AAOS updates clinical practice guideline for treatment of acute meniscal injury
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Key takeaways:
- The American Academy of Orthopaedic Surgeons released an updated clinical practice guideline for the management of acute meniscal pathology.
- The guideline included three new evidence-based recommendations.
The American Academy of Orthopaedic Surgeons released an updated clinical practice guideline for the management of acute meniscal pathology, according to a press release.
The release noted the updated guideline includes the latest in evidence-based recommendations, including the following three new recommendations for the management of these injuries:
- MRI is the preferred method for diagnosing acute meniscal tears due to its accuracy vs. CT and ultrasound.
- Physical examinations of joint line tenderness, as well as the McMurray test and the Thessaly test, are recommended to diagnose acute meniscal tears.
- Surgical management of acute meniscal tears should aim to preserve functional meniscal tissue to reduce the risk of osteoarthritis.
The guideline also included several options for physicians and patients to consider when there is little or conflicting evidence for treatment.
“Treating acute meniscal tears is still an evolving area and, compared to other guidelines that detail recommendations for the treatment of various musculoskeletal issues, the body of evidence surrounding this injury is relatively lacking,” Robert Brophy, MD, FAAOS, co-chair of the AAOS clinical practice guideline development group, said in the release. “While acute meniscal tears are common, there is more heterogeneity in terms of the injury, the pattern associated with the injury and treatments, making it a more difficult area to study. This new [clinical practice guideline] is a first step toward establishing guidelines and laying the foundation for developing a higher level of evidence to inform future recommendations.”
The full guideline can be found at: https://www.aaos.org/globalassets/quality-and-practice-resources/acute-meniscal-pathology/amp-cpg.pdf.
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