Interobserver Reliability of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) Classification of Meniscal Tears

Anderson, Allen F.; Irrgang, Jay; Dunn, Warren R.; Beaufils, Philippe; Cohen, Moisés; Cole, Brian J.; Coolican, Myles; Ferretti, Mário; Glenn, R. Edward; Johnson, Robert J.; Neyret, Philippe; Ochi, Mitsuo; Panarella, Ludovico; Siebold, Rainer; Spindler, Kurt P.; Selmi, Tarik Aït Si; Verdonk, Peter; Verdonk, René; Yasuda, Kazu; Kowalchuk, Deborah A.

doi:10.1177/0363546511400533

Cited by 174 publications

(140 citation statements)

References 28 publications

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“…In the present study, we used validated methods21 22 to systematically collect information about knee joint pathology at arthroscopy supplemented with information from surgery reports. Even though such methods have shown moderate-to-good reliability, some misclassification of joint pathology may have occurred, which potentially could attenuate an association with self-reported pain and function.…”

Section: Discussionmentioning

confidence: 99%

“…Objective findings of knee pathologies pertaining to the meniscus and cartilage were recorded by the operating surgeon at arthroscopy using a modified version of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears questionnaire21 (ie, including scoring of cartilage using the International Cartilage Repair Society (ICRS) grading system) 22. This information was supplemented with additional pathological findings extracted from the patients’ surgery reports.…”

Section: Methodsmentioning

confidence: 99%

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Structural pathology is not related to patient-reported pain and function in patients undergoing meniscal surgery

et al. 2016

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BackgroundThe relationship between meniscal tears and other joint pathologies with patient-reported symptoms is not clear. We investigated associations between structural knee pathologies identified at surgery with preoperative knee pain and function in patients undergoing arthroscopic meniscal surgery.MethodsThis study included 443 patients from the Knee Arthroscopy Cohort Southern Denmark (KACS), a prospective cohort following patients 18 years or older undergoing arthroscopic meniscal surgery at 4 hospitals between 1 February 2013 and 31 January 2014. Patient-reported outcomes, including the Knee Injury and Osteoarthritis Outcome Score (KOOS), were obtained by online questionnaires prior to surgery. Knee pathology was assessed by the operating surgeons using a modified version of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears questionnaire, supplemented with information extracted from surgery reports. Following hypothesis-driven preselection of candidate variables, backward elimination regressions were performed to investigate associations between patient-reported outcomes and structural knee pathologies.ResultsRegression models only explained a small proportion of the variability in self-reported pain and function (adjusted R2=0.10−0.12) and this association was mainly driven by age, gender and body mass index.ConclusionsSpecific meniscal pathology and other structural joint pathologies found at meniscal surgery were not associated with preoperative self-reported pain and function in patients with meniscal tears questioning inferences made about a direct relationship between these. Our findings question the role of arthroscopic surgery to address structural pathology as a means to improve patient-reported outcomes in patients having surgery for a meniscal tear.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Structural pathology is not related to patient-reported pain and function in patients undergoing meniscal surgery

et al. 2016

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“…Observed lesions were described, and when possible were classified by the operating surgeon according to the classification of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine. 10 Any meniscal lesion was then repaired or debrided as appropriate, and the ACL was reconstructed in a routine fashion.…”

Section: Operative Protocolmentioning

confidence: 99%

Posteromedial Meniscal Tears May Be Missed During Anterior Cruciate Ligament Reconstruction

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Lording

Lustig

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…This information was collected together with information about other knee pathology using a modified version of the International Society of Arthroscopy, Knee Surgery and Orthopedic Sports Medicine (ISAKOS) classification of meniscal tears18 including cartilage lesion scoring using the International Cartilage Repair System (ICRS) grading system 19. ISAKOS and ICRS forms were only completed for those with a meniscal tear at surgery, as these patients were followed in the cohort.…”

Section: Methodsmentioning

confidence: 99%

Conundrum of mechanical knee symptoms: signifying feature of a meniscal tear?

et al. 2018

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Interobserver Reliability of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) Classification of Meniscal Tears

Abstract: The ISAKOS classification of meniscal tears provides sufficient interobserver reliability for pooling of data from international clinical trials designed to evaluate the outcomes of treatment for meniscal tears.

Cited by 174 publications

References 28 publications

Structural pathology is not related to patient-reported pain and function in patients undergoing meniscal surgery

Structural pathology is not related to patient-reported pain and function in patients undergoing meniscal surgery

Posteromedial Meniscal Tears May Be Missed During Anterior Cruciate Ligament Reconstruction

Conundrum of mechanical knee symptoms: signifying feature of a meniscal tear?

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