Medial meniscus tear morphology and related clinical symptoms in patients with medial knee osteoarthritis

Verfasser / Beitragende:
[Masayuki Kamimura, Jutaro Umehara, Atsushi Takahashi, Toshimi Aizawa, Eiji Itoi]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/1(2015-01-01), 158-163
Format:
Artikel (online)
ID: 605455899
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024 7 0 |a 10.1007/s00167-014-2939-z  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2939-z 
245 0 0 |a Medial meniscus tear morphology and related clinical symptoms in patients with medial knee osteoarthritis  |h [Elektronische Daten]  |c [Masayuki Kamimura, Jutaro Umehara, Atsushi Takahashi, Toshimi Aizawa, Eiji Itoi] 
520 3 |a Purpose: The objective of this study was to examine the association between clinical symptoms and arthroscopic meniscal findings in patients with early to moderate medial knee osteoarthritis. Methods: One hundred and four patients (110 knees) were selected from a group of 132 patients (140 knees) aged ≥50years who underwent arthroscopic surgery for medial meniscal tears. Inclusion criteria were as follows: (a) medial knee osteoarthritis and (b) simple medial meniscal tears extending to ≥1/4 of the meniscal margin. Subjective symptoms, location and nature of the pain, as well as the physical findings observed during initial assessment were evaluated using a standardized assessment chart. The relationship between arthroscopic meniscal findings and clinical symptoms was then analysed. Results: Isolated meniscal tears were classified into four types: radial tear of the middle segment; posterior root tear; horizontal tear of the posterior segment; and flap tear. The following symptoms were reported at significantly higher frequencies: pain on standing and a catching sensation in patients with flap tears; pain on walking and nocturnal pain on rolling over in bed in patients with radial tears of the middle segment; and popliteal pain in patients with posterior root tears. Conclusions: This study demonstrates a relationship between the type of medial meniscal tear and characteristic clinical symptoms reported by patients with medial knee osteoarthritis. These results suggest that clinical symptoms in patients with osteoarthritis of the knee may be caused by meniscal tears. This evidence may help to better inform patients and surgeons regarding choice of treatment. Level of evidence: Case control study, Level III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Medial meniscal tears  |2 nationallicence 
690 7 |a Medial knee osteoarthritis  |2 nationallicence 
690 7 |a Clinical symptoms  |2 nationallicence 
690 7 |a Meniscus tear morphology  |2 nationallicence 
700 1 |a Kamimura  |D Masayuki  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi Prefecture, Japan  |4 aut 
700 1 |a Umehara  |D Jutaro  |u Department of Orthopaedic Surgery, Senboku Kumiai General Hospital, 1-30 Omagari-torimati, 014-0027, Daisen, Akita Prefecture, Japan  |4 aut 
700 1 |a Takahashi  |D Atsushi  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi Prefecture, Japan  |4 aut 
700 1 |a Aizawa  |D Toshimi  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi Prefecture, Japan  |4 aut 
700 1 |a Itoi  |D Eiji  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi Prefecture, Japan  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/1(2015-01-01), 158-163  |x 0942-2056  |q 23:1<158  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2939-z  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2939-z  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kamimura  |D Masayuki  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi Prefecture, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Umehara  |D Jutaro  |u Department of Orthopaedic Surgery, Senboku Kumiai General Hospital, 1-30 Omagari-torimati, 014-0027, Daisen, Akita Prefecture, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takahashi  |D Atsushi  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi Prefecture, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Aizawa  |D Toshimi  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi Prefecture, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Itoi  |D Eiji  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi Prefecture, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/1(2015-01-01), 158-163  |x 0942-2056  |q 23:1<158  |1 2015  |2 23  |o 167