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Intra-substance meniscal changes and their clinical significance: a meta-analysis.
- Source :
-
Scientific reports [Sci Rep] 2021 Feb 11; Vol. 11 (1), pp. 3642. Date of Electronic Publication: 2021 Feb 11. - Publication Year :
- 2021
-
Abstract
- The degeneration of radial tie fibres of the central meniscal layer, and thinning of its lamellar layer results in increased intensity signals on magnetic resonance imaging, making it difficult to differentiate from true meniscal tear. This study aimed to assess the rate of encountered MRI grades 1 and 2 intrasubstance meniscal changes, and to set guidelines to report these changes based on predicted clinical outcome. A systematic review approach was employed using search engines, libraries, and databases (Google Scholar, ERIC, PubMed, and Medline) to search for scholarly sources on meniscal lesions and their significance in MRI published between 1 January 2000 and 30 June 2019. It retrieved 2750 abstracts, out of which 2738 were excluded and 13 studies meeting inclusion criteria were meta-analysed. It found an association between intrasubstances meniscal changes and outcomes. It resulted that intrasubstance meniscal changes were preservable through the protective functioning of the meniscus. Other than weight gain, no other significant risk factor of developing true meniscal tears later in life was found. It is important to examine intrasubstance meniscal change when patients suffer from mechanical meniscal symptoms especially in old age.
- Subjects :
- Aged
Aged, 80 and over
Arthroscopy methods
Female
Humans
Knee Injuries diagnostic imaging
Knee Injuries epidemiology
Magnetic Resonance Imaging
Male
Menisci, Tibial diagnostic imaging
Meniscus physiopathology
Middle Aged
Tibial Meniscus Injuries diagnostic imaging
Tibial Meniscus Injuries epidemiology
Knee Injuries physiopathology
Menisci, Tibial physiopathology
Meniscus diagnostic imaging
Tibial Meniscus Injuries physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 2045-2322
- Volume :
- 11
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Scientific reports
- Publication Type :
- Academic Journal
- Accession number :
- 33574469
- Full Text :
- https://doi.org/10.1038/s41598-021-83181-5