A new scoring system for prediction of meniscal repair in traumatic meniscal tears has its limitations
We read the recent article titled “A new scoring system for prediction of meniscal repair in traumatic meniscal tears ” in Knee Surgery, Sports Traumatology, Arthroscopy with lots of enthusiasm. We have a few comments regarding the study. This study is the first of its kind and any clarification would increase the readers’ understanding, as well as the reproducibility in other centers. The study was done in two parts; retrospective and prospective. The retrospective part was used to develop the scoring method. This section lacks statistical and sample selection details. In our opinion, it is difficult to find all patients in either group (meniscectomy vs meniscal repair) to have had identifiable tears on MRI, as the sensitivity of the MRI is low.
The sensitivity of MRI in detecting meniscal tears varies from 47 to 88% [3, 4, 7, 9]. Most of the published studies have demonstrated difficulty in predicting the reparability of tears based on MRI [4, 6, 11] except the...
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- 1.Anderson AF, Irrgang JJ, Dunn W, Beaufils P, Cohen M, Cole BJ, Coolican M, Ferretti M, Glenn RE, Johnson R, Neyret P, Ochi M, Panarella L, Siebold R, Spindler KP, Selmi TAS, Verdonk P, Verdonk R, Yasuda K, Kowalchuk DA (2011) Interobserver reliability of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears. Am J Sports Med 39:926–932CrossRefGoogle Scholar