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Cited by 86Knee injuries and reconstruction techniquesOsteoarthritis Treatment and MechanismsMusculoskeletal pain and rehabilitation

Degenerative meniscus tears and mobility impairment in women with knee osteoarthritis

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Lange, A.K., Fiatarone Singh, M.A., Smith, R.M., Foroughi, N., Baker, M.K., Shnier, R., Vanwanseele, B.·2007·Osteoarthritis and Cartilage
DOI 10.1016/j.joca.2006.11.004
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Abstract

Objective Meniscus tears are often presumed to be associated with a traumatic event, but they can also occur as a result of the cartilage degeneration process in osteoarthritis (OA). The aim of this paper is to describe the prevalence and clinical correlates of degenerative meniscus tears in women with knee OA.Method The subjects were women screened for a double-blind, sham-exercise controlled clinical trial for women over 40 years of age with OA in at least one knee, according to American College of Rheumatology (ACR) clinical criteria. The presence of meniscus tears was assessed via a 3T Intera (Philips Medical Systems) magnetic resonance image (MRI). Clinical examination included a history of arthritis onset and physical examination of the lower extremities. Physical assessments included body composition, muscle strength, walking endurance, gait velocity, and balance. In addition, pain and disability secondary to OA, physical self-efficacy, depressive symptoms, habitual physical activity level and quality of life were assessed via questionnaires.Results Almost three-quarters (73%) of the 41 subjects had a medial, lateral, or bilateral meniscus tear by MRI. Walking endurance and balance performance were significantly impaired in subjects with a degenerative meniscus tear, compared to subjects without tears, despite similar OA duration, symptoms, and disability, body composition, and other clinical characteristics.Conclusion Meniscus tears, diagnosed by MRI, are very common in older women with knee OA, particularly in the medial compartment. These incidentally discovered tears are associated with clinically relevant impairments of balance and walking endurance relative to subjects without meniscus tears. The explanation for this association requires further study.

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  • Low-load power training may increase injury risk owing to undiagnosed joint issues exacerbated by the very high velocity of the movement.

    “Caution is advised with low-load power training, as it may increase injury risk owing to undiagnosed joint issues exacerbated by the very high velocity of the movement [214,215].”

    From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [215]

  • Two potential adverse events related to muscle power training are injury to tendons/cartilage, particularly of the rotator cuff and knee, and exacerbations of abdominal/inguinal hernias.

    “As noted above, two potential adverse events related to muscle power training are injury to tendons/cartilage, particularly of the rotator cuff and knee, where degenerative tears are commonplace [215], and exacerbations of abdominal/inguinal hernias [89].”

    From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [215]

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1 of the 52 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Timoney JM, Kneisl JS, Barrack MC, Alexander AH. Arthroscopy in the osteoarthritic knee: long-term fol- low-up. Orthop Rev 1990;19(4):371e9.

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Authors
Lange, A. K., Fiatarone Singh, M. A., Smith, R. M., Foroughi, N., Baker, M. K., Shnier, R., & Vanwanseele, B.
Affiliations
The University of Sydney (AU)
Corresponding author
Lange, A.K.
ORCID
Venue
Osteoarthritis and Cartilage
Publisher
Elsevier BV
Published
2007-06
Volume
15
Issue
6
Pages
701-708
ISSN
1063-4584 (ISSN-L)
DOI
10.1016/j.joca.2006.11.004
OpenAlex
W2153119184
Cited by
81
References
52
Citations by year
2026: 1 · 2025: 1 · 2024: 17 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 5 · 2018: 3 · 2017: 6 · 2016: 4 · 2015: 4 · 2014: 1 · 2013: 5 · 2012: 2
FWCI
5.65
Type
journal article
Language
en
Open access
Licence
Locations
  • Osteoarthritis and Cartilage (publishedVersion)
  • PubMed (publishedVersion)
  • Research Bank (Australian Catholic University) (submittedVersion)
Funders
Strong
Topics
  • Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
  • Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords
degenerative meniscus tears, knee osteoarthritis, women, mobility impairment, balance, walking endurance, medial compartment, cartilage degeneration, prevalence, physical self-efficacy, depressive symptoms, quality of life
MeSH terms
Tibial Meniscus Injuries, Aged, Cartilage, Cross-Sectional Studies, Female, Humans, Magnetic Resonance Imaging, Menisci, Tibial, Middle Aged, Pain Measurement, Surveys and Questionnaires, Severity of Illness Index, Sex Factors, Osteoarthritis, Knee, Mobility Limitation

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