2011; 27(3): 419-24.

  14. Roos EM, Roos HP, Ryd L, Lohmander LS: Substantial disability 3 months after arthroscopic partial meniscectomy: A prospective study of patient-relevant outcomes. Arthroscopy. 2000; 16(6): 619-26.

  15. Pyne SW: Current progress in meniscal repair and postoperative rehabilitation. Curr Sports Med Rep. 2002; 1(5): 265-71.

  16. Rosenberger PH, Dhabhar FS: Sex differences in factors influencing recovery from arthroscopic knee surgery. Clin Orthop Relat Res. 2010; 468(12): 3399-405.

  17. Fabricant PD, Jokl P: Surgical outcomes after arthroscopic partial meniscectomy. J Am Acad Orthop Surg. 2007; 15(11): 647-53.

  18. Ericsson YB, Dahlberg LE, Roos EM: Effects of functional exercise training on performance and muscle strength after meniscectomy: a randomized trial. Scand J Med Sci Sports. 2009; 19(2): 156-65.

  19. Poulsen MR, Johnson DL: Meniscal injuries in the young, athletically active patient. Phys Sportsmed. 2011; 39(1): 123-30.

  20. Giuliani JR, Burns TC, Svoboda SJ: Treatment of meniscal injuries in young athletes. Journal: J Knee Surg. 2011; 24(2): 93-100.

  21. Paxton ES, Stock MV, Brophy RH: Meniscal repair versus partial meniscectomy: a systematic review comparing reoperation rates and clinical outcomes. Arthroscopy. 2011; 27(9): 1275-88.

  22. Bonneux I, Vandekerckhove B: Arthroscopic partial lateral meniscectomy long-term results in athletes. Acta Orthop Belg. 2002; 68(4): 356-61.

  23. Briggs KK, Lysholm J: The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later. Am J Sports Med. 2009; 37(5): 890-7.




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