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Physical Therapy or Arthroscopic Surgery for Treatment of Meniscal Tears

Physical Therapy or Arthroscopic Surgery for Treatment of Meniscal Tears Opinion EDITORIAL Physical Therapy or Arthroscopic Surgery for Treatment of Meniscal Tears Is Noninferiority Enough? Laith Jazrawi, MD; Heather T. Gold, PhD; Joseph D. Zuckerman, MD Knee arthroscopy is among the most common surgical pro- 17-340, for a total of 838 patients) that primarily enrolled pa- cedures performed worldwide. Each year, an estimated tients with simple meniscus degeneration all showed no ben- 500 000 meniscus procedures are performed in patients efit of APM compared with nonsurgical treatment or sham sur- 5-9,11 older than age 45 years in the United States and more than gery at up to 2-year follow-up. The benefits of arthroscopy 2 million procedures are per- are now being questioned and, in some situations, insurance 1,2 formed worldwide. Mag- coverage for the procedure has been rescinded if patients have Related article page 1328 netic resonance imaging stud- not completed a course of PT. ies indicate that 60% of individuals without knee pain older A systematic review and meta-analysis reported a similar than 50 years have evidence of meniscus degeneration, which conclusion. The data suggested a statistically significant, often occurs in the presence of osteoarthritis (OA). In symp- but clinically unimportant, benefit of APM for knee function tomatic http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Physical Therapy or Arthroscopic Surgery for Treatment of Meniscal Tears

JAMA , Volume 320 (13) – Oct 2, 2018

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Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2018.13181
pmid
30285160
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Physical Therapy or Arthroscopic Surgery for Treatment of Meniscal Tears Is Noninferiority Enough? Laith Jazrawi, MD; Heather T. Gold, PhD; Joseph D. Zuckerman, MD Knee arthroscopy is among the most common surgical pro- 17-340, for a total of 838 patients) that primarily enrolled pa- cedures performed worldwide. Each year, an estimated tients with simple meniscus degeneration all showed no ben- 500 000 meniscus procedures are performed in patients efit of APM compared with nonsurgical treatment or sham sur- 5-9,11 older than age 45 years in the United States and more than gery at up to 2-year follow-up. The benefits of arthroscopy 2 million procedures are per- are now being questioned and, in some situations, insurance 1,2 formed worldwide. Mag- coverage for the procedure has been rescinded if patients have Related article page 1328 netic resonance imaging stud- not completed a course of PT. ies indicate that 60% of individuals without knee pain older A systematic review and meta-analysis reported a similar than 50 years have evidence of meniscus degeneration, which conclusion. The data suggested a statistically significant, often occurs in the presence of osteoarthritis (OA). In symp- but clinically unimportant, benefit of APM for knee function tomatic

Journal

JAMAAmerican Medical Association

Published: Oct 2, 2018

References