Volleyball is a complex discipline with high technical, tactical, and athletic demands on the players. Because of this there is a need for the players to specialise early in certain tasks in the game, such as spiking or setting. Setting is the way in which the ball is hit with the fingertips, the wrist being radially deviated and hyperextended. In spiking, the player hits the ball at the maximum height of a vertical jump, directing the hit downwards on the ball so that the ball cannot be returned. This specialisation causes uniform repetitive loads for the players.
In a retrospective study, 100 patients underwent a clinical and radiological follow-up examination after a minimum of 7 years (range 7.0-9.3 years) following an arthroscopic partial medial meniscectomy. None of these patients had associated intra-articular lesions, apart from minor chondral damage (max. grade 2 Outerbridge classification; < 1 cm2) of the medial compartment at the time of the primary arthroscopy. According to the modified Marshall score, the follow-up evaluation showed excellent clinical results in 96%. Nevertheless, the radiological outcome, as measured by comparing preoperative and postoperative X-rays, demonstrated a development or progression of the osteoarthritis of the affected knee joint in 33%, with a statistically significant correlation between the radiological and clinical outcomes (P< 0.05). The age of the patients at the time of operation and any angular deformity of the knee joint did not influence the radiological results. Women had a statistically significantly higher risk of developing gonarthrosis after partial medial meniscectomy than men (P < 0.05). The arthroscopic partial medial meniscectomy led to excellent subjective and functional results but could not prevent the increase or development of late degenerative changes in the medial knee compartment.
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