Jonas Bloch Thorlund1, Lasse Østengaard2, Nathan Cardy3, Fiona Wilson3, Claus Jørgensen2, Carsten Bogh Juhl4. 1. Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark. Electronic address: jthorlund@health.sdu.dk. 2. Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark. 3. Trinity College Dublin, University of Dublin, Discipline of Physiotherapy, School of Medicine, Ireland. 4. Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark; Department of Rehabilitation, Copenhagen University Hospital, Denmark.
Abstract
OBJECTIVES: To investigate the trajectory of patient reported pain and function and knee extensor muscle strength over time in young individuals undergoing arthroscopic meniscal surgery. DESIGN: Systematic review and meta-analysis METHODS: Six databases were searched up to October 13th, 2016. PATIENTS AND INTERVENTION: People aged 30 years or younger undergoing surgery for a meniscal tear. OUTCOMES: and comparator: (1) Self-reported pain and function in patients undergoing meniscal surgery compared to a non-operative control group (2). Knee extensor strength in the leg undergoing surgery compared to a healthy control group or the contra-lateral leg. Methodological quality was assessed using the SIGN 50 guidelines. RESULTS: No studies were found on patient reported pain and function. Six studies, including 137 patients were included in the analysis on knee extensor muscle strength. Knee extensor muscle strength was impaired in the injured leg prior to surgery and was still reduced compared with control data up to 12 months after surgery (SMD: -1.16) (95% CI: -1.83; -0.49). All included studies were assessed to have a high risk of bias. CONCLUSIONS: No studies were found comparing the trajectory of self-reported pain and function in patients undergoing arthroscopic surgery compared with non-operative treatments for young patients with meniscal tears. Knee extensor strength seemed to be impaired up to 12 months after surgery in young patients undergoing surgery for meniscal tears. The results of the present study should be interpreted with caution due to a limited number of available studies with high risk of bias including relatively few patients.
OBJECTIVES: To investigate the trajectory of patient reported pain and function and knee extensor muscle strength over time in young individuals undergoing arthroscopic meniscal surgery. DESIGN: Systematic review and meta-analysis METHODS: Six databases were searched up to October 13th, 2016. PATIENTS AND INTERVENTION: People aged 30 years or younger undergoing surgery for a meniscal tear. OUTCOMES: and comparator: (1) Self-reported pain and function in patients undergoing meniscal surgery compared to a non-operative control group (2). Knee extensor strength in the leg undergoing surgery compared to a healthy control group or the contra-lateral leg. Methodological quality was assessed using the SIGN 50 guidelines. RESULTS: No studies were found on patient reported pain and function. Six studies, including 137 patients were included in the analysis on knee extensor muscle strength. Knee extensor muscle strength was impaired in the injured leg prior to surgery and was still reduced compared with control data up to 12 months after surgery (SMD: -1.16) (95% CI: -1.83; -0.49). All included studies were assessed to have a high risk of bias. CONCLUSIONS: No studies were found comparing the trajectory of self-reported pain and function in patients undergoing arthroscopic surgery compared with non-operative treatments for young patients with meniscal tears. Knee extensor strength seemed to be impaired up to 12 months after surgery in young patients undergoing surgery for meniscal tears. The results of the present study should be interpreted with caution due to a limited number of available studies with high risk of bias including relatively few patients.
Authors: Søren Thorgaard Skou; Martin Lind; Per Hölmich; Hans Peter Jensen; Carsten Jensen; Muhammad Afzal; Uffe Jørgensen; Jonas Bloch Thorlund Journal: BMJ Open Date: 2017-08-21 Impact factor: 2.692
Authors: Clare L Ardern; Fionn Büttner; Renato Andrade; Adam Weir; Maureen C Ashe; Sinead Holden; Franco M Impellizzeri; Eamonn Delahunt; H Paul Dijkstra; Stephanie Mathieson; Michael Skovdal Rathleff; Guus Reurink; Catherine Sherrington; Emmanuel Stamatakis; Bill Vicenzino; Jackie L Whittaker; Alexis A Wright; Mike Clarke; David Moher; Matthew J Page; Karim M Khan; Marinus Winters Journal: Br J Sports Med Date: 2021-10-08 Impact factor: 13.800
Authors: Eli T Sayegh; Aseel G Dib; Natalie A Lowenstein; Jamie E Collins; Rebecca G Breslow; Elizabeth Matzkin Journal: Arthrosc Sports Med Rehabil Date: 2022-07-13