Prevalence of Articular Surface Injuries in Patients Undergoing Meniscal Surgery: A Retrospective Analysis of 758 Cases.

Autor:	Valderrama J; Department of Orthopedics, Clínica Indisa, Santiago, CHL.; Department of Orthopedics, Hospital Clínico Mutual de Seguridad, Santiago, CHL., Carredano X; Department of Orthopedics, Clínica Indisa, Santiago, CHL.; Department of Orthopedics, Hospital Clínico Mutual de Seguridad, Santiago, CHL., León A; Department of Orthopedics, Clínica Indisa, Santiago, CHL.; Department of Orthopedics, Hospital Clínico Mutual de Seguridad, Santiago, CHL., Vigueras C; Department of Orthopedics, Clínica Indisa, Santiago, CHL.; Department of Orthopedics, Hospital Clínico Mutual de Seguridad, Santiago, CHL., Marín F; Department of Orthopedics, Clínica Indisa, Santiago, CHL.; Department of Orthopedics, Hospital Clínico Dra. Eloísa Díaz Insunza de La Florida, Santiago, CHL., Acevedo M; Department of Orthopedics, Clínica Indisa, Santiago, CHL., Hernández R; Department of Orthopedics, Clínica Indisa, Santiago, CHL., Redenz G; Department of Orthopedics, Clínica Indisa, Santiago, CHL.; Department of Medicine, Universidad Andrés Bello, Santiago, CHL.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 13; Vol. 16 (8), pp. e66789. Date of Electronic Publication: 2024 Aug 13 (Print Publication: 2024).
DOI:	10.7759/cureus.66789
Abstrakt:	Background and aim Meniscal tears are often associated with articular surface damage, which could be an important factor in the clinical outcome. However, these concomitant lesions are usually reported as binary variables. Reports of the severity/extent of the concomitant lesions and stratification by meniscal tear are scarce in the literature; in addition, sample sizes of previous reports are limited. This study aimed to characterize meniscal lesions, determine the prevalence of articular surface lesions and their severity, and correlate these lesions with meniscal injury characteristics. Methods A cross-sectional study of patients undergoing meniscal surgery between 2017 and 2023 was conducted. Patient characteristics and arthroscopic findings on the location and type of meniscal injury as well as the degree of chondral lesion (sICRS score) were recorded by the surgeon. Statistical analysis included frequency reporting for patient characteristics and study variables, including the median and interquartile range of the sICRS classification of articular surface lesions. Meniscal tear types were categorized as degenerative or non-degenerative to explore associations with chondral injury. Chi-square test and univariate and multivariate logistic regression models were employed to analyze relationships between variables. Results A total of 758 surgeries were analyzed, with a mean age of 39.56 years (SD: 12.71) and 67.90% male participants. Medial meniscus injuries accounted for 57.52%, lateral meniscus 36.02%, and both menisci 6.64%. Significant differences were found in vascular area, topography, and lesion type between isolated medial and lateral meniscus lesions (p<0.01). Chondral lesions were present in 35.22% of cases, with significant differences among meniscal injury types (p<0.01). Degenerative tears showed higher rates of chondral damage compared to non-degenerative tears, particularly in lateral meniscus injuries (p<0.01). Regression analysis identified age, gender, meniscal injury characteristics, and meniscectomy percentage as risk factors for articular surface injuries. Conclusion Articular surface injuries frequently accompany meniscal lesions, with associations between affected menisci and articular damage extent. Femoral condyles show greater involvement corresponding to compartment-specific meniscal lesions, unlike tibial plateaus. Meniscal degeneration is present in about half of articular cartilage injury cases. Some meniscal tear types may relate to more severe articular lesions, but larger studies are needed to confirm these findings and explore other tear patterns. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Clínica Indisa Scientific Ethical Committee issued approval #0012021. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Valderrama et al.)
Databáze:	MEDLINE
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