What question did this study set out to answer?

To characterize meniscus tear patterns and evaluate surgical repair rates among skeletally immature children compared with skeletally mature adolescents.

September 26, 2013The American Journal of Sports Medicine

Meniscus Tear Patterns in Relation to Skeletal Immaturity

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Authors

ASAlvin K. ShiehShriners Hospitals for Children - Erie TBTracey P. BastromIzaak Walton Killam Health Centre JRJoanna H. RoocroftRady Children's Hospital-San Diego

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Implication

Cross-sectional study reveals high rates of complex meniscus tears in children and adolescents, indicating earlier surgical intervention improves repair feasibility.

Key Points

To characterize meniscus tear patterns and evaluate surgical repair rates among skeletally immature children compared with skeletally mature adolescents.
Retrospective review of N=293 patients aged 10–19 years undergoing arthroscopic surgery for meniscus injuries at a single institution.
Patients were categorized by growth plate status into children (open growth plates, n=119, mean age 13.5 years) and adolescents (closed growth plates, n=174, mean age 16.4 years).
Operative records and intraoperative images were analyzed for tear pattern, location, surgical repair, and concurrent ligamentous injuries.
Complex tears were the most prevalent pattern overall (28%) and occurred more frequently in boys (32% vs 20% in girls; P < .03) and patients with higher mean BMI (27.4 vs 25.1 kg/m²; P < .002).
Children presented with significantly fewer associated ligament injuries than adolescents (28% vs 51%; P < .05) and had higher rates of discoid meniscus tears (P < .05).
Surgical repair occurred in 47% of cases, with higher repair rates when surgery occurred within 3 months of injury compared to after 6 months (56% vs 42%; P < .03), with no significant difference between children (49%) and adolescents (46%; P > .05).

Cite This Study

Shieh et al. (2013) studied this question.

synapsesocial.com/papers/6a764ba60d7658322f06dfe5 https://doi.org/10.1177/0363546513504286

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Implication

Cross-sectional study reveals high rates of complex meniscus tears in children and adolescents, indicating earlier surgical intervention improves repair feasibility.

Meniscus Tear Patterns in Relation to Skeletal Immaturity

Discussion

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Implication

Key Points

Cite This Study

Meniscus Tear Patterns in Relation to Skeletal Immaturity

Discussion

Member takes

Implication

Key Points

Cite This Study

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