Conundrum of mechanical knee symptoms: signifying feature of a meniscal tear?

British Journal of Sports Medicine
Jonas B ThorlundM Englund

Abstract

Mechanical knee symptoms are often considered important in the decision to perform knee arthroscopy on the suspicion of a meniscal tear. We investigated if presence of a meniscal tear at knee arthroscopy in adults is associated with presence of preoperative self-reported mechanical knee symptoms. We used data from Knee Arthroscopy Cohort Southern Denmark (KACS). KACS consists of patients aged 18 years or older referred to knee arthroscopy on the suspicion of a meniscal tear at four recruiting hospitals between 1 February 2013 and 31 January 2015. Of 1259 invited patients, 908 (72%) replied to the baseline questionnaire. With 91 patients excluded, the study sample consisted of 641 and 176 patients with and without a meniscal tear confirmed at surgery, respectively. Exposure was meniscal tear as determined by the knee surgeon during arthroscopy. Main outcomes were preoperative mechanical knee symptoms defined as self-reported catching/locking or self-reported inability to straighten knee fully. 55% of all patients reported symptoms of catching/locking and 47% were unable to straighten their knee fully. Preoperative mechanical symptoms were equally prevalent in patients with and without a meniscal tear (prevalence ratio catching/l...Continue Reading

Associated Clinical Trials

Jun 6, 2013·Jonas Bloch Thorlund

References

May 1, 1982·The American Journal of Sports Medicine·J Lysholm, J Gillquist
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Oct 16, 2013·BMJ Open·Jonas Bloch ThorlundL Stefan Lohmander
Jul 19, 2014·World Journal of Orthopedics·Simon C MordecaiChinmay M Gupte
Feb 10, 2016·Annals of Internal Medicine·Raine SihvonenUNKNOWN Finnish Degenerative Meniscal Lesion Study Group
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Feb 17, 2018·British Journal of Sports Medicine·Reed A C SiemieniukAnnette Kristiansen

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Citations

Jan 16, 2021·The Journal of Bone and Joint Surgery. American Volume·Evan M FarinaElizabeth G Matzkin
Oct 5, 2021·Acta Orthopaedica·Aleksi ReitoTeemu Karjalainen

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