Rapid chondrolysis after arthroscopic partial lateral meniscectomy in athletes: a case report

Ishida, Kazunari; Kuroda, Ryosuke; Sakai, Heiichi; Doita, Minoru; Kurosaka, Masahiro; Yoshiya, Shinichi

doi:10.1007/s00167-006-0091-0

Cited by 34 publications

(24 citation statements)

References 21 publications

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“…A few studies have raised concerns that partial lateral meniscectomy may be related to rapid chondrolysis (Alford et al, 2005;Ishida et al, 2006;Mariani et al, 2008). Recently, the first case report was published of rapid chondrolysis following a deep radial tear in the lateral meniscus that was conservatively treated (Thaunat et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Meniscal extrusion or subchondral damage characterize incident accelerated osteoarthritis: Data from the osteoarthritis initiative

et al. 2015

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Introduction Knee osteoarthritis (KOA) is typically a slowly progressive disorder; however, a subset of knees progress with dramatic rapidity. We aimed to describe magnetic resonance imaging (MRI) findings that are associated with accelerated KOA. Materials and Methods We conducted a longitudinal descriptive study in the Osteoarthritis Initiative (OAI) cohort. We selected participants who had no radiographic KOA at baseline with one of the following in the most severe knee: 1) accelerated KOA (progressed to end-stage KOA within 48 months), 2) common KOA, and 3) no KOA at all visits. We enriched the sample by selecting knees with a self-reported or suspected knee injury. A musculoskeletal radiologist blinded to group assignments but not to time sequence performed MRI readings for the visit before and after an injury. Results We assessed 38 participants (knees), 66% were female, mean age 61 (9) years, and mean body mass index 28.5 (4.9) kg/m2. Fifteen of 20 knees with no or common KOA, had no incident findings consistent with acute damage. Among the 18 knees with accelerated KOA most had incident findings: 13 (72%) had incident medial meniscal pathology with extrusion and 5 (28%) knees had subchondral damage. Conclusions Incident MRI findings that are associated with incident accelerated KOA are characterized by structural damage that compromises subchondral bone or the function of the meniscus. Recognizing meniscal extrusion and/or change in shape, lateral meniscal tear, or acute subchondral damage may be vital for identifying individuals at risk for accelerated KOA.

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Section: Discussionmentioning

confidence: 99%

Meniscal extrusion or subchondral damage characterize incident accelerated osteoarthritis: Data from the osteoarthritis initiative

et al. 2015

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“…As has already been stated, lateral meniscectomy has more serious and greater consequences than medial meniscectomy. Indeed, there have been some case reports of severe lateral compartmental degeneration/arthritis developing very rapidly in young athletes who continue to train/compete at high levels after lateral meniscectomy 13. For this reason, if a deep radial tear in the lateral meniscus is found at arthroscopy with young athletes, then an attempt at meniscal repair is justified.…”

Section: Special Casesmentioning

confidence: 99%

Meniscal tears, repairs and replacement: their relevance to osteoarthritis of the knee

McDermott

2011

Br J Sports Med

127

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The menisci of the knee are important load sharers and shock absorbers in the joint. Meniscal tears are common, and whenever possible meniscal tears should be surgically repaired. Meniscectomy leads to a significant increased risk of osteoarthritis, and various options now exist for replacing missing menisci, including the use of meniscal scaffolds or the replacement of the entire meniscus by meniscal allograft transplantation. The field of meniscal surgery continues to develop apace, and the future may lie in growing new menisci by tissue engineering techniques.

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“…In addition, although rare, severe complications such as rapid chondrolysis have been reported after partial meniscectomy in athletes. 5 , 6 Consequently, in consideration of surgical option for meniscal tears in athletes, recent trend has been shifted to preservation of meniscal function as much as possible.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcome of meniscus repair for isolated meniscus tear in athletes

Nakayama

Kanto

Kambara

et al. 2017

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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ObjectiveTo examine the clinical and functional outcomes for a series of patients who underwent meniscal repair for isolated meniscal tears focusing the study population on athletes.MethodsThis study represents a case series of 46 athletes who underwent repair of isolated meniscal lesions of the knee from 2010 to 2015. Cases of discoid meniscal lesions and combined ligament injuries were excluded. The mean age of the patients was 22.9 years ranging from 12 to 50 years. Arthroscopic inside-out repair was primarily a procedure of option. For repair of tears with degeneration and inferior vascularity, autogenous fibrin clot was implanted to the repair site for healing enhancement. The mean follow-up period of all patients was 19.8 ± 6.8 months (range; 12 months–33 months).ResultsIn total, 37 of 46 patients (80%) could go back to their original sports activities. During the follow-up period, re-tear was encountered in 4 of 46 knees (8.7%). No significant differences in clinical/functional outcomes and re-tear rate were detected between the medial and lateral meniscal repairs.ConclusionIn our expanded repair indication for isolated meniscus repair for athletes, the rate of satisfactory return to sports was 91.3% in total (88.9% for the medial meniscus group; 92.9% for the lateral meniscus group). During the follow-up period ranging from 12 to 33 months (mean, 19.8 months), re-tear of the repaired site was encountered in 4 of the 46 knees (8.7%).

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Rapid chondrolysis after arthroscopic partial lateral meniscectomy in athletes: a case report

Cited by 34 publications

References 21 publications

Meniscal extrusion or subchondral damage characterize incident accelerated osteoarthritis: Data from the osteoarthritis initiative

Meniscal extrusion or subchondral damage characterize incident accelerated osteoarthritis: Data from the osteoarthritis initiative

Meniscal tears, repairs and replacement: their relevance to osteoarthritis of the knee

Clinical outcome of meniscus repair for isolated meniscus tear in athletes

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