Meniscal Lesions in Geriatric Population: Prevalence and Association with Knee Osteoarthritis

Author(s): Meltem Özdemir*, Rasime Kavak.

Journal Name: Current Aging Science

Volume 12 , Issue 1 , 2019

DOI : 10.2174/1874609812666190628112103

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Graphical Abstract:


Abstract:

Objective: This study evaluated the prevalence of different types of meniscal lesions among elderly patients with knee pain. Moreover, this study assessed the relationship between meniscal lesions and the presence of radiographic knee osteoarthritis (OA) in the elderly population.

Methods: The radiographs and magnetic resonance images of one knee out of 306 patients with knee pain aged 65-89 years were reviewed for knee OA and meniscal lesions. The prevalence of different types of meniscal lesions was calculated, and the relationship between the prevalence of meniscal lesion types and the presence of radiographic knee OA was analyzed.

Results: Among 306 participants, 274 (89.5%) showed radiographic knee OA. We found one or more meniscal lesion(s) in 93% of the total subjects, in 94% of all patients with knee OA, and in 84% of all patients without knee OA. The prevalence of surgically target, possible-target, and nontarget lesions were 24%, 72%, and 69%, respectively. The prevalence of surgically target lesions was significantly higher in patients with knee OA than in those without it. The most common lesion observed was meniscal extrusion, followed by the horizontal and complex meniscal tears.

Conclusions: Our results demonstrated that meniscal damage is considerably prevalent among elderly individuals with knee pain, especially in those with knee OA. The fact that surgically target and possible-target lesions constitute a substantial proportion of these lesions should be considered in the clinical approach to these patients.

Keywords: Aged, knee osteoarthritis, meniscus, MRI, geriatric population, radiographs.

[1]
Oo WM, Bo MT. Role of ultrasonography in knee osteoarthritis. J Clin Rheumatol 2016; 22(6): 324-9.
[2]
Katz JN, Smith SR, Yang HY, Martin SD, Wright J, Donnell-Fink LA, et al. Value of history, physical examination, and radiographic findings in the diagnosis of symptomatic meniscal tear among middle-aged subjects with knee pain. Arthritis Care Res 2017; 69: 484-90.
[3]
MacFarlane LA, Yang H, Collins JE, Guermazi A, Jones MH, Teeple E, et al. Associations among meniscal damage, meniscal symptoms and knee pain severity. Osteoarthritis Cartilage 2016; 25: 850-7.
[4]
Tornbjerg SM, Nissen N, Englund M, Jørgensen U, Schjerning J, Lohmander LS, et al. Structural pathology is not related to patient-reported pain and function in patients undergoing meniscal surgery. Br J Sports Med 2017; 51: 525-30.
[5]
Guermazi A, Niu J, Hayashi D, Roemer FW, Englund M, Neogi T, et al. Prevalence of abnormalities in knees detected by MRI in adults without knee osteoarthritis: Population based observational study (Framingham Osteoarthritis Study). BMJ 2012; 345e5339
[6]
Kumm J, Turkiewicz A, Zhang F, Englund M. Structural abnormalities detected by knee magnetic resonance imaging are common in middle-aged subjects with and without risk factors for osteoarthritis. Acta Orthopaedica 2018; 89(5): 535-40.
[7]
Englund M, Guermazi A, Gale D, Hunter DJ, Aliabadi P, Clancy M, et al. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med 2008; 359: 1108-15.
[8]
Abram SGF, Beard DJ, Price AJ. BASK Meniscal Working Group. National consensus on the definition, investigation, and classification of meniscal lesions of the knee. The Knee 2018; 25: 834-40.
[9]
Kellgren H, Lawrence JS. Radiological assessement of osteoarthrosis. Ann Rheum Dis 1957; 16: 494-502.
[10]
Fox MG. MR imaging of the meniscus: review, current trends, and clinical implications. Radiol Clin North Am 2007; 45: 1033-53.
[11]
De Smet AA, Tuite MJ. Use of the “two-slice-touch” rule for the MRI diagnosis of meniscal tears. AJR Am J Roentgenol 2006; 187: 911-4.
[12]
Jee WH, McCauley TR, Kim JM, Jun DJ, Lee YJ, Choi BG, et al. Meniscal tear configurations: Categorization with MR imaging. AJR Am J Roentgenol 2003; 180: 93-7.
[13]
Logerstedt D, Snyder-Mackler L. Knee pain and mobility impairments: Meniscal and articular lesions. J Orthop Sports Phys Ther 2010; 40(6): A1-A35.
[14]
Fox AJ, Wanivenhaus F, Burge AJ, Warren RF, Rodeo SA. The human meniscus: A review of anatomy, function, injury, and advances in treatment. Clin Anat 2015; 28(2): 269-87.
[15]
Greis PE, Bardana DD, Holmstrom MC, Burks RT. Meniscal injury: I. Basic science and evaluation. J Am Acad Orthop Surg 2002; 10: 168-76.
[16]
Metcalf MH, Barrett GR. Prospective evaluation of 1485 meniscal tear patterns in patients with stable knees. Am J Sports Med 2004; 32: 675-80.
[17]
Papalia R, Vasta S, Franceschi F, D’Adamio S, Maffulli N, Denaro V, et al. Meniscal root tears: From basic science to ultimate surgery. Br Med Bull 2013; 106(1): 91-115.
[18]
Guermazi A, Hayashi D, Jarraya M. Medial posterior meniscal root tears are associated with development or worsening of medial tibiofemoral cartilage damage: The multicenter osteoarthritis study. Radiology 2013; 268(3): 814-21.
[19]
Svensson F, Felson DT, Zhang F, Guermazi A, Roemer FW, Niu J, et al. Meniscal body extrusion and cartilage coverage in middle-aged and elderly without radiographic knee osteoarthritis. Eur Radiol 2018; 2: 1-7.
[20]
Health Sciences University, Dışkapı Yıldırım Beyazıt Training and Research Hospital. Available at: https://diskapieah.saglik.gov.tr/


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Article Details

VOLUME: 12
ISSUE: 1
Year: 2019
Page: [67 - 73]
Pages: 7
DOI: 10.2174/1874609812666190628112103

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