Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 19, Issue 10, pp 1716–1721

Landing adaptations following isolated lateral meniscectomy in athletes

  • Kevin R. Ford
  • Stephen J. Minning
  • Gregory D. Myer
  • Robert E. Mangine
  • Angelo J. Colosimo
  • Timothy E. Hewett



Objective functional outcomes following isolated radial lateral meniscus tears in the athlete between the ages of 14–25 are not clearly defined. The objective of this study was to determine whether patients following lateral meniscectomy demonstrate lower extremity asymmetries relative to control athletes 3 months after surgery. We hypothesized that following lateral meniscectomy, athletes aged 14–25 years old would demonstrate altered landing biomechanics compared to sex, age, height, weight, and sport-matched controls.


A total of 18 subjects were included in this study. Nine patients (7 men and 2 women, 20.1 ± 2.8 years) who had undergone first-time isolated radial lateral meniscus tears were tested 3 months following partial lateral meniscectomies and compared to nine sex, age, height, weight, and sport-matched controls (7 men and 2 women, 19.7 ± 3.1 years). A ten-camera motion analysis system and two force platforms were used to collect three trials of bilateral drop landings. A 2X2 ANOVA was used to test the interaction between side (involved vs. uninvolved) and group (patient vs. control).


The patient group landed with a decreased internal knee extensor moment compared to the uninvolved side and controls (interaction P < 0.05). The involved limb quadriceps isokinetic torque was not decreased compared to the contralateral or control (n.s.). Decreased knee extensor moments were significantly associated with reduced measures of function (IKDC scores: r = 0.69; P < 0.05).


Athletes who return to sport at approximately 3 months following a partial lateral meniscectomy may employ compensation strategies during landing as evidenced by reduced quadriceps recruitment and functional outcome scores. Clinicians should focus on improving quadriceps function during landing on the involved leg in an attempt to decrease residual limb asymmetries.

Level of evidence

Case–control study, Level III.


Landing biomechanics Knee surgery Knee function Case–control study 


  1. 1.
    Bandy WD, McLaughlin S (1993) Intramachine and intermachine reliability for selected dynamic muscle performance tests. J Orthop Sports Phys Ther 18:609–613PubMedGoogle Scholar
  2. 2.
    Baratz ME, Fu FH, Mengato R (1986) Meniscal tears: the effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee. A preliminary report. Am J Sports Med 14:270–275PubMedCrossRefGoogle Scholar
  3. 3.
    Barber-Westin SD, Smith ST, Campbell T, Noyes FR (2010) The drop-jump video screening test: retention of improvement in neuromuscular control in female volleyball players. J Strength Cond Res 24:3055–3062PubMedCrossRefGoogle Scholar
  4. 4.
    Benjaminse A, Otten E (2010) Acl injury prevention, more effective with a different way of motor learning? Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-010-1313-z
  5. 5.
    Bobbert MF, Huijing PA, van Ingen Schenau GJ (1987) Drop jumping. I. The influence of jumping technique on the biomechanics of jumping. Med Sci Sports Exerc 19:332–338PubMedGoogle Scholar
  6. 6.
    Bonneux I, Vandekerckhove B (2002) Arthroscopic partial lateral meniscectomy long-term results in athletes. Acta Orthop Belg 68:356–361PubMedGoogle Scholar
  7. 7.
    Chatain F, Adeleine P, Chambat P, Neyret P (2003) A comparative study of medial versus lateral arthroscopic partial meniscectomy on stable knees: 10-year minimum follow-up. Arthroscopy 19:842–849PubMedCrossRefGoogle Scholar
  8. 8.
    DeVita P, Skelly WA (1992) Effect of landing stiffness on joint kinetics and energetics in the lower extremity. Med Sci Sports Exerc 24:108–115PubMedGoogle Scholar
  9. 9.
    Durand A, Richards CL, Malouin F, Bravo G (1993) Motor recovery after arthroscopic partial meniscectomy. Analyses of gait and the ascent and descent of stairs. J Bone Joint Surg Am 75:202–214PubMedGoogle Scholar
  10. 10.
    Fitzgibbons RE, Shelbourne KD (1995) “Aggressive” nontreatment of lateral meniscal tears seen during anterior cruciate ligament reconstruction. Am J Sports Med 23:156–159PubMedCrossRefGoogle Scholar
  11. 11.
    Ford KR, Myer GD, Hewett TE (2003) Valgus knee motion during landing in high school female and male basketball players. Med Sci Sports Exerc 35:1745–1750PubMedCrossRefGoogle Scholar
  12. 12.
    Ford KR, Myer GD, Hewett TE (2007) Reliability of landing 3d motion analysis: implications for longitudinal analyses. Med Sci Sports Exerc 39:2021–2028PubMedCrossRefGoogle Scholar
  13. 13.
    Ford KR, Myer GD, Melson PG, Darnell SC, Brunner HI, Hewett TE (2009) Land-jump performance in patients with juvenile idiopathic arthritis (jia): a comparison to matched controls. Int J Rheumatol. doi:10.1155/2009/478526:478526
  14. 14.
    Hewett TE, Ford KR, Myer GD (2006) Anterior cruciate ligament injuries in female athletes: part 2, a meta-analysis of neuromuscular interventions aimed at injury prevention. Am J Sports Med 34:490–498PubMedCrossRefGoogle Scholar
  15. 15.
    Hewett TE, Stroupe AL, Nance TA, Noyes FR (1996) Plyometric training in female athletes. Decreased impact forces and increased hamstring torques. Am J Sports Med 24:765–773PubMedCrossRefGoogle Scholar
  16. 16.
    Irrgang JJ, Anderson AF, Boland AL, Harner CD, Kurosaka M, Neyret P, Richmond JC, Shelborne KD (2001) Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med 29:600–613PubMedGoogle Scholar
  17. 17.
    Irrgang JJ, Snyder-Mackler L, Wainner RS, Fu FH, Harner CD (1998) Development of a patient-reported measure of function of the knee. J Bone Joint Surg Am 80:1132–1145PubMedGoogle Scholar
  18. 18.
    Levy IM, Torzilli PA, Gould JD, Warren RF (1989) The effect of lateral meniscectomy on motion of the knee. J Bone Joint Surg Am 71:401–406PubMedGoogle Scholar
  19. 19.
    Minning SJ, Myer GD, Mangine RE, Eifert-Mangine M, Colosimo AJ (2008) Serial assessments to determine normalization of gait following anterior cruciate ligament reconstruction. Scand J Med Sci Sports 19:569–575PubMedCrossRefGoogle Scholar
  20. 20.
    Musahl V, Citak M, O’Loughlin PF, Choi D, Bedi A, Pearle AD (2010) The effect of medial versus lateral meniscectomy on the stability of the anterior cruciate ligament-deficient knee. Am J Sports Med 38:1591–1597PubMedCrossRefGoogle Scholar
  21. 21.
    Myer GD, Ford KR, Palumbo JP, Hewett TE (2005) Neuromuscular training improves performance and lower-extremity biomechanics in female athletes. J Strength Cond Res 19:51–60PubMedGoogle Scholar
  22. 22.
    Myer GD, Paterno MV, Ford KR, Hewett TE (2008) Neuromuscular training techniques to target deficits before return to sport after anterior cruciate ligament reconstruction. J Strength Cond Res 22:987–1014PubMedCrossRefGoogle Scholar
  23. 23.
    Noehren B, Scholz J, Davis I (2010) The effect of real-time gait retraining on hip kinematics, pain and function in subjects with patellofemoral pain syndrome. Br J Sports Med. doi:10.1136/bjsm.2009.069112
  24. 24.
    Orishimo KF, Kremenic IJ, Mullaney MJ, McHugh MP, Nicholas SJ (2010) Adaptations in single-leg hop biomechanics following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 18:1587–1593PubMedCrossRefGoogle Scholar
  25. 25.
    Papalia R, Del Buono A, Osti L, Denaro V, Maffulli N (2011) Meniscectomy as a risk factor for knee osteoarthritis: a systematic review. Br Med Bull. doi:10.1093/bmb/ldq043
  26. 26.
    Pena E, Calvo B, Martinez MA, Palanca D, Doblare M (2006) Why lateral meniscectomy is more dangerous than medial meniscectomy. A finite element study. J Orthop Res 24:1001–1010PubMedCrossRefGoogle Scholar
  27. 27.
    Petrosini AV, Sherman OH (1996) A historical perspective on meniscal repair. Clin Sports Med 15:445–453PubMedGoogle Scholar
  28. 28.
    Rangger C, Klestil T, Gloetzer W, Kemmler G, Benedetto KP (1995) Osteoarthritis after arthroscopic partial meniscectomy. Am J Sports Med 23:240–244PubMedCrossRefGoogle Scholar
  29. 29.
    Roos EM, Ostenberg A, Roos H, Ekdahl C, Lohmander LS (2001) Long-term outcome of meniscectomy: symptoms, function, and performance tests in patients with or without radiographic osteoarthritis compared to matched controls. Osteoarthr Cartil 9:316–324PubMedCrossRefGoogle Scholar
  30. 30.
    Seon JK, Gadikota HR, Kozanek M, Oh LS, Gill TJ, Li G (2009) The effect of anterior cruciate ligament reconstruction on kinematics of the knee with combined anterior cruciate ligament injury and subtotal medial meniscectomy: an in vitro robotic investigation. Arthroscopy 25:123–130PubMedCrossRefGoogle Scholar
  31. 31.
    Servien E, Acquitter Y, Hulet C, Seil R (2009) Lateral meniscus lesions on stable knee: a prospective multicenter study. Orthop Traumatol Surg Res 95:S60–S64PubMedCrossRefGoogle Scholar
  32. 32.
    Sturnieks DL, Besier TF, Hamer PW, Ackland TR, Mills PM, Stachowiak GW, Podsiadlo P, Lloyd DG (2008) Knee strength and knee adduction moments following arthroscopic partial meniscectomy. Med Sci Sports Exerc 40:991–997PubMedCrossRefGoogle Scholar
  33. 33.
    Sturnieks DL, Besier TF, Mills PM, Ackland TR, Maguire KF, Stachowiak GW, Podsiadlo P, Lloyd DG (2008) Knee joint biomechanics following arthroscopic partial meniscectomy. J Orthop Res 26:1075–1080PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Kevin R. Ford
    • 1
    • 2
  • Stephen J. Minning
    • 1
    • 3
  • Gregory D. Myer
    • 1
    • 2
    • 6
  • Robert E. Mangine
    • 3
  • Angelo J. Colosimo
    • 4
  • Timothy E. Hewett
    • 1
    • 2
    • 4
    • 5
    • 6
  1. 1.Cincinnati Children’s Hospital Medical Center Sports Medicine Biodynamics Center and Human Performance LaboratoryCincinnatiUSA
  2. 2.Department of Pediatrics, College of MedicineUniversity of CincinnatiCincinnatiUSA
  3. 3.A Division of Select Medical CorporationNovaCare Rehabilitation/University of Cincinnati Sports MedicineCincinnatiUSA
  4. 4.Department of Orthopaedic SurgeryUniversity of CincinnatiCincinnatiUSA
  5. 5.Departments of Biomedical Engineering and Rehabilitation SciencesUniversity of CincinnatiCincinnatiUSA
  6. 6.Departments of Physiology and Cell Biology, Orthopaedic Surgery, Family Medicine and Biomedical EngineeringOhio State University Sports MedicineColumbusUSA

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