title: Knee function and knee muscle strength in middle-aged patients with degenerative meniscal tears eligible for arthroscopic partial meniscectomy.
abstract: BACKGROUND
  Functional limitations exist postmeniscectomy, but preoperative data are scarce.
  
  
  OBJECTIVE
  To examine knee function, knee muscle strength and performance in middle-aged patients with degenerative meniscal tears, eligible for arthroscopic partial meniscectomy.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Eighty-two participants with MRI verified degenerative meniscal tear (35% women, mean age 49 years) answered the Knee injury and Osteoarthritis Outcome Score (KOOS) and were tested for isokinetic knee muscle strength and lower extremity performance (one-leg hop for distance, 6 m timed hop and maximum number of knee-bends in 30 s). Limb Symmetry Index (LSI) was used to express side-to-side differences in per cent using the non-injured leg as the control. An LSI ≥90% was considered normal.
  
  
  RESULTS
  Mean scores of the five subscales of the KOOS were from 13 to 36 points lower compared with a population-based reference group and similar to patients prior to anterior cruciate ligament reconstruction. Quadriceps strength and lower-extremity performance were impaired for the injured leg compared with the non-injured leg (p<0.001), with a mean difference of 13% in quadriceps strength and between 8% and 13% in lower-extremity performance. Between 41% and 52% of the participants had abnormal LSI values in quadriceps muscle strength and lower-extremity performance.
  
  
  CONCLUSIONS
  Middle-aged patients with a symptomatic degenerative meniscal tear experience functional knee problems when eligible for meniscectomy. Included participants reported difficulty with knee pain, symptoms, function and quality of life and quadriceps strength and lower-extremity performance were impaired. Approximately 50% of the study group had clinically relevant impairments in quadriceps strength and lower-extremity performance, defined as >10% differences between the injured and the non-injured leg.
authors.affiliation: Research Unit for Musculoskeletal Function and Physiotherapy, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, , Odense, Denmark.
authors.forename: Silje
authors.initials: S
authors.lastname: Stensrud
authors.forename: May Arna
authors.initials: MA
authors.lastname: Risberg
authors.forename: Ewa M
authors.initials: EM
authors.lastname: Roos
mesh_terms: D000328:Adult; D001182:Arthroscopy; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000502:physiology*; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery; D008875:Middle Aged; D053580:Muscle Strength / Q000502:physiology*; D018482:Muscle, Skeletal / Q000502:physiology*; D020370:Osteoarthritis, Knee / Q000503:physiopathology; D012421:Rupture / Q000503:physiopathology; D057566:Self Report; D000070600:Tibial Meniscus Injuries