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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2017

20.09.2016 | Knee

Recovery of lower extremity muscle strength and functional performance in middle-aged patients undergoing arthroscopic partial meniscectomy

verfasst von: Tina Ganderup, Carsten Jensen, Anders Holsgaard-Larsen, Jonas B. Thorlund

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 2/2017

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Abstract

Purpose

To investigate lower extremity muscle strength and functional performance before and after arthroscopic partial meniscectomy in middle-aged patients with degenerative meniscal tears. We hypothesized that patients would experience deficiencies in the affected leg at 3 months post-surgery, and that this deficiency would be normalized at 12 months following surgery.

Methods

Twenty-three patients (46 ± 6.5 years) meniscectomized in 2012 and 2013 were examined for knee extension, knee flexion, and hip abduction maximal isometric muscle strength (iMVC), rate of force development (RFD200), and knee function (single-leg hop for distance and single-leg knee bends in 30 s.) before surgery, 3 and 12 months after surgery.

Results

Functional performance, knee extension iMVC and RFD200 were impaired in the affected leg compared to the contralateral leg (p < 0.05) prior to surgery. A significant (Knee extension RFD200, p = 0.033) or borderline significant improvement was observed in the affected leg compared to the contralateral leg from before to 12 months after surgery in most variables (leg × time interaction, n.s.).

Conclusion

Middle-aged patients undergoing surgery for degenerative medial meniscal tears show significant reductions in muscle strength, rapid force production, and functional performance in the leg undergoing surgery compared to the contralateral leg prior to surgery. These deficits in muscle strength and knee function were still present at 3 months post-surgery but were no longer observed at 12 months following surgery.

Level of evidence

III.
Literatur
1.
Zurück zum Zitat Bhattacharyya T, Gale D, Dewire P, Totterman S, Gale ME, McLaughlin S, Einhorn TA, Felson DT (2003) The clinical importance of meniscal tears demonstrated by magnetic resonance imaging in osteoarthritis of the knee. J Bone Joint Surg Am 85-A(1):4–9CrossRefPubMed Bhattacharyya T, Gale D, Dewire P, Totterman S, Gale ME, McLaughlin S, Einhorn TA, Felson DT (2003) The clinical importance of meniscal tears demonstrated by magnetic resonance imaging in osteoarthritis of the knee. J Bone Joint Surg Am 85-A(1):4–9CrossRefPubMed
2.
Zurück zum Zitat Boks SS, Vroegindeweij D, Koes BW, Hunink MM, Bierma-Zeinstra SM (2006) Magnetic resonance imaging abnormalities in symptomatic and contralateral knees: prevalence and associations with traumatic history in general practice. Am J Sports Med 34(12):1984–1991CrossRefPubMed Boks SS, Vroegindeweij D, Koes BW, Hunink MM, Bierma-Zeinstra SM (2006) Magnetic resonance imaging abnormalities in symptomatic and contralateral knees: prevalence and associations with traumatic history in general practice. Am J Sports Med 34(12):1984–1991CrossRefPubMed
3.
Zurück zum Zitat Bremander AB, Dahl LL, Roos EM (2007) Validity and reliability of functional performance tests in meniscectomized patients with or without knee osteoarthritis. Scand J Med Sci Sports 17(2):120–127PubMed Bremander AB, Dahl LL, Roos EM (2007) Validity and reliability of functional performance tests in meniscectomized patients with or without knee osteoarthritis. Scand J Med Sci Sports 17(2):120–127PubMed
4.
Zurück zum Zitat Charles HC, Kraus VB, Ainslie M, Hellio Le Graverand-Gastineau MP (2007) Optimization of the fixed-flexion knee radiograph. Osteoarthr Cartil 15(11):1221–1224CrossRefPubMed Charles HC, Kraus VB, Ainslie M, Hellio Le Graverand-Gastineau MP (2007) Optimization of the fixed-flexion knee radiograph. Osteoarthr Cartil 15(11):1221–1224CrossRefPubMed
5.
Zurück zum Zitat Cicuttini FM, Forbes A, Yuanyuan W, Rush G, Stuckey SL (2002) Rate of knee cartilage loss after partial meniscectomy. J Rheumatol 29(9):1954–1956PubMed Cicuttini FM, Forbes A, Yuanyuan W, Rush G, Stuckey SL (2002) Rate of knee cartilage loss after partial meniscectomy. J Rheumatol 29(9):1954–1956PubMed
6.
Zurück zum Zitat Cullen KA, Hall MJ, Golosinskiy A (2009) Ambulatory surgery in the United States, 2006. Natl Health Stat Rep 11:1–25 Cullen KA, Hall MJ, Golosinskiy A (2009) Ambulatory surgery in the United States, 2006. Natl Health Stat Rep 11:1–25
7.
Zurück zum Zitat Englund M, Roos EM, Lohmander LS (2003) Impact of type of meniscal tear on radiographic and symptomatic knee osteoarthritis: a 16-year followup of meniscectomy with matched controls. Arthritis Rheumatol 48(8):2178–2187CrossRef Englund M, Roos EM, Lohmander LS (2003) Impact of type of meniscal tear on radiographic and symptomatic knee osteoarthritis: a 16-year followup of meniscectomy with matched controls. Arthritis Rheumatol 48(8):2178–2187CrossRef
8.
Zurück zum Zitat Englund M, Guermazi A, Gale D, Hunter DJ, Aliabadi P, Clancy M, Felson DT (2008) Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med 359(11):1108–1115CrossRefPubMedPubMedCentral Englund M, Guermazi A, Gale D, Hunter DJ, Aliabadi P, Clancy M, Felson DT (2008) Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med 359(11):1108–1115CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Englund M, Roemer FW, Hayashi D, Crema MD, Guermazi A (2012) Meniscus pathology, osteoarthritis and the treatment controversy. Nat Rev Rheumatol 8(7):412–419CrossRefPubMed Englund M, Roemer FW, Hayashi D, Crema MD, Guermazi A (2012) Meniscus pathology, osteoarthritis and the treatment controversy. Nat Rev Rheumatol 8(7):412–419CrossRefPubMed
10.
Zurück zum Zitat Fitzgerald GK, Lephart SM, Hwang JH, Wainner RS (2001) Hop tests as predictors of dynamic knee stability. J Orthop Sports Phys Ther 31(10):588–597CrossRefPubMed Fitzgerald GK, Lephart SM, Hwang JH, Wainner RS (2001) Hop tests as predictors of dynamic knee stability. J Orthop Sports Phys Ther 31(10):588–597CrossRefPubMed
11.
Zurück zum Zitat Hall M, Juhl CB, Lund H, Thorlund JB (2015) Knee extensor strength in middle-aged and older individuals undergoing arthroscopic partial meniscectomy: a systematic review and meta-analysis. Arthritis Care Res 67(9):1289–1296CrossRef Hall M, Juhl CB, Lund H, Thorlund JB (2015) Knee extensor strength in middle-aged and older individuals undergoing arthroscopic partial meniscectomy: a systematic review and meta-analysis. Arthritis Care Res 67(9):1289–1296CrossRef
12.
Zurück zum Zitat Herrlin S, Hallander M, Wange P, Weidenhielm L, Werner S (2007) Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial. Knee Surg Sports Traumatol Arthrosc 15(4):393–401CrossRefPubMed Herrlin S, Hallander M, Wange P, Weidenhielm L, Werner S (2007) Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial. Knee Surg Sports Traumatol Arthrosc 15(4):393–401CrossRefPubMed
13.
Zurück zum Zitat Herrlin SV, Wange PO, Lapidus G, Hallander M, Werner S, Weidenhielm L (2013) Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? A 5 year follow-up. Knee Surg Sports Traumatol Arthrosc 21(2):358–364CrossRefPubMed Herrlin SV, Wange PO, Lapidus G, Hallander M, Werner S, Weidenhielm L (2013) Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? A 5 year follow-up. Knee Surg Sports Traumatol Arthrosc 21(2):358–364CrossRefPubMed
14.
Zurück zum Zitat Hopkins J, Ingersoll C (2000) Arthrogenic muscle inhibition: a limiting factor in joint rehabilitation. J Sport Rehabil 9(2):135–159CrossRef Hopkins J, Ingersoll C (2000) Arthrogenic muscle inhibition: a limiting factor in joint rehabilitation. J Sport Rehabil 9(2):135–159CrossRef
15.
Zurück zum Zitat Hortobágyi T, Gerry J, Holbert G, Devita P (2004) Aberrations in the control of quadriceps muscle force in patients with knee osteoarthritis. Arthritis Rheum 51(4):562–569CrossRefPubMed Hortobágyi T, Gerry J, Holbert G, Devita P (2004) Aberrations in the control of quadriceps muscle force in patients with knee osteoarthritis. Arthritis Rheum 51(4):562–569CrossRefPubMed
16.
Zurück zum Zitat Jensen C, Aagaard P, Overgaard S (2011) Recovery in mechanical muscle strength following resurfacing vs standard total hip arthroplasty: a randomised clinical trial. Osteoarthr Cartil 19(9):1108–1116CrossRefPubMed Jensen C, Aagaard P, Overgaard S (2011) Recovery in mechanical muscle strength following resurfacing vs standard total hip arthroplasty: a randomised clinical trial. Osteoarthr Cartil 19(9):1108–1116CrossRefPubMed
17.
19.
Zurück zum Zitat Khan M, Evaniew N, Bedi A, Ayeni OR, Bhandari M (2014) Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis. CMAJ 186(14):1057–1064CrossRefPubMedPubMedCentral Khan M, Evaniew N, Bedi A, Ayeni OR, Bhandari M (2014) Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis. CMAJ 186(14):1057–1064CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Kirkley A, Birmingham TB, Litchfield RB, Giffin JR, Willits KR, Wong CJ, Feagan BG, Donner A, Griffin SH, D’Ascanio LM, Pope JE, Fowler PJ (2008) A randomized trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 359(11):1097–1107CrossRefPubMed Kirkley A, Birmingham TB, Litchfield RB, Giffin JR, Willits KR, Wong CJ, Feagan BG, Donner A, Griffin SH, D’Ascanio LM, Pope JE, Fowler PJ (2008) A randomized trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 359(11):1097–1107CrossRefPubMed
21.
Zurück zum Zitat Lohmander LS, Englund PM, Dahl LL, Roos EM (2007) The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med 35(10):1756–1769CrossRefPubMed Lohmander LS, Englund PM, Dahl LL, Roos EM (2007) The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med 35(10):1756–1769CrossRefPubMed
22.
Zurück zum Zitat Moseley JB, O’Malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP (2002) A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 347(2):81–88CrossRefPubMed Moseley JB, O’Malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP (2002) A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 347(2):81–88CrossRefPubMed
23.
Zurück zum Zitat Øiestad BE, Juhl CB, Eizen I, Thorlund JB (2015) Knee extensor muscle weakness is a risk factor for development of knee osteoarthritis. A systematic review and meta-analysis. Osteoarthr Cartil 23(2):171–177CrossRefPubMed Øiestad BE, Juhl CB, Eizen I, Thorlund JB (2015) Knee extensor muscle weakness is a risk factor for development of knee osteoarthritis. A systematic review and meta-analysis. Osteoarthr Cartil 23(2):171–177CrossRefPubMed
24.
Zurück zum Zitat Poehling GG, Ruch DS, Chabon SJ (1990) The landscape of meniscal injuries. Clin Sports Med 9(3):539–549PubMed Poehling GG, Ruch DS, Chabon SJ (1990) The landscape of meniscal injuries. Clin Sports Med 9(3):539–549PubMed
25.
Zurück zum Zitat Rice DA, McNair PJ (2010) Quadriceps arthrogenic muscle inhibition: neural mechanisms and treatment perspectives. Semin Arthritis Rheum 40(3):250–266CrossRefPubMed Rice DA, McNair PJ (2010) Quadriceps arthrogenic muscle inhibition: neural mechanisms and treatment perspectives. Semin Arthritis Rheum 40(3):250–266CrossRefPubMed
26.
Zurück zum Zitat Roos EM, Roos HP, Ekdahl C, Lohmander LS (1998) Knee injury and osteoarthritis outcome score (KOOS): validation of a Swedish version. Scand J Med Sci Sports 8(6):439–448CrossRefPubMed Roos EM, Roos HP, Ekdahl C, Lohmander LS (1998) Knee injury and osteoarthritis outcome score (KOOS): validation of a Swedish version. Scand J Med Sci Sports 8(6):439–448CrossRefPubMed
27.
Zurück zum Zitat Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD (1998) knee injury and osteoarthritis outcome score (KOOS): development of a self-administered outcome measure. J Orthop Sports Phys Ther 28(2):88–96CrossRefPubMed Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD (1998) knee injury and osteoarthritis outcome score (KOOS): development of a self-administered outcome measure. J Orthop Sports Phys Ther 28(2):88–96CrossRefPubMed
28.
Zurück zum Zitat Roos EM, Östenberg A, Roos H, Ekdahl C, Lohmander LS (2001) Long-term outcome of meniscectomy: symptoms, function, and performance tests in patients with or without radiographic osteoarthritis compared to matched controls. Osteoarthr Cartil 9(4):316–324CrossRefPubMed Roos EM, Östenberg A, Roos H, Ekdahl C, Lohmander LS (2001) Long-term outcome of meniscectomy: symptoms, function, and performance tests in patients with or without radiographic osteoarthritis compared to matched controls. Osteoarthr Cartil 9(4):316–324CrossRefPubMed
29.
Zurück zum Zitat Sapega AA (1990) Muscle performance evaluation in orthopaedic practice. J Bone Joint Surg Am 72(10):1562–1574CrossRefPubMed Sapega AA (1990) Muscle performance evaluation in orthopaedic practice. J Bone Joint Surg Am 72(10):1562–1574CrossRefPubMed
30.
Zurück zum Zitat Sihvonen R, Paavola M, Malmivaara A, Itala A, Joukainen A, Nurmi H, Kalske J, Jarvinen TL (2013) Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med 369(26):2515–2524CrossRefPubMed Sihvonen R, Paavola M, Malmivaara A, Itala A, Joukainen A, Nurmi H, Kalske J, Jarvinen TL (2013) Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med 369(26):2515–2524CrossRefPubMed
31.
Zurück zum Zitat Stensrud S, Risberg MA, Roos EM (2014) Knee function and knee muscle strength in middle-aged patients with degenerative meniscal tears eligible for arthroscopic partial meniscectomy. Br J Sports Med 48(9):784–788CrossRefPubMed Stensrud S, Risberg MA, Roos EM (2014) Knee function and knee muscle strength in middle-aged patients with degenerative meniscal tears eligible for arthroscopic partial meniscectomy. Br J Sports Med 48(9):784–788CrossRefPubMed
32.
Zurück zum Zitat Tegner Y, Lysholm J, Lysholm M, Gillquist J (1986) A performance test to monitor rehabilitation and evaluate anterior cruciate ligament injuries. Am J Sports Med 14(2):156–159CrossRefPubMed Tegner Y, Lysholm J, Lysholm M, Gillquist J (1986) A performance test to monitor rehabilitation and evaluate anterior cruciate ligament injuries. Am J Sports Med 14(2):156–159CrossRefPubMed
33.
Zurück zum Zitat Thorlund JB, Aagaard P, Roos EM (2010) Thigh muscle strength, functional capacity, and self-reported function in patients at high risk of knee osteoarthritis compared with controls. Arthritis Care Res (Hoboken) 62(9):1244–1251CrossRef Thorlund JB, Aagaard P, Roos EM (2010) Thigh muscle strength, functional capacity, and self-reported function in patients at high risk of knee osteoarthritis compared with controls. Arthritis Care Res (Hoboken) 62(9):1244–1251CrossRef
34.
Zurück zum Zitat Thorlund JB, Aagaard P, Roos EM (2012) Muscle strength and functional performance in patients at high risk of knee osteoarthritis: a follow-up study. Knee Surg Sports Traumatol Arthrosc 20(6):1110–1117CrossRefPubMed Thorlund JB, Aagaard P, Roos EM (2012) Muscle strength and functional performance in patients at high risk of knee osteoarthritis: a follow-up study. Knee Surg Sports Traumatol Arthrosc 20(6):1110–1117CrossRefPubMed
35.
Zurück zum Zitat Thorlund JB, Hare KB, Lohmander LS (2014) Large increase in arthroscopic meniscus surgery in the middle-aged and older population in Denmark from 2000 to 2011. Acta Orthop 85(3):287–292CrossRefPubMedPubMedCentral Thorlund JB, Hare KB, Lohmander LS (2014) Large increase in arthroscopic meniscus surgery in the middle-aged and older population in Denmark from 2000 to 2011. Acta Orthop 85(3):287–292CrossRefPubMedPubMedCentral
36.
Zurück zum Zitat Thorlund JB, Juhl CB, Roos EM, Lohmander LS (2015) Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms. Br J Sports Med 49(19):1229–1235CrossRefPubMedPubMedCentral Thorlund JB, Juhl CB, Roos EM, Lohmander LS (2015) Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms. Br J Sports Med 49(19):1229–1235CrossRefPubMedPubMedCentral
37.
Zurück zum Zitat Thorlund JB, Holsgaard-Larsen A, Creaby MW, Jorgensen GM, Nissen N, Englund M, Lohmander LS (2016) Changes in knee joint load indices from before to 12 months after arthroscopic partial meniscectomy: a prospective cohort study. Osteoarthr Cartil 24(7):1153–1159CrossRefPubMed Thorlund JB, Holsgaard-Larsen A, Creaby MW, Jorgensen GM, Nissen N, Englund M, Lohmander LS (2016) Changes in knee joint load indices from before to 12 months after arthroscopic partial meniscectomy: a prospective cohort study. Osteoarthr Cartil 24(7):1153–1159CrossRefPubMed
38.
Zurück zum Zitat Thorstensson CA, Petersson IF, Jacobsson LT, Boegard TL, Roos EM (2004) Reduced functional performance in the lower extremity predicted radiographic knee osteoarthritis 5 years later. Ann Rheum Dis 63(4):402–407CrossRefPubMedPubMedCentral Thorstensson CA, Petersson IF, Jacobsson LT, Boegard TL, Roos EM (2004) Reduced functional performance in the lower extremity predicted radiographic knee osteoarthritis 5 years later. Ann Rheum Dis 63(4):402–407CrossRefPubMedPubMedCentral
39.
Zurück zum Zitat Von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP (2014) The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg 12(12):1495–1499CrossRef Von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP (2014) The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg 12(12):1495–1499CrossRef
Metadaten
Titel
Recovery of lower extremity muscle strength and functional performance in middle-aged patients undergoing arthroscopic partial meniscectomy
verfasst von
Tina Ganderup
Carsten Jensen
Anders Holsgaard-Larsen
Jonas B. Thorlund
Publikationsdatum
20.09.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 2/2017
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-016-4315-7

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