nach oben

Current Reviews in Musculoskeletal Medicine

Erschienen in:

23.05.2019 | Pediatric Orthopedics (B Heyworth, Section Editor)

Outcomes of Meniscus Repair in Children and Adolescents

verfasst von: Brian W. Yang, Elizabeth S. Liotta, Nikolaos Paschos

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 2/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

The purpose of this study was to review the clinical and functional outcomes of meniscus repair in children and adolescents.

Recent Findings

The sequel of meniscal tears and the outcome of meniscus repair have been well studied in adults. However, these topics have received less attention in the pediatric population despite the high prevalence and potentially critical effect on long-term knee function in children.

Summary

Meniscus repair has a healing rate ranging from 33 to 100% with less than 40% reoperation rate. Several factors have been suggested to play a role in healing, such as concomitant ACL reconstruction and complexity of the tear. There is a lack of standardization among the utilization of functional outcome and activity level questionnaires across studies; however, most report improved function postoperatively. Other important considerations include bucket handle tears, the discoid meniscus, rehabilitation and return to sports, and alternatives after failed meniscus repair. Based on the favorable outcomes reported, meniscus repair should be attempted in most meniscus tears in children.

McConkey MO, Bonasia DE, Amendola A. Pediatric anterior cruciate ligament reconstruction. Curr Rev Musculoskelet Med. 2011;4(2):37–44.CrossRefPubMedPubMedCentral

Stanitski CL, Harvell JC, Fu F. Observations on acute knee hemarthrosis in children and adolescents. J Pediatr Orthop. 1993;13(4):506–10.CrossRefPubMed

Bellisari G, Samora W, Klingele K. Meniscus tears in children. Sports Med Arthrosc Rev. 2011;19(1):50–5.CrossRefPubMed

Carter CW, Kocher MS. Meniscus repair in children. Clin Sports Med. 2012;31(1):135–54.CrossRefPubMed

• Ferrari MB, Murphy CP, Gomes JLE. Meniscus repair in children and adolescents: a systematic review of treatment approaches, meniscal healing, and outcomes. J Knee Surg. 2018. This recent systemic review analyzed the available literature for meniscus repairs and concluded that meniscus repair in children is associated with good to excellent outcomes.

Merkel DL. Youth sport: positive and negative impact on young athletes. Open Access J Sports Med. 2013;4:151–60.CrossRefPubMedPubMedCentral

Mintzer CM, Richmond JC, Taylor J. Meniscal repair in the young athlete. Am J Sports Med. 1998;26(5):630–3.CrossRefPubMed

Vanderhave KL, Moravek JE, Sekiya JK, Wojtys EM. Meniscus tears in the young athlete: results of arthroscopic repair. J Pediatr Orthop. 2011;31(5):496–500.CrossRefPubMed

Starke C, Kopf S, Petersen W, Becker R. Meniscal repair. Arthroscopy. 2009;25(9):1033–44.CrossRefPubMed

10.

Lohmander LS, Englund PM, Dahl LL, Roos EM. The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med. 2007;35(10):1756–69.CrossRef

11.

Andrish JT. Meniscal injuries in children and adolescents: diagnosis and management. J Am Acad Orthop Surg. 1996;4(5):231–7.CrossRefPubMed

12.

Hede A, Jensen DB, Blyme P, Sonne-Holm S. Epidemiology of meniscal lesions in the knee. 1,215 open operations in Copenhagen 1982-84. Acta Orthop Scand. 1990;61(5):435–7.CrossRefPubMed

13.

• Mitchell J, Graham W, Best TM, Collins C, Currie DW, Comstock RD, et al. Epidemiology of meniscal injuries in US high school athletes between 2007 and 2013. Knee Surg Sports Traumatol Arthrosc. 2016;24(3):715–22. This study evaluated 1082 meniscal injuries in high school athletes and reported a rate of 5.1 meniscus injury per 100,000 athletes and highlighted associations with gender, sport, and type of exposure.CrossRefPubMed

14.

Mosich GM, Lieu V, Ebramzadeh E, Beck JJ. Operative treatment of isolated meniscus injuries in adolescent patients: a meta-analysis and review. Sports Health. 2018;10(4):311–6.CrossRefPubMedPubMedCentral

15.

Shelbourne KD, Carr DR. Meniscal repair compared with meniscectomy for bucket-handle medial meniscal tears in anterior cruciate ligament-reconstructed knees. Am J Sports Med. 2003;31(5):718–23.CrossRefPubMed

16.

Wasserstein D, Dwyer T, Gandhi R, Austin PC, Mahomed N, Ogilvie-Harris D. A matched-cohort population study of reoperation after meniscal repair with and without concomitant anterior cruciate ligament reconstruction. Am J Sports Med. 2013;41(2):349–55.CrossRefPubMed

17.

Krych AJ, McIntosh AL, Voll AE, Stuart MJ, Dahm DL. Arthroscopic repair of isolated meniscal tears in patients 18 years and younger. Am J Sports Med. 2008;36(7):1283–9.CrossRefPubMed

18.

Lucas G, Accadbled F, Violas P, Sales de Gauzy J, Knorr J. Isolated meniscal injuries in paediatric patients: outcomes after arthroscopic repair. Orthop Traumatol Surg Res. 2015;101(2):173–7.CrossRefPubMed

19.

Accadbled F, Cassard X, Sales de Gauzy J, Cahuzac JP. Meniscal tears in children and adolescents: results of operative treatment. J Pediatr Orthop B. 2007;16(1):56–60.CrossRefPubMed

20.

Kraus T, Heidari N, Svehlik M, Schneider F, Sperl M, Linhart W. Outcome of repaired unstable meniscal tears in children and adolescents. Acta Orthop. 2012;83(3):261–6.CrossRefPubMedPubMedCentral

21.

Noyes FR, Chen RC, Barber-Westin SD, Potter HG. Greater than 10-year results of red-white longitudinal meniscal repairs in patients 20 years of age or younger. Am J Sports Med. 2011;39(5):1008–17.CrossRefPubMed

22.

Scott GA, Jolly BL, Henning CE. Combined posterior incision and arthroscopic intra-articular repair of the meniscus. An examination of factors affecting healing. J Bone Joint Surg Am. 1986;68(6):847–61.CrossRefPubMed

23.

Schmitt A, Batisse F, Bonnard C. Results with all-inside meniscal suture in pediatrics. Orthop Traumatol Surg Res. 2016;102(2):207–11.CrossRefPubMed

24.

Bloome DM, Blevins FT, Paletta GA Jr, Newcomer JK, Cashmore B, Turker R. Meniscal repair in very young children. Arthroscopy. 2000;16(5):545–9.CrossRefPubMed

25.

Krych AJ, Pitts RT, Dajani KA, Stuart MJ, Levy BA, Dahm DL. Surgical repair of meniscal tears with concomitant anterior cruciate ligament reconstruction in patients 18 years and younger. Am J Sports Med. 2010;38(5):976–82.CrossRefPubMed

26.

Cannon WD Jr, Vittori JM. The incidence of healing in arthroscopic meniscal repairs in anterior cruciate ligament-reconstructed knees versus stable knees. Am J Sports Med. 1992;20(2):176–81.CrossRefPubMed

27.

Nepple JJ, Dunn WR, Wright RW. Meniscal repair outcomes at greater than five years: a systematic literature review and meta-analysis. J Bone Joint Surg Am. 2012;94(24):2222–7.CrossRefPubMedPubMedCentral

28.

Paxton ES, Stock MV, Brophy RH. Meniscal repair versus partial meniscectomy: a systematic review comparing reoperation rates and clinical outcomes. Arthroscopy. 2011;27(9):1275–88.CrossRefPubMed

29.

Shakespeare DT, Rigby HS. The bucket-handle tear of the meniscus. A clinical and arthrographic study. J Bone Joint Surg Br. 1983;65(4):383–7.CrossRefPubMed

30.

Kramer DE, Micheli LJ. Meniscal tears and discoid meniscus in children: diagnosis and treatment. J Am Acad Orthop Surg. 2009;17(11):698–707.CrossRefPubMed

31.

Manzione M, Pizzutillo PD, Peoples AB, Schweizer PA. Meniscectomy in children: a long-term follow-up study. Am J Sports Med. 1983;11(3):111–5.CrossRefPubMed

32.

Jordan MR. Lateral meniscal variants: evaluation and treatment. J Am Acad Orthop Surg. 1996;4(4):191–200.CrossRefPubMed

33.

Fields LK, Caldwell PE 3rd. Arthroscopic saucerization and repair of discoid lateral meniscal tear. Arthrosc Tech. 2015;4(2):e185–8.CrossRefPubMedPubMedCentral

34.

Yoo WJ, Jang WY, Park MS, Chung CY, Cheon JE, Cho TJ, et al. Arthroscopic treatment for symptomatic discoid meniscus in children: midterm outcomes and prognostic factors. Arthroscopy. 2015;31(12):2327–34.CrossRefPubMed

35.

• Ahn JH, Kim KI, Wang JH, Jeon JW, Cho YC, Lee SH. Long-term results of arthroscopic reshaping for symptomatic discoid lateral meniscus in children. Arthroscopy. 2015;31(5):867–73. This study evaluated arthroscopic reshaping of symptomatic discoid menisci at an average time of 10.1 years with overall satisfactory outcome. However, in approximately 40% of the patients progressive degenerative changes occurred.CrossRefPubMed

36.

Ahn JH, Lee SH, Yoo JC, Lee YS, Ha HC. Arthroscopic partial meniscectomy with repair of the peripheral tear for symptomatic discoid lateral meniscus in children: results of minimum 2 years of follow-up. Arthroscopy. 2008;24(8):888–98.CrossRefPubMed

37.

• Kocher MS, Logan CA, Kramer DE. Discoid lateral meniscus in children: diagnosis, management, and outcomes. J Am Acad Orthop Surg. 2017;25(11):736–43. This study provides a comprehensive description of the characteristics of the lateral discoid meniscus and outlined the algorithm of management of discoid lateral meniscus in children.CrossRefPubMed

38.

Bedi A, Kelly N, Baad M, Fox AJ, Ma Y, Warren RF, et al. Dynamic contact mechanics of radial tears of the lateral meniscus: implications for treatment. Arthroscopy. 2012;28(3):372–81.CrossRefPubMed

39.

Koh JL, Yi SJ, Ren Y, Zimmerman TA, Zhang LQ. Tibiofemoral contact mechanics with horizontal cleavage tear and resection of the medial meniscus in the human knee. J Bone Joint Surg Am. 2016;98(21):1829–36.CrossRefPubMed

40.

Baratz ME, Fu FH, Mengato R. Meniscal tears: the effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee. A preliminary report. Am J Sports Med. 1986;14(4):270–5.CrossRef

41.

• Mahmoud A, Young J, Bullock-Saxton J, Myers P. Meniscal allograft transplantation: the effect of cartilage status on survivorship and clinical outcome. Arthroscopy. 2018;34(6):1871–6 e1. This study evaluated the survivorship of meniscal allograft transplantations and reported an 18% failure at an average of 6 years postoperatively, all occurring in patients with Outerbridge Cartilage Score of 3 to 4. This study demonstrated the importance of cartilage status for meniscal allograft transplant survivorship.CrossRefPubMed

42.

• Riboh JC, Tilton AK, Cvetanovich GL, Campbell KA, Cole BJ. Meniscal allograft transplantation in the adolescent population. Arthroscopy. 2016;32(6):1133–40 e1. This study evaluated the outcome of meniscus transplantation in 36 children with a mean age of 15.4 and reported significant improvements in KOOS, Lysholm, and IKDC scores. Interestingly, the meniscal reoperation rate was 6% and the overall reoperation rate was 22%, most of them being for chondral disease.CrossRefPubMed

Titel: Outcomes of Meniscus Repair in Children and Adolescents
verfasst von: Brian W. Yang
Elizabeth S. Liotta
Nikolaos Paschos
Publikationsdatum: 23.05.2019
Verlag: Springer US
Erschienen in: Current Reviews in Musculoskeletal Medicine / Ausgabe 2/2019
Elektronische ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-019-09554-6

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

23.04.2024 | Leitsymptom Rückenschmerzen | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Outcomes of Meniscus Repair in Children and Adolescents

Abstract

Purpose of Review

Recent Findings

Summary

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2019

Concussion Pathophysiology and Injury Biomechanics

Outcomes Associated with Return to Sports Following Osteochondral Allograft Transplant in the Knee: a Scoping Review

On-field Management of Shoulder and Elbow Injuries in Baseball Athletes

ACL Reconstruction with Augmentation: a Scoping Review

A Clinician’s Guide to Analysis of the Pitching Motion

Hand and Wrist Injuries in Tennis Players

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie