关键词: diagnosis and treatment expert consensus lateral meniscus

来  源:   DOI:10.1177/23259671221138082   PDF(Pubmed)

Abstract:
UNASSIGNED: The lateral meniscus is a unique structure of the knee joint, and its anatomy, function, pathological process, and treatment are distinct from those of the medial meniscus. To date, no consensus on the management of lateral meniscal lesions has been published, and clinical decision-making is challenging. To facilitate this, consensus and practice guidelines for lateral meniscal lesions were developed and endorsed by the Chinese Society of Sports Medicine.
UNASSIGNED: Consensus statement.
UNASSIGNED: This project followed the Delphi approach to the consensus process, involving steering, rating, and peer review groups. A total of 61 experts in the fields of sports medicine and arthroscopic surgery were invited to participate in the compilation of a consensus statement on lateral meniscal lesions. (The discoid lateral meniscus was addressed by separate consensus.) To begin, the steering group drafted a set of questions and replies regarding lateral meniscal lesions. An online panel discussion was then held to provide initial agreement and comments on the statements, followed by a round of anonymous voting. Results and feedback were sent to the steering group for a second draft. A second round of voting was then held, and each statement was discussed during a combined meeting of the steering and rating groups. Finally, a consensus draft was evaluated by a review group.
UNASSIGNED: Fifty-three questions and answers addressing lateral meniscal lesions were drafted, and 20 statements were excluded because of redundant information during the first round of voting. Ultimately, 33 statements were completed, 9 of which were unanimous.
UNASSIGNED: This expert consensus process focused on the anatomy, function, pathological processes, and treatment of lateral meniscal lesions. Accepted recommendations in these areas can assist doctors and therapists in standardizing the management of related pathology. The consensus statement indicates that certain types of lateral meniscal tears that were previously considered irreparable can be repaired. Preservation of the lateral meniscus should be the first-line treatment whenever possible, because the long-term clinical and radiological outcomes are worse after partial meniscectomy.
摘要:
UNASSIGNED:外侧半月板是膝关节的独特结构,和它的解剖结构,函数,病理过程,和治疗不同于内侧半月板。迄今为止,关于外侧半月板病变的处理尚未达成共识,临床决策具有挑战性。为了促进这一点,中国运动医学会制定并认可了半月板外侧病变的共识和实践指南。
UNASSIGNED:共识声明。
UNASSIGNED:该项目遵循Delphi方法进行共识过程,涉及转向,评级,和同行评审小组。共邀请运动医学和关节镜手术领域的61名专家参与编写了关于外侧半月板病变的共识声明。(盘状外侧半月板已通过单独的共识解决。)开始,指导小组起草了一组关于外侧半月板病变的问题和答复。随后举行了在线小组讨论,以就声明提供初步协议和评论,随后进行了一轮匿名投票。结果和反馈已发送给指导小组进行第二稿。随后进行了第二轮投票,在指导和评级小组的合并会议上讨论了每项声明。最后,一个审查小组评估了一份共识草案。
UNASISIGNED:起草了针对外侧半月板病变的53个问题和答案,由于第一轮投票中的冗余信息,20份声明被排除在外。最终,完成了33份陈述,其中9个是一致的。
UNASSIGNED:这个专家共识过程集中在解剖学上,函数,病理过程,和治疗外侧半月板病变。在这些领域接受的建议可以帮助医生和治疗师规范相关病理的管理。共识声明表明,以前认为不可修复的某些类型的外侧半月板撕裂可以修复。保留外侧半月板应尽可能作为一线治疗,因为半月板部分切除术后的长期临床和放射学结果更差。
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