AI Article Synopsis
- - The study examined the long-term effects of meniscal tears on knee health in middle-aged adults over 8 years, finding that 22% had meniscal tears at the beginning and 16% experienced increased severity over time.
- - Participants with worsening meniscal tears reported greater knee pain, with the offspring of patients who had knee replacements experiencing more pain compared to controls.
- - The findings suggest that changes in meniscal tears are linked to risk factors of knee osteoarthritis (OA) and are related to worsening pain and structural damage, indicating meniscal tears could be a factor in the development of knee OA.
Article Abstract
Background: There is limited longitudinal data available on the natural history of meniscal tears especially in middle-aged adults with a low prevalence of osteoarthritis (OA). The aim of this study was to describe the natural history of meniscal tears over 8 years and the relationship with change in knee pain and structures.
Methods: One hundred ninety eight participants [mean age 47 (28-63); 57% female] were studied at baseline and 8 years later. Approximately half were the adult offspring of subjects who had a knee replacement performed for knee OA and the remainder were randomly selected controls. Meniscal tears/extrusion, cartilage volume/defects, bone marrow lesions (BMLs) and effusion were assessed on MRI. Knee pain was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index.
Results: 22% of the participants had at least one meniscal tear at any site at baseline. Over 8 years, 16% of the participants had an increase in severity of meniscal tears while none improved. Increase in meniscal tear score was associated with worsening knee pain (β = +2.81 (+1.40, +4.22)), with offspring having a significantly greater increase in pain severity compared to controls. BMI and presence of osteophytes at baseline, but not knee injury, predicted change in tears, whereas change in meniscal tears was independently associated with cartilage volume loss, change in BMLs and change in meniscal extrusion.
Conclusion: Change in meniscal tears shares risk factors with knee OA and is independently associated with worsening knee pain and structural damage suggesting that meniscal tears are on the knee OA causal pathway.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4700611 | PMC |
| http://dx.doi.org/10.1186/s12891-015-0862-1 | DOI Listing |
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