medigraphic.com
ISSN 3061-7774 (Electronic)
ISSN 1870-7203 (Print)
Órgano Oficial del Hospital Ángeles Health System

2026, Number 3

<< Back Next >>

Acta Med 2026; 24 (3)

Meniscal injuries and secondary osteoarthritis of the knee: literature review

Muñoz TRO, Gómez TFJ

Language: Spanish
References: 30
Page: 255-261
PDF size: 1163.51 Kb.


ABSTRACT

Knee osteoarthritis (OA) is a degenerative joint disease which produces chronic changes in structures of the knee such as the capsular-ligamentous apparatus, subchondral bone, articular cartilage, and the menisci. There are multiple risk factors for the development of the disease: gender, age, high body mass index, high-demand physical activity, highlighting the practice of high-impact sports, all of which increase joint overload and promote an inflammatory environment within the knee. The menisci play a central role in joint physiology and biomechanics, as well as in the cushioning of loads and therefore a meniscal injury represents the beginning of a series of pathological changes that culminate in prompt joint degeneration. Currently, magnetic resonance imaging is the gold standard in the diagnosis of meniscal injuries. Regarding treatment, the trend has evolved from open total meniscectomy to arthroscopic surgery with primary meniscal repair and increasingly smaller partial meniscectomies, thus prioritizing the preservation of meniscal tissue and extending the life of the joint. This paper intends to emphasize the need for a multidisciplinary and updated approach in the diagnosis, treatment and follow-up of meniscal injuries.


REFERENCES

  1. Ahmed I, Radhakrishnan A, Khatri C, Staniszewska S, Hutchinson C, Parsons N et al. Meniscal tears are more common than previously identified, however, less than a quarter of people with a tear undergo arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2021; 29(11):3892-3898. doi: 10.1007/s00167-021-06458-2. Epub 2021 Feb 1. PMID: 33521890; PMCID: PMC8514344.

  2. Gee SM, Tennent DJ, Cameron KL, Posner MA. The burden of meniscus injury in young and physically active populations. Clin Sports Med. 2020; 39 (1): 13-27.

  3. Abram SGF, Hopewell S, Monk AP, Bayliss LE, Beard DJ, Price AJ. Arthroscopic partial meniscectomy for meniscal tears of the knee: a systematic review and meta-analysis. Br J Sports Med. 2020; 54 (11): 652-663.

  4. Sanchis M, Sanchis V, Torres JI. Long-term results after conventional total meniscectomy: a point of reference. Arthroscopy. 1988; 4 (3): 206-210.

  5. Pasinski M, Zabrzynska M, Adamczyk M, Sokolowski M, Glos T, Ziejka M et al. A current insight into Human Knee Menisci. Transl Res Anat. 2023; 32: 100259. doi: 10.1016/j.tria.2023.100259.

  6. Temboury Vilaseca F, Moreno García A, Nagib Raya MA, Alcántara Martos T. Actualización en patología meniscal. Rev Soc Andaluza Traumatol Ortop. 2021; 38 (4): 8-24.

  7. Doral MN, Bilge O, Huri G, Turhan E, Verdonk R. Modern treatment of meniscal tears. EFORT Open Rev. 2018; 3 (5): 260-268.

  8. Hsu H, Siwiec RM. Knee osteoarthritis [Internet]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Available in: https://www.ncbi.nlm.nih.gov/books/NBK507884/

  9. Bahns C, Bolm-Audorff U, Seidler A, Romero Starke K, Ochsmann E. Occupational risk factors for meniscal lesions: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2021; 22 (1): 1042.

  10. Palanca D, Peña E, Calvo B, Martínez MA, Doblaré M, Seral F. Análisis mediante elementos finitos del efecto de las roturas meniscales y meniscectomías. Rev Esp Cir Ortop Traumatol. 2004; 48 (4): 298-303.

  11. Zdanowicz U, Smigielski R. Chapter 1. Meniscus anatomy. In: LaPrade RF, Arendt EA, Faucett SC, editors. The menisci: a comprehensive review of their anatomy, biomechanical function and surgical treatment. Germany: Springer; 2017.

  12. Rocha Piedade S. Chapter 3. Classification of meniscal tears. In: LaPrade RF, Arendt EA, Faucett SC, editors. The menisci: a comprehensive review of their anatomy, biomechanical function and surgical treatment. Germany: Springer; 2017.

  13. Caterine S, Hourigan M, Getgood A. Chapter 2. The biomechanical function of the menisci. In: LaPrade RF, Arendt EA, Faucett SC, editors. The menisci: a comprehensive review of their anatomy, biomechanical function and surgical treatment. Germany: Springer; 2017.

  14. Abusara Z, Andrews SHJ, Von Kossel M, Herzog W. Menisci protect chondrocytes from load-induced injury. Sci Rep. 2018; 8 (1): 14150.

  15. Norberg C, Filippone G, Andreopoulos F, Best TM, Baraga M, Jackson AR et al. Viscoelastic and equilibrium shear properties of human meniscus: Relationships with tissue structure and composition. J Biomech. 2021; 120: 110343.

  16. Haut Donahue TL, Narez GE, Powers M, Dejardin LM, Wei F, Haut RC. A Morphological study of the meniscus, cartilage and subchondral bone following closed-joint traumatic impact to the knee. Front Bioeng Biotechnol. 2022; 10: 835730.

  17. Wadhwa V, Omar H, Coyner K, Khazzam M, Robertson W, Chhabra A. ISAKOS classification of meniscal tears-illustration on 2D and 3D isotropic spin echo MR imaging. Eur J Radiol. 2016; 85 (1): 15-24.

  18. Hughston JC. A simple meniscectomy. J Sports Med. 1975; 3 (4): 179-187.

  19. Pengas IP, Assiotis A, Nash W, Hatcher J, Banks J, McNicholas MJ. Total meniscectomy in adolescents: a 40-year follow-up. J Bone Joint Surg Br. 2012; 94 (12): 1649-1654.

  20. Camillieri G. Chapter 4: Meniscectomy: updates on techniques and outcomes. In: LaPrade RF, Arendt EA, Faucett SC, editors. The menisci: a comprehensive review of their anatomy, biomechanical function and surgical treatment. Germany: Springer; 2017.

  21. Aprato A, Sordo L, Costantino A, Sabatini L, Barberis L, Testa D et al. Outcomes at 20 years after meniscectomy in patients aged 50 to 70 years. Arthroscopy. 2021; 37 (5): 1547-1553.

  22. Fairbank TJ. Knee joint changes after meniscectomy. J Bone Joint Surg Br. 1948; 30B (4): 664-670.

  23. Azam M, Shenoy R. The role of arthroscopic partial meniscectomy in the management of degenerative meniscus tears: a review of the recent literature. Open Orthop J. 2016; 10: 797-804.

  24. Lee DH, D'Lima DD, Lee SH. Clinical and radiographic results of partial versus total meniscectomy in patients with symptomatic discoid lateral meniscus: A systematic review and meta-analysis. Orthop Traumatol Surg Res. 2019; 105 (4): 669-675.

  25. Weber J, Koch M, Angele P, Zellner J. The role of meniscal repair for prevention of early onset of osteoarthritis. J Exp Orthop. 2018; 5 (1): 10.

  26. Luvsannyam E, Jain MS, Leitao AR, Maikawa N, Leitao AE. Meniscus tear: pathology, incidence, and management. Cureus. 2022; 14 (5): e25121.

  27. Joshi A, Sable AS, Usman S, Sabnis B, Sane P, Bagaria V. Clinical outcomes of arthroscopic partial meniscectomy at 10 years follow-up: a retrospective cohort study. J Arthrosc Surg Sports Med. 2024; 5 (1): 17-23.

  28. Desai T, Babu SS, Lal JV, Kaushik YS, Lukose AM, Sandesh GM et al. Fibrin clot augmented repair of longitudinal tear of medial meniscus. Arthrosc Tech. 2021; 10 (11): e2449-e2455.

  29. Kopf S, Beaufils P, Hirschmann MT, Rotigliano N, Ollivier M, Pereira H et al. Management of traumatic meniscus tears: the 2019 ESSKA meniscus consensus. Knee Surg Sports Traumatol Arthrosc. 2020; 28 (4): 1177-1194.

  30. Nelson CG, Bonner KF. Inside-out meniscus repair. Arthrosc Tech. 2013; 2 (4): e453-e460.




2020     |     www.medigraphic.com