caa a22 4500 605455716 CHVBK 20210128100214.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00167-013-2494-z doi (NATIONALLICENCE)springer-10.1007/s00167-013-2494-z Successful conservative treatment of patients with MRI-verified meniscal lesions [Elektronische Daten] [Camilla Rathleff, Christian Cavallius, Hans Jensen, Ole Simonsen, Sten Rasmussen, Søren Kaalund, Svend Østgaard] 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 1year, 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 12-24months. 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. Springer-Verlag Berlin Heidelberg, 2013 Meniscal lesion nationallicence MRI nationallicence Clinical predictors nationallicence Arthroscopic treatment nationallicence Conservative treatment nationallicence Rathleff Camilla Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, 15 Soendre Skovvej, 9000, Aalborg, Denmark aut Cavallius Christian Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, 15 Soendre Skovvej, 9000, Aalborg, Denmark aut Jensen Hans Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, 15 Soendre Skovvej, 9000, Aalborg, Denmark aut Simonsen Ole Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, 15 Soendre Skovvej, 9000, Aalborg, Denmark aut Rasmussen Sten Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, 15 Soendre Skovvej, 9000, Aalborg, Denmark aut Kaalund Søren Kaalund's Orthopaedic Clinic, Aalborg, Denmark aut Østgaard Svend Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, 15 Soendre Skovvej, 9000, Aalborg, Denmark aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 178-183 0942-2056 23:1<178 2015 23 167 https://doi.org/10.1007/s00167-013-2494-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2494-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rathleff Camilla Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, 15 Soendre Skovvej, 9000, Aalborg, Denmark aut NATIONALLICENCE 700 1- Cavallius Christian Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, 15 Soendre Skovvej, 9000, Aalborg, Denmark aut NATIONALLICENCE 700 1- Jensen Hans Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, 15 Soendre Skovvej, 9000, Aalborg, Denmark aut NATIONALLICENCE 700 1- Simonsen Ole Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, 15 Soendre Skovvej, 9000, Aalborg, Denmark aut NATIONALLICENCE 700 1- Rasmussen Sten Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, 15 Soendre Skovvej, 9000, Aalborg, Denmark aut NATIONALLICENCE 700 1- Kaalund Søren Kaalund's Orthopaedic Clinic, Aalborg, Denmark aut NATIONALLICENCE 700 1- Østgaard Svend Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, 15 Soendre Skovvej, 9000, Aalborg, Denmark aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 178-183 0942-2056 23:1<178 2015 23 167