Knee osteoarthritis and meniscal lesions

Authors

  • Alejandro Álvarez López
  • Sergio Ricardo Soto-Carrasco

Keywords:

LDM- Lesiones degenerativas del menisco. IRM- Imagen de resonancia magnética. LM- Lesión de menisco.

Abstract

Background: degenerative changes affect all the tissues inside knee joint, including meniscus. Clinical picture, imaging and treatment are different in regards to traumatic lesions.
Objective:
to deep about the most important aspects of patients with degenerative meniscal lesions.
Methods:
a search in the databases PubMed, Hinari, SciELO and Medline was done through the information locator EndNote by using the words meniscal tear, knee osteoarthritis and meniscus, meniscal pathology, meniscal damage and degenerative meniscus, resulting in a total of 371 articles which 50 of them selected for review, 46 of them of the last five years and five books were included.
Development:
important aspects related to update classifications systems were pointed out. Relationship between arthroscopy and magnetic resonance imaging and histologic features were described. Clinical picture, conservative and surgical treatment were stated.
Conclusions: meniscal degenerative lesions are associated to other lesions inside the knee joint, clinical picture, imaging and treatment modalities are different compare to traumatic lesions.

DeCS:OSTEOARTHRITIS, KNEE; MENISCUS/injuries; MAGNETIC RESONANCE IMAGING; ARTHROSCOPY; REVIEW LITERATURE AS TOPIC.

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Author Biography

Alejandro Álvarez López

Médico ortopedico

References

1.Beaufils P, Becker R, Kopf S, Englund M, Verdonk R, Ollivier M, et al. Surgical management of degenerative meniscus lesions: the 2016 ESSKA meniscus consensus. Knee Surg Sports Traumatol Arthrosc. 2017 Feb;25(2):335-46.

2.Beaufils P, Becker R, Kopf S, Matthieu O, Pujol N. The knee meniscus: management of traumatic tears and degenerative lesions. EFORT Open Rev. 2017 May;2(5):195-203.

3.Arno S, Bell CP, Xia D, Regatte RR, Krasnokutsky S, Samuels J, et al. Relationship between meniscal integrity and risk factors for cartilage degeneration. Knee. 2016 Aug;23(4):686-91.

4.Ebrahimi N, Jalaie S, Salsabili N, Ansari NN, Naghdi S. Knee injury and osteoarthritis outcome score in patients with isolated meniscus injury; validity and reliability. J Res Med Sci. 2017 Apr;22:55.

5.Verdonk R, Madry H, Shabshin N, Dirisamer F, Peretti GM, Pujol N, et al. The role of meniscal tissue in joint protection in early osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2016 Jun;24(6):1763-74.

6.Bert TM, Bert JM. Arthroscopic approach to knee osteoarthritis. En: Sgaglione NA, Lubowitz JH, Provencher MT, editors. The Knee: AANA Advance Arthroscopic Surgical Techniques. Thorofare: Slack Incorporated; 2016. p. 189-96.

7.Cho SD, Youm YS, Kim JH, Cho HY, Kim KH. Patterns and influencing factors of medial meniscus tears in varus knee osteoarthritis. Knee Surg Relat Res. 2016 Jun;28(2):142-6.

8.Sihvonen R, Englund M, Turkiewicz A, Järvinen TL. Mechanical symptoms as an indication for knee arthroscopy in patients with degenerative meniscus tear: a prospective cohort study. Osteoarthritis Cartilage. 2016 Aug;24(8):1367-75.

9.Hayashi D, Roemer FW, Jarraya M, Guermazi A. Imaging in osteoarthritis. Radiol Clin North Am. 2017 Sep;55(5):1085-1102.

10.Haviv B, Bronak S, Kosashvili Y, Thein R. Arthroscopic meniscectomy of traumatic versus atraumatic tears in middle aged patients: is there a difference? Arch Orthop Trauma Surg. 2016 Sep;136(9):1297-301.

11.Kaukinen P, Podlipská J, Guermazi A, Niinimäki J, Lehenkari P, Roemer FW, et al. Magnetic resonance imaging (MRI)-defined cartilage degeneration and joint pain are associated with poor physical function in knee osteoarthritis-the Oulu Knee Osteoarthritis study. Osteoarthritis Cartilage. 2017 Nov;25(11):1829-40.

12.Antony B, Driban JB, Price LL, Lo GH, Ward RJ, Nevitt M, et al. The relationship between meniscal pathology and osteoarthritis depends on the type of meniscal damage visible on magnetic resonance images: data from the osteoarthritis initiative. Osteoarthritis Cartilage. 2017 Jan;25(1):76-84.

13.Pujol N, Boisrenoult P. Meniscus and osteoarthritis. En: Beaufils P, Verdonk R, editors. The meniscus. Berlin: Springer-Verlag; 2010. p. 61-5.

14.Furumatsu T, Kodama Y, Kamatsuki Y, Hino T, Ozaki T. Arthroscopic repair of the medial meniscus radial/oblique tear prevents the progression of meniscal extrusion in mildly osteoarthritic knees. Acta Med Okayama. 2017 Oct;71(5):413-8.

15.Muheim LLS, Senn O, Früh M, Reich O, Rosemann T, Neuner-Jehle SM. Inappropriate use of arthroscopic meniscal surgery in degenerative knee disease. Acta Orthop. 2017 Oct;88(5):550-5.

16.Boyer T, Dorfman H, Podgorski A. Degenerative lesions-meniscal cyst. En: Beaufils P, Verdonk R, editors. The meniscus. Berlin: Springer-Verlag; 2010. p. 51-60.

17.Bryceland JK, Powell AJ, Nunn T. Knee Menisci. Cartilage. 2017 Apr;8(2):99-104.

18.Jarraya M, Roemer FW, Englund M, Crema MD, Gale HI, Hayashi D, et al. Meniscus morphology: does tear type matter? A narrative review with focus on relevance for osteoarthritis research. Semin Arthritis Rheum. 2017 Apr;46(5):552-61.

19.Kawahara T, Sasho T, Katsuragi J, Ohnishi T, Haneishi H. Relationship between knee osteoarthritis and meniscal shape in observation of Japanese patients by using magnetic resonance imaging. J Orthop Surg Res. 2017 Jun;12(1):97.

20.Hada S, Ishijima M, Kaneko H, Kinoshita M, Liu L, Sadatsuki R, et al. Association of medial meniscal extrusion with medial tibial osteophyte distance detected by T2 mapping MRI in patients with early-stage knee osteoarthritis. Arthritis Res Ther. 2017 Sep;19(1):201.

21.Yamagami R, Taketomi S, Inui H, Tahara K, Tanaka S. The role of medial meniscus posterior root tear and proximal tibial morphology in the development of spontaneous osteonecrosis and osteoarthritis of the knee. Knee. 2017 Mar;24(2):390-5.

22.Kim SJ, Choi CH, Chun YM, Kim SH, Lee SK, Jang J, et al. Relationship between preoperative extrusion of the medial meniscus and surgical outcomes after partial meniscectomy. Am J Sports Med. 2017 Jul;45(8):1864-71.

23.Brophy RH, Sandell LJ, Rai MF. Traumatic and degenerative meniscus tears have different gene expression signatures. Am J Sports Med. 2017 Jan;45(1):114-20.

24.Raunest J, Hotzinger H, Burrig KF. Magnetic resonance imaging (MRI) and arthroscopy in the detection of meniscal degeneration: correlation of arthroscopy and MRI with histology findings. Arthroscopy. 1994 Dec; 10(4):634-40.

25.Bert JM. Arthroscopic treatment of degenerative arthristis of the knee. En: Johnson DH, editor. Operative Arthroscopy. 4 th ed. Philadelphia: Wolters Kluwer; 2013. p. 746-51.

26.Richmond JC, McGonigle OP. Arthroscopic meniscal resection. En: Sgaglione NA, Lubowitz JH, Provencher MT, editors. The Knee: AANA Advance Arthroscopic Surgical techniques. Thorofare; Slack Incorporated; 2016. p. 77-88.

27.Saxby DJ, Lloyd DG. Osteoarthritis year in review 2016: mechanics. Osteoarthritis Cartilage. 2017 Feb;25(2):190-8.

28.Chiba D, Maeda S, Sasaki E, Ota S, Nakaji S, Tsuda E, et al. Meniscal extrusion seen on ultrasonography affects the development of radiographic knee osteoarthritis: a 3-year prospective cohort study. Clin Rheumatol. 2017 Nov;36(11):2557-64.

29.Murakami T, Enokida M, Kawaguchi K, Otsuki R, Nagashima H. Useful ultrasonographic evaluation of the medial meniscus as a feature predicting the onset of radiographic knee osteoarthritis. J Orthop Sci. 2017 Mar;22(2):318-24.

30.Madry H, Kon E, Condello V, Peretti GM, Steinwachs M, Seil R, et al. Early osteoarthritis of the knee. Knee Surg Sports Traumatol Arthrosc. 2016 Jun;24(6):1753-62.

31.Ganderup T, Jensen C, Holsgaard-Larsen A, Thorlund JB. Recovery of lower extremity muscle strength and functional performance in middle-aged patients undergoing arthroscopic partial meniscectomy. Knee Surg Sports Traumatol Arthrosc. 2017 Feb;25(2):347-54.

32.Giancamillo A Di, Mangiavini L, Tessaro I, Marmotti A, Scurati R, Peretti GM. The meniscus vascularization: the direct correlation with tissue composition for tissue engineering purposes. J Biol Regul Homeost Agents. 2016 Oct-Dec;30(4 Suppl 1):85-90.

33.Luczkiewicz P, Daszkiewicz K, Chróscielewski J, Witkowski W, Winklewski PJ. The influence of articular cartilage thickness reduction on meniscus biomechanics. PLoS One. 2016 Dec 9;11(12):e0167733.

34.McDaniel D, Tilton E, Dominick K, Flory K, Ernest T, Johnson JC, et al. Histological characteristics of knee menisci in patients with osteoarthritis. Clin Anat. 2017 Sep;30(6):805-10.

35.Travascio F, Jackson AR. The nutrition of the human meniscus: a computational analysis investigating the effect of vascular recession on tissue homeostasis. J Biomech. 2017 Aug;61:151-9.

36.Hodler J, Haghighi P, Pathria MN, Trudell D, Resnick D. Meniscal changes in the elderly: correlation of MR imaging and histologic findings. Radiology. 1992 Jul;184(1):221-5.

37.Brignardello-Petersen R, Guyatt GH, Buchbinder R, Poolman RW, Schandelmaier S, Chang Y, et al. Knee arthroscopy versus conservative management in patients with degenerative knee disease: a systematic review. BMJ Open. 2017 May;7(5):e016114.

38.Pihl K, Englund M, Lohmander LS, Jørgensen U, Nissen N, Schjerning J, et al. Signs of knee osteoarthritis common in 620 patients undergoing arthroscopic surgery for meniscal tear. Acta Orthop. 2017 Feb;88(1):90-5.

39.Roth M, Wirth W, Emmanuel K, Culvenor AG, Eckstein F. The contribution of 3D quantitative meniscal and cartilage measures to variation in normal radiographic joint space width-Data from the Osteoarthritis Initiative healthy reference cohort. Eur J Radiol. 2017 Feb;87:90-8.

40.Hare KB, Stefan Lohmander L, Kise NJ, Risberg MA, Roos EM. Middle-aged patients with an MRI-verified medial meniscal tear report symptoms commonly associated with knee osteoarthritis. Acta Orthop. 2017 Aug:1-6.

41.Jarrett JB, Sauereisen S. PURLs: When can exercise supplant surgery for degenerative meniscal tears? J Fam Pract. 2017 Apr;66(4):250-2.

42.Melrose J, Fuller ES, Little CB. The biology of meniscal pathology in osteoarthritis and its contribution to joint disease: beyond simple mechanics. Connect Tissue Res. 2017 May-Jul;58(3-4):282-94.

43.Russell C, Pedoia V, Souza RB, Majumdar S. Cross-sectional and longitudinal study of the impact of posterior meniscus horn lesions on adjacent cartilage composition, patient-reported outcomes and gait biomechanics in subjects without radiographic osteoarthritis. Osteoarthritis Cartilage. 2017 May;25(5):708-17.

44.Katz JN, Wright J, Spindler KP, Mandl LA, Safran-Norton CE, Reinke EK, et al. Predictors and outcomes of crossover to surgery from physical therapy for meniscal tear and osteoarthritis: a randomized trial comparing physical therapy and surgery. J Bone Joint Surg Am. 2016 Nov;98(22):1890-6.

45.Zellner J, Pattappa G, Koch M, Lang S, Weber J, Pfeifer CG, et al. Autologous mesenchymal stem cells or meniscal cells: what is the best cell source for regenerative meniscus treatment in an early osteoarthritis situation? Stem Cell Res Ther. 2017 Oct;8(1):225.

46.Oo WM, Bo MT. Role of ultrasonography in knee osteoarthritis. J Clin Rheumatol. 2016 Sep;22(6):324-9.

47.Leopold SS. Editorial: appropriate use? Guidelines on arthroscopic surgery for degenerative meniscus tears need updating. Clin Orthop Relat Res. 2017 May;475(5):1283-6.

48.Vidriero EL, Johnson DH. Meniscus resection. En: Johnson DH, editor. Operative Arthroscopy. 4 th ed. Philadelphia: Wolters Kluwer; 2013. p. 615-26.

49.Lamplot JD, Brophy RH. The role for arthroscopic partial meniscectomy in knees with degenerative changes: a systematic review. Bone Joint J. 2016 Jul;98-B(7):934-8.

50.Rongen JJ, Rovers MM, van Tienen TG, Buma P, Hannink G. Increased risk for knee replacement surgery after arthroscopic surgery for degenerative meniscal tears: a multi-center longitudinal observational study using data from the osteoarthritis initiative. Osteoarthritis Cartilage. 2017 Jan;25(1):23-9.

Published

2018-06-02

How to Cite

1.
Álvarez López A, Soto-Carrasco SR. Knee osteoarthritis and meniscal lesions. Arch méd Camagüey [Internet]. 2018 Jun. 2 [cited 2025 Aug. 30];22(3):356-65. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/5598

Issue

Section

Review Articles